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.'
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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
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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
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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)
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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
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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 #
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VOLUME
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CONTLNTS
iesel
TANK TESTING COMPANY
TESTING CO NY
Anllrlo u ihc.. NAME A PHONE # OF CONTACT PERS
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NAME R PHON9 # OF TES Eft OR SPFjjCIIACAL IINNV$\\ E (q(j[t,
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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