HomeMy WebLinkAbout2012 FOLDER (2)HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No., Permit No.
File Number: Address: /7p / ,^Ljel L,J,
Bakersfield, CA 933
Date Received: 3 —/Z
Business Name: v p
SYSTEM: BUILDING SQUARE FEET: INSPECTION L ®G
New Mod.
Commercial Hood System Building Sq. Feet: Date Time
Fire Alarm System Calculation Bldg. Sq. Ft: 1.
Fire Sprinkler System 2,
Spray Finish System 3.
Aboveground Storage Tank 4,
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Gd' Other:
Comments:
T -litil L
Signature
UNDERGROUND STORAGE TANKS
FACILITY
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APPLICATION
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Re
AIPTM T
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT Pn
OPERATOR NAME y
4/ ,/Q L L
TESTING /TANK TIGHTNESS TEST AND
OF TANKS TO BE TESTED:
FUEL MONITORING CERTIFICATION
TANK #
Please note that these are separate
CONTENTS
individual tests and will be charged per
separate type test accordingly.)
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661-852-2171
Page 1 of 1
ENHANCED LEAK DETECTION
r
1 LINE TESTING E] SB -989 SECONDARY CONTAINMENT
E] TANK TIGHTNESS 2-FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY NAME & PHONE # OF CONTACT PERSON
ADDRESS
OWNER NAME dA
OPERATOR NAME y
4/ ,/Q L L
PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
TANK TESTING COMPANY
TESTING COMPANY, ^ / CJ
NAME & PHONE # OF CONTACT PERSON
MAILING ADDRES5
D
NAME PHONE OF TESTER OR SPECIAL INSPECT 9R
v bV.l --o 4
CERTBfICATION #
DATE & TIME TEST TO BE CONDUCTED ICC # TEST METHOD
APPLICANT SIG A URE DATE
3-1
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPR( /Oyy \D BYY '
t %
DATE
FD2095 (Rev 03/08)
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
i 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: Z2,0 l 4A)
JOB DESCRIPTION: 11,4 C— OCCUPANCY TYPE: ,a
OWNER: i3 P Ae-c-6 PERMIT NO. ,-R— QQQ
CONTRACTOR: `111-.1 PHONE # 63c4 — S
FD 1743