HomeMy WebLinkAbout3601 STOCKDALE HWY (7)HOODS ALARMS SPRINKLER SYSTEMS AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number:
Date Received:
3/3z
0-- Other:
Comments:
Address:
Bakersfield, CA 933
Business Name:
BUILDING SQUARE FEET:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 9.
a.
3.
4.
OWSPECTIOM LOG
Date Time
i
amxT
Signature
SYSTEM:
New Mod.
Commercial Hood System
Fire Alarm System
O Fire Sprinkler System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
0-- Other:
Comments:
Address:
Bakersfield, CA 933
Business Name:
BUILDING SQUARE FEET:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 9.
a.
3.
4.
OWSPECTIOM LOG
Date Time
i
amxT
Signature
amxT
Signature
BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove for Duration of Work
Inspection Request Phone No. (661) 326 -3979
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING 1
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR TO OPERATION OF ANY SYSTEM, '
A, LL UST AND /OR AST SYSTEMS SHALL BEj
INSTALL, COMPLETE AND ACCEPTED BYE
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.)
FIRE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: J
JOB DESCRIPTION: ",y OCCUPANCY TYPE: ,a
OWNER: PERMIT NO.
CONTRACTOR: _ ND m Ig PHONE 051 %
FD 1743
UNDERGROUND 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 #
ENHANCED LEAK DETECTION
TANK TIGHTNESS
A
I
PlRI
ARrN T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
Page i of 1
LI e ESTING SB -989 SECONDARY CONTAINMENT
L1'FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY--+
l/ I
E & PHONE # OF CONTACT PE
l.J! Il I
ADDRESS
OWNER NAM l
OPERATOR NAME - PERMIT TO OPERATE #
OF TANKS TO BET TED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
It
TANK TESTING COMPANY,
TESTING COMPA " . r{',
VL
N & PHONE yf Qt Ci TACTyt@RSON ,...,..
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NAME 84PHONE # OFTES1AOR PECIAL NSPECTO G RTIFICATION #
DATE & TI' qST TO BE CONDLtTED
I „
1
1l•
ICC # ( '"D i j y,.. TEST METHOD
7J( `/ IJC 1 lam' 1
APPLICANT SIGNATURE DATE
I C BECOMES A PERMIT WHEN APPROVED
APP
J
BY41( DATE
FD2095 (Rev 03/08)
F 4
Edwin Pineda - REG 16
External Certifications Cert # Competed
Due Date
Internal
Certifications
Safety
Date
Completed Due Date
OPW - Phase 1 EVR
Veeder Root Red Jacekt CPT
Veeder Root Red Jacket LL)
Veeder Root 4
Veeder Root Vapor Products
VST EVR
SCAQMD - Tester
SCAQMD - 461
6033
837453
B37453
837453
837453
1652
T -9037
A09049
21312011
2/25/2010
8/12/2011
2/6/2011
3/17/2011
3252011
6/122009
9119/2009
2/312013
2/25/2012
8/11/2013
2/5/2013
31162013
3/252013
N/A
WA
UST 101
level III PV ca
ATG
Spill Container
Stage II
TLD-1
DOT Com I. III
12/11/2011
2/10/2009
1/10/2011
8/26/2009
8/26/2009
1/102011
5252011
6/152011
12/11/20,2
2/8 /2019
1/9/2014
8/25/2012
8/25/2012
1/92014
5252014
6/142012
San Joaquin GDF SJV- 0227 3/162011 3/162013
Healy 356213762 1242011 1242013
Phil -Tde 1620323702 822010 8/2/2012
Weights & Measure 6747 12N62008 12/152013
CNI 1870 9232011 9232013
Beaudreau 400 -500
FFS- DG400 Dispensing Cutoff System 1620323702 10/42011 10/42013
Beaudreau a -site
Incon - FMS level 1 Installation 1620323702 5/272011 5272013
Incon - FMS level 2 Programming 1620323702 5/272011 527/2013
Incon - FMS level 3 Leak detection
Incon - FMS level 4 Sump Test Opr
Incon VRM level 5 in sta diag. 1620323702 5272011 5272013
Ronan
ICC - Des O r
ICC - Sery Tech 8026748 -UT 8/162011 8/162013 VR
ICC - Vapor Recovery Test & Repair 8026748 -VT 2242010 2242012 FF
ICC - Vapor Recovery Installer 8026748 -VI 8 /162011 8/162013 ICC
ICC U3 Tank tightness testing
API 52191500 10272011 11202012
Blueline
CA Water Res. Control Board
VMI- aporless- Tanknology 2344 5242011 5242013
NevaMa
Clark County Stage II
EMCO Phase 11 EVR 456 6212011 6 12013
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590 n
to the
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WELLS FARGO BANK, N.A.
CALIFORNIA
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WELLSFARGO.COM
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