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HomeMy WebLinkAbout215 21ST STREET LINE TESTHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH Permit No. Permit No. Permit No. Permit No. File Number: '3 -,-,7 / (Q Address: Date Received: 6-2/— 12_ Business Name: a« E' a/ ST Bakersfield, CA 933 T "o 5 i Other: L,'tj .e Comments: - I. a. 3. 4. AST UST Permit No. Permit No. BR9SPECilON LOG Date Time Signature SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. qS Ft: Fire Sprinkler System Spray Finish System Aboveground Storage Tank El Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Other: L,'tj .e Comments: - I. a. 3. 4. AST UST Permit No. Permit No. BR9SPECilON LOG Date Time Signature UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING SB989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. B ix, S F IRS I D3 Prevention Services Rrm r D i !Sal -0OT Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 PERMIT N0. ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING 1 1 TAAII! TI(_UTK1CCC TCCT 1f3 Tfl DCl]F()PhA FI IFI AAOMITOPIN(: ( PPTIFIf:ATI()N NO-1 SITE INFORMATION FACILITY NAME & PH B F ERSO ,/ I ADDRESS OWNERS NAME _ — - -- -- - - I PERMIT TO OPERATE NO. OPERATORS NAM j NUMBER OF TANKS TO BE TE TED IS PIPING GOING TO BE TESTED? YES NO - - -- TANK# VOLUME CONTENTS TANK TESTING COMPANY NAME OF TESTING COMPANY TanknOlO Inc. NAME & PHONE NUMBER OFJY CONTACT PERSON Deanna Davenport 800 - 666 -1130 MAILING ADDRESS 41785 Enterprise Circle S. Suite D Temecula, CA 92590 NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR' ID - ERTIFICATION t DATE U TIME TEST TO BE CONDUCTED: , ,i O ICC #:D 1 (0. ( o JL. J TEST ' METHO,jJ j -{ SIGNATURE OF APPLICAN DATE: ytJ la ION B ERMIT WHEN APPROVED APPROVED BY DATE NO-1 TANKNOLOGY -SO. CALIFORNIA PH. (951) 676 - 4060 41785 ENTERPRISE CIR S, STE D TEMECULA, CA 92590 Pay to the 'QoYderof - -lq WELLS FARGO BANK, N.A. CALIFORNIApp WELLSFARGO Chen IF ,ri, Ab'IY1= U_I-1-I-I l 5586 Date 71 r i Ap JA 07/05/2012 14:09 9516764061 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 # TANKNOLOGV PAGE 01101 RAKERSPIELD FIRE DEPARTMENT Prevention Services a ju-4 -P :7P. 2101 H Street FINN Bakersfield, CA 93301fPhone: 661-326-3979 a Fax: 661- 852 -2171 Page 1, of t 0 F.NHANCFD LEAK DETECTION -LINE TESTING 0 SB -989 SECONDARY CONTAINMENT TANK TIGHTNESS FUEL MONITORING CERTIFICATION FD2095 (Ray 03/08) FACILITY U NAME & PHONE A OF C NTA PCRSON a eN f7 - t0 ADDRESS a is a oil sf S r t ! 3aKey OWNER NAM P10.1 OPP.RATOR NAME 1 PERMIT TO OPERATE s 0" OF TANKS TO 13E TESTFO: IS PIPING GOING TO BE TESTED? Y['_5 © NO TANK # VOLUME CON'T'ENTS r•s ;;r. . -t`• ,TANK7e5riNG cd f+A IX. ;. .k "..•. .;. TESTING - Q PANY NAME a PHONP 0 OF CONTACT ER N lkr -wlo -+ JrG '.11e. pW-I 95 :5,15 -X903 MAILINO RE 1-11) 5 GI- ,S, „ 2 eCwl.rh - 52 ._ N E & PHONE Y OP T[SS .ER ^OR SPECIAL INSPECTOR CERTIFICATION S G..J" ! v- DATEJ& TIM§ TEST TO BQ CONDUCTLD 2 &-, XCC 801 1 0`b UT TEST METMIOD APPLII CAN(T.916NATDUR@ DATE -/ y C •y, T S PPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY OATF FD2095 (Ray 03/08) TANKNOLOGY -SO. CALIFORNIA PH. (951) 676 -4060 41785 ENTERPRISE CIR S, STE D TEMECULA, CA 92590 Pay to the order of IC n e- L" I wG I 5584 16 -24 -1220 Date _ % v / / Dollars 8 WELLS FARGO BANK, N.A. CALIFORNIA WELLSFARG/O.COM // Forr er AL`s - 11500 5 584113 1: 12 2000 24 71: 0 7 260 2 50 26110 TANKNOLOGY-SO. CALIFORNIA PH. (951) 676 -4060 41785 ENTERPRISE CIR S, STE D TEMECULA, CA 92590 Pay to the order of _ U1,7et,, 5585 Date 16 -24 -1220 1 Dollars WELLS FARGO BANK, N.A. CALIFORNIA i WELLSFARGO.COM. Z IWP e11 ° 00 5 58 511 . 1 2 2000 2L, 7. 0 7 26 0 25026 110 Y 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: —" E. 4 5 T 7— JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: PERMIT NO. CONTRACTOR: 4 PHONE FD 1743 Tanknolo $ STAG US POSTAGE FIRST_ A, 41785 Enterprise Circle Drive S. Ste, D 2S292590 Temecula, CA 92590 MING www.tanknology.com 2Z1s 1