HomeMy WebLinkAboutUST-PLAN COVERSHEET 4/23/2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: _ 3-5760
Date Received: .</- z 3- / Z
Other:
Comments:
Address: 444 0
Bakersfield, CA 933
Business Name: 2 L
BUILDING SQUARE FEET: INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
natp- Time
Signature
SYSTEM:
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
Other:
Comments:
Address: 444 0
Bakersfield, CA 933
Business Name: 2 L
BUILDING SQUARE FEET: INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
natp- Time
Signature
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
ENHANCED LEAK DETECTION
TANK TIGHTNESS TEST
LLrJINETESTING
r
r
TO PERFORM FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPT.
Prevention Services
21 L t it '' STET
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
SB -989 SECONDARY CONTAINMENT TESTING
INFORMATION 5
A
FACILITY n - NAM &P N NUMBE OF C NTA P ON
ADDRESS A
U e 3 3 3C IJL Ti
OWNERS NAME
OPERATORS NAM F PERMIT TO OPERATE N0.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BET ED7 YES NO
TANK # VOLJUM? CONTENTS
lJ J LCD 2P
TANKTESTING COMPANY M.'..
NAME OF TESTING COMPANY TanICnOIO InC. gy, NAME & PHONE NUMBER OF Deanna DavenportCONTACTPERSONp
800 - 666 -1130
MAILING ADDRESS 41785 Enterprise Circle S. Suit D Temecula, CA 92590
NAME & PHONE NUMBER OF ERTIFICATION #:
TESTER OR SPECIAL INSPECTOR: _
DATE & TIME
CONDUCTED;
TES / v ICC #:
c/L ( —Lt M
TEST
THO
SIGNATURE OF APPLICANT DATE: Z
APPROVED BY DATE
rte
TANKNOLOGY TESTING NOTIFICATION
Southern California Regional Office
41785 Enterprise Circle South, Suite D
Temecula, CA 92590
951 - 6764060
800 - 666 -2176
951 - 6764061 Facsimile
TO: City of Bakersfield
Fire Department
TELECOPY NO. 661 - 852 -2171
FROM: Deanna Davenport
DATE: 4/24/2012
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(a)tanknology.com
TIME:
NO. OF PAGES INCLUDING COVER: 1 ORIGINAL TO FOLLOW:
COMMENTS: Tanknology will be at the following locations:
No
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
04/30/12 11:00am YRC, 4901 Lisa Marie Court,
Bakersfield, CA 93313
661- 833 -1895
Please advise if test date and time is acceptable
Check # 5533 Enclosed for $ 192.00 for testing
Line Test ONLY
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.
2
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 925W
Pay to the
order of
WELLS FAR60 BANK, N.A. (JCALIFORNIA
WELLSFARGO.0OM
For /
II100 5 5 3 3111 1:122000 24 7I: 0 7 260 2 50 2611'
5533
16- 24-1220
Date
aDollar
w
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
BACKFI LL
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
I 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: Z- --
JOB DESCRIPTION: ,' ( ,;U OCCUPANCY TYPE:
OWNER: PERMIT NO.
CONTRACTOR: PHONE #
FD 1743