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HomeMy WebLinkAboutFMC Application 8-23-21UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD/LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please nate that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS ❑ LINE TESTING 0 FUEL MONITORING CERTIFICATION SITE INFORMATION BAKERSFIELD FIRE DEPARTMENT Preventi©n Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 ® Fax: 661-852-2171 Page 1 of 1 ❑ SB -989 SECONDARY CONTAINMENT ❑ OVERFILL PREVENTION FACILITY NAME & PHONE # OF CONTACT PERSON OSWELL CHEVRON Muneeb Darghali (661) 871-1200 ADDRESS 2700 OSWELL ST. Bakersfield, CA. 93306 OWNER NAME nct"all ('_houmn inti OPERATOR NAME M uneeb Darghali PERMIT TO OPERATE -# # OF TANKS TO BE TESTED:; IS PIPING GOING TO BE TESTED? W YES ❑ NO TANK## VOLUME CONTENTS 107000 91 2 107000 Diesel 3 10,000 87 f TANK TESTING COMPANY t TESTING COMPANY frAdvanced Compliance NAME & PHONE # OF CONTACT PERSON Leann Hamilton 661-808-5323 1 MAILING ADDRESS 14007 Brae Burn Dr Bakersfield Ca NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR Bruce Hinsley CERTIFICATION # A25212 TEST METHOD PEI RP1200-17 ICC # 8032698 APPLICANT SIGNATUIZE DATE �� �,� 7'i29/2021 d �°` I ! `, 4 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 09/20)