HomeMy WebLinkAbout1520 20TH STREET 2012 SB989 FILEHOODS ALARMS SPRINKLER SYSTEMS SPRAY o 00yH
Permit No. Permit No. Permit No. Permit No.
File Number: 374-7— Address:
Date Received: 6 _z_ /-z
Business Name:
Bakersfield, CA 933
b;7- il T
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Li Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
CC Other: S`6 - 9 4- g
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
AST .UST
Permit No. Permit No.
2 /vooa qrl
INSPECTION LOS
Date Time
Signature
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
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,
ALL UST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: '6;kQ
JOB DESCRIPTION: 3 -9 OCCUPANCY TYPE:
OWNER: Ax PERMIT NO.
CONTRACTOR: PHONE
FD 1743
1
Transmittal
Fed EX Number: 7937 0420 7641
2131 S. Dupont D,i,e, A—h. —,, CA 92806
pc7714/560l82.22.
TO: UST Compliance Department FROM: Matthew Denison
COMPANY: Bakersfield Fire Department PHONE: 714 -560- 8200x404 FAX: 714 - 978 -2615
2101 H Street
Bakersfield, CA 93301
FAX: 661- 852 -2171 DATE: 6/20/2012
RE: AT &T Triennial SB989 Testing
GEO: CAK010
Hello. Tait will be on -site at the date and time indicated below in order to conduct the Triennial
SB989 test. Following this cover sheet will be the application and check in the amount of
192.00. Please contact me with any questions and /or comments.
CAK010 1520 ggKERSFIELD 93301- 9:00
20TH ST 4406 06/29/2012 AM
CA Lic #588098 • AZ Lic #095984 • MV Lic #0049666
2131 South Dupont Drive • Anaheim, California 92806 , 714.560.8222 • 714,685,0006 Fax
11280 1'rado Genter Drive ° fi.znc;ho Cordova. California 9.5712 • 916,858.1090 - 916.858.1011 Fax
WWW,taiLcorn
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT N0.
E5 ENHANCED LEAK DETECTION
eS TANK TIGHTNESS TEST
B HR5P1 n
FIRJ
ARrM T
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
EK LINE TESTING )kS SB -989 SECONDARY CONTAINMENT TESTING
A5 TO PERFORM FUEL MONITORING CERTIFICATION
FD 2095 (Rev. 09/05)
SITE INFORMATION
FACILITY
AT &T Corporation
NAME & PHONE NUMBER OF CONTACT PERSON
Grant Armstrong (661) 327 -6903
ADDRESS
1520 20th Street
OWNERS NAME
AT &T Corporation
OPERATORS NAME
Marschelle Drake
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES e; NO
TANK# VOLUME CONTENTS
CAK01OU001 8,000 Gallons Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY
Tait Environmental Services, INC.
NAME & PHONE NUMBER OF CONTACT PERSON
Matt Denison (714) 345 -8080
MAILING ADDRESS
2131 South Dupont Drive, Anaheim CA 92806
NAME & PHONE NUMBER OF TESTER OR
Eric Durham
SPECIAL INSPECTOR CERTIFICATION #:
8082643702
DATE & TIME TEST TO BE CONDUCTED
06/29/2012 @ 9:00am
ICC #:
5240929 -UT
TEST METHOD
SIGNATURE OF APPLICANT DATE 6/2 0 / 2 012
THISiAPPLIC4TION B OME : A PERMIT E APPROVED
APPROVED BY DATE 7_; s
FD 2095 (Rev. 09/05)
Account Number: 03026 048437
rAIT ENVIRONMENTAL SERVICES, INC. 701 N. Park Center Drive m Santa Ana, CA 91,705 V PLEASE DETACH AND RETAIN FOR YOUR RECORDS
PAY,, * *.t *. * * * * *. * * * * ** *..192. DOLLARS AND : * * * * * * * * * * . CENTS
NO.... U404J I
192.00
AIT ENVIRONMENTAL SERVICES, INC. 701 N. Park Center Drive m Santa Ana, CA 92705
Account Number: 03026 048437
MIT ENVIRONMENTAL SERVICES, Ifv 701 N. Park :terrier Drives S .n ?a `,na, CA 92705 .; I'I..EASE DETACH AND RETAIN FOR YOUR RECORDS '
KLFR ri
r
l LII 048437U1! HERN CA ORf I /.
TM Tr>!e es r4N a Fr r
701 N. Park CenterDrive
Santa Ana, CA 92705.
6/20/2012
I,o. 048437
2 DOLLARS AND * * * * * * * * * * *00 CENTS
AIT ENVIR014MENTAL SERVICES, iMC. 701 N. Park Centex Drivc r Santa Ana, CA 92705
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