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HomeMy WebLinkAboutUST-PLAN COVERSHEET 2/15/2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY C OO OO'rH AST UST Permit No. Permit No. Permit No. File Number: 35(00 Address: Date Received: _ _ i Z Business Name: Permit No. Permit No. Permit No. x,96 / ems' Bakersfield, CA 933 L) S t= ie c` a•s`r 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 Building Sq. Feet: Calculation Bldg. Sq. Ft: removal Underground Storage Tank M---'Other: 1. 2. 3. 4. Date Time 2 r7 ri c i)vs 317-/12- 6`1 Signature Signature Comments: ri`7G - cs5!/ f.' J rd 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 # ENHANCED LEAK DETECTION TANK TIGHTNESS P/RQ ARrN - r BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone; 661 - 326 -3979 • Fax: 661- 852 -2171 Page 1 of 1 U(kINE TESTING SB -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION VVVVVV y SITE INFORMATION FACILITY YR yI- G NAME &PHONE # OF CO CT R N 3 35S ADDRESS O Lisa, Lf 1 OWNER NA E OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS I a K ese4 TANK TESTING,COMPANY, TESTING CO2TNY 10.rii'10 0 NAME & PHONE # OF CONTACT PERS N iellp (951 lo_7U MAILING ADREE, S - L NAME &PHONE # OF TES ER OR SPECIAL IN PE TOR RTIFICATION i O /5'` 53e + mo ATE & TIME TEST TO BE CO UCTED rn 01 a TEST METHODICC 111!^ I ^ : sjT 7T-6D--%- APPLICANT SIGNATURE DATE NHIS APPLICATION BECOMES A PERMIT WHEN APPROVED APP D BY / DATE GdlN'rJ =0/2 %2/+ /C!(J Lgy FD2095 (Rev 03/08) L'' I c& zr rj-oZ69y5f l,q . FA/ 03 02/07/2012 15:05 9516764061 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM) ELD /LINE TESTING/ SB489 SECONDARY CONTAINMENT TESTINGITANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT TANKNOLOGY PAGE 01/02 SAKERSi=IELD FIRE DEPARTMENT Prevention Services 2101 H Street FIRM BakersFleld, CA 93301 A,A r Phone: 661 -326 -3979 . Fax: 661 -552 -2171 Page 1 01 I C] ENHANCED LEAK DETECTION O(LONE TESTING KSB-989 SECONDARY CONTAINMENT CI TANK TIGHTNESS .FUEL MONITORING CERTIFICATION r—. I) FACILITY , / 1 "_— NAME L PHONE # OF CO C'T It )N ADDRESS OVINER NA E OPERATOR NAME PERMIT TO OPERATE i 7f TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES O NO TANK # l VOLUME K CONTLNTS iesel TANK TESTING COMPANY TESTING CO NY Anllrlo u ihc.. NAME A PHONE # OF CONTACT PERS chell 0S1 ¢ N l0 Lo- 40(oo M ]LING ACDOR6 n ` 7 ?!' SSG 0(rc t a. T e .c0. G 451.45 91 NAME R PHON9 # OF TES Eft OR SPFjjCIIACAL IINNV$\\ E (q(j[t, A, q `LFJ .3.0 ! J SY jRTIPICAT[ON Y I.SO LO ISI ATE 6 TTME TRgT TO SE CO UCTED fOt Cr ICC Q, c j TEST METHOD F4-75- Lcr (1D"1 APP_ICA T SIGNATURE I?UcLu, D -ar -FO.44.t Inc., DATE HIS APPLICATION BECOMES A PERMIT WHEN APPROVED AP VE OY C DATE FD7,095 (Rev 03100) 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 # ENHANCED LEAK DETECTION TANK TIGHTNESS F/RQ ARTM T BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 d-kINE TESTING I SB -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION iiiYY ` "` TANKNOLOGY -SO. CALIFORNIA PH. (951) 676 -4060 41785 ENTERPRISE CIR S, STE D TEMECULA, CA 92590 5447 18 -24 -1220 Date WELLS FARGO BANK, N.A. CALIFORNIA WELLSFARGO.COM For D f; hA 1k Cm) 1[100544.711' .ie L 2 2000 24700 2 SO APPLICATION BECOMES A PERMIT WHEN APPROVED ollars FD2095 (Rev 03/06) FACILITY 1}- NAME & PHONE # OF CO CT R N 3- 8 s ADDRESS O I OWNER NA E OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 1 I A K Diese4 TANKNOLOGY -SO. CALIFORNIA PH. (951) 676 -4060 41785 ENTERPRISE CIR S, STE D TEMECULA, CA 92590 5447 18 -24 -1220 Date WELLS FARGO BANK, N.A. CALIFORNIA WELLSFARGO.COM For D f; hA 1k C m) 1[100544.711' .ie L 2 2000 24700 2 SO APPLICATION BECOMES A PERMIT WHEN APPROVED ollars FD2095 (Rev 03/06) 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 _ wl L. UST REMOVAL DESCRIPTION DATE SIGNATURE REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, " ALL UST A_ ND /OR AST SYSTEMS SHALL BE, INSTALL, COMPLETE AND ACCEPTED BY; MISC. ACTIVITY - --- _ _ - . - - -. THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE -DEPARTMENT (FINAL) BUILDING ADDRESS: 41101 r ;P JOB DESCRIPTION: j: gTi .tit OCCUPANCY TYPE: OWNER: PERMIT NO. -/ CONTRACTOR: 6a PHONE #67&-- e666 j FD 1743