HomeMy WebLinkAboutFMC 2012 (2)HOODS ALARMS SPRINKLER SYSTEMS SPRAY B OO OO7H AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 3 / Co
Date Received: -- / — 1;2,
Address:
Bakersfield, CA 933
Business Name: ?h•C p (`v 0 .
SYSTEM: BUILDING SQUARE FEET:
New Mod.
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
l" Other: y=ltif C_
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
INSPECTION LOCH
Date Time
Signature
Signature
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT N0.
t*r BAKERSFIELD FIRE DEPT.
B s B s D Prevention ServicesFIRE
fill ARTA/ T 2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST -XITO PERFORM FUEL MONITORING CERTIFICATION Cathodic Protection Testing
1 C'L' C -/60 74'115
vie e/q 1bXaI13
FD 2095 (Rev. 09/05)
SITE INFORMATION
FACILITY Pan Pacific Petroleum NAME & PHONE NUMBER OF CONTACT PERSON
Ken Wiley (661) 589 -3200
ADDRESS 1850 Coffee Road
OWNERS NAME Ken Wiley (661) 742 -3020
OPERATORS NAME Pan Pacific Petroleum PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO
TANK# VOLUME CONTENTS
15,000 Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Cal - Valley Equipment Name and phone # of contact person
Jerry Rangel (661) 327 -9341
MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308
Name and phone # of tester or special Instructor
Jerry Rangel (661) 979 -0953
CERTIFICATION #: Veeder Root: B35460 Incon: 2710563701
DATE & TIME TEST TO BE CONDUCTED 06/11/12 @ 8:30 am Icc #: ICC: 5309489 — JT Test Method
SIGNATURE OF APPLICANT DATE 05/30/12
APPROVED BY ' DATE G Z_
1 C'L' C -/60 74'115
vie e/q 1bXaI13
FD 2095 (Rev. 09/05)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING 1
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
BAKERSFIELD FIRE DEPT.
AP
revention ServicesP.
R"Rr'
Aff
T 2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
ENHANCED LEAK DETECTION LINE TESTING 11 SB -989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST 2r, TO PERFORM FUEL MONITORING CERTIFICATION R Cathnr. is Prntettinn Tcatinn
SITE INFORMATION
FACILITY Pan Pacific Petroleum NAME 6 PHONE NUMBER OF CONTACT PERSON
Ken Wiley (661) 589 -3200
ADDRESS 1850 Coffee Road
OWNERS NAME Ken Wiley (661) 742 -3020
OPERATORS NAME Pan Pacific Petroleum PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO
TANK# VOLUME CONTENTS
15,000 Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Cal - Valley Equipment Name end phone # of contact person
Jerry Rangel(661)327 -9341
MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308
Name and phone # of tester or special Instructor
Jerry Rangel (661) 979 -0953 CERTIFICATION #: Veeder Root: B35460 Incon: 2710563701
DATE 8 TIME TEST TO BE CONDUCTED 06/11/12 @ 8:30 am Icc #: ICC: 5309489 -- ,r- Test Method
SIGNATURE OF APPLICANT DATE 05/30/12
APPROVED BY DATE
FD 2095 (Rev. 09/05)
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:
0 IQ
BUILDING ADDRESS: S (0
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: 17-z PERMIT NO. ,6? -1660 5 CONTRACTOR: CA, (- A L PHONE # 7 -
FD 1743