HomeMy WebLinkAboutFMC Application 10-17-22UNDERGROUND STORAGE TANKS
APPLICATION
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#
1:1 ENHANCED LEAK DETECTION El LINE TESTING
0 TANK TIGHTNESS N FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 o Fax: 661-852-2171
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❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
GASKO FOOD MART
NAME & PHONE # OF CONTACT PERSON
Sukhjinder Gill (661) 323-3025
ADDRESS
1430 East California Ave. Bakersfield, CA 93306
1' OWNER NAME
ISukhjinder Gill
OPERATOR NAME
Sukhjinder Gill
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:3
IS PIPING GOING TO BE TESTED? YES 11 NO
T A N K #
VOLUME
CONTENTS
1
203000
87
2
10,000
91
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 #
A25212
TEST METHOD
PEI RP1200-17
ICC #
8032698
APPLICANT SIGNATURE
DATE
Loe
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)