HomeMy WebLinkAbout215 21ST STREET (LINE TESTHOODS ALARMS SPRINKLER SYSTEMS SPRAY o 0O 07H AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
1.2- /C6WZ35
File Number:
Date Received:
Address: i o?/
s7—'':
Bakersfield, CA 933
Business Name:,0 5
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System
Fire Marm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Cif Other: ,1 P 1,6'5 / 1,0
Comments:
I.
a.
3.
4.
TNsP7EeTsoN Loy
Date Times
Signature
Signature
Foe- .tl1
Signature
Signature
UNDERGROUND STORAGE TANKS
B R 9 P I D
ARM f
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
t-7f
LINE TESTING
I I TO PFRFORM FIIF1_ MONITORING CERTIFICATION1 1
ENHANCED LEAK DETECTION
I 1 TANK TK;HTNFCS TFST
BAKERSFIELD FIRE DEPT.
Prevention Services
2- to i
s
TANKNOLOGY-SO. CALIFORNIA 5548
PH. (951) 676-4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590 16-24-1220
Pay to the
Date-5--,22-12—
J 0—Y ollars
LO-'BANK, WELLS FAR N.A.
CALIFORNIA
WELLSFARGO.COM
6T-
1130OSS480 i:L2200021,7i: 07260250 26ljv
TANKNOLOGY TESTING NOTIFICATION
Southern California Regional Office
41785 Enterprise Circle South, Suite D
Temecula, CA 92590
951 - 676 -4060
800 - 666 -2176
951 - 676 -4061 Facsimile
TO: City of Bakersfield
Fire Department
TELECOPY NO. 661 - 852 -2171
FROM: Deanna Davenport
DATE: 5/22/2012
Tanknology Corporate Headquarters
8501 North MoPac Expressway, Suite 400
Austin, TX 78759
512 - 451 -6334
800 - 800 -4633
512 - 459 -1459 Facsimile
E -MAIL: www.ci.bakersfield.ca.us
E -MAIL:
E -MAIL: ddavenport .tanknology.com
TIME:
NO. OF PAGES INCLUDING COVER: 1 ORIGINAL TO FOLLOW: No
COMMENTS: Tanknology will be at the following locations:
Tanknology, Worldwide Leaders in UST Compliance Testing
CONFIDENTIALITY NOTICE - This message is intended for the use of the individual or entity for
which it is addressed and may contain information that is legally privileged, confidential, and
exempt from disclosure.
If the reader of this messaage is not the intended recipient, you are hereby notifiedthat any
dissemination, distribution, or copying of this communication is strictly prohibited. If you received
this communication in error, please notify us immediately by telephone to arrange for the return
of the original material.
DATE TIME SITE AND ADDRESS TEST TYPE
06/01/12 8:00 a.m. Pepsi # 3040, 215 East 21st Street, Bakersfield, CA
93305
661 - 201 -6963
Please advise if test date and time is acceptable
Check # 5548 Enclosed for $ 192.00 for testing
Line,
Monitor Cert, Leak
Detector and Spill
Bucket Annual
Compliance Testing
Tanknology, Worldwide Leaders in UST Compliance Testing
CONFIDENTIALITY NOTICE - This message is intended for the use of the individual or entity for
which it is addressed and may contain information that is legally privileged, confidential, and
exempt from disclosure.
If the reader of this messaage is not the intended recipient, you are hereby notifiedthat any
dissemination, distribution, or copying of this communication is strictly prohibited. If you received
this communication in error, please notify us immediately by telephone to arrange for the return
of the original material.
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: ?/sT 57---
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: I PERMIT NO. /
CONTRACTOR: PHONE #
FD 1743