HomeMy WebLinkAboutFMC Application 6-22-22APPLICATION
TO PERFORM ELD/LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT #
..........
❑ ENHANCED LEAK DETECTION 0 LINE TESTING
❑ TANK TIGHTNESS IN FUEL MONITORING CERTIFICATION
BA. KERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 * Fax: 661-852-2171
Page 1 of 1
13 SB -989 SECONDARY CONTAINMENT
0 OVERFILL PREVENTION
FACILITY
SITE INFORMATION
NAME & PHONE # OF CONTACT PERSON
METRO MART- VALERO
GEORGE FARAH (661) 900-8788
ADDRESS
4600 STI lel E ROAD Bakersfield, CA 93313
OWNER NAME
EL MANAHRI INC
OPERATOR NAME
PERMIT TO OPERATE #
GEORGE FARAH
# OF TANKS TO BE TESTED:4 IS PIPING GOING TO BE TESTED? YES NO
TANK#
---------- - .......... . .. . ....... . . . ... .... ......
VOLUME CONTENTS
_._.....__.,__..._....__.......m.._.._._...__.,.._._.._......._..........._.....__.. _.._...........__..._._...__.._.._... ... ......
. ..............
1 ___
127000 87
27 000 87
____2 ______1
_____
3
127000 91
127000
TANK TESTING COMPANY
TESTING COMPANY
Advanced Compliance
NAME & PHONE # OF CONTACT PERSON
Leann Hamilton 661-808-5323
MAILING ADDRESS
4007 Brae Burn Dr Bakersfield Ca
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Bruce Hinsley
CERTIFICATION #
A25219
12
TEST METHOD
ICC #
PEI RP1200-17
APPLICANT SIG RE
8032698
DATE
THIS APPLICATION
BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)