HomeMy WebLinkAbout1520 20TH STREET (4)JOB CARD
B A41 R S 1 6 D
POST CARD AT JOB SITE ATM r
INSPECTION RECORD -USTs
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page I of I
FACILITY NAME
INSPECTION DATE
OWNER
T T vv ca7;'o s o
ADDRESS
SPARK TEST CERTIFICATION OR MANUFACTURES METHOD
ADDRESS
CATHODIC PROTECTION OF TANK(S)
CITY
PIPING SYSTEM
STATE ZIP CITY STATE ZIP
BAKERSFIELD CA
CATHODIC PROTECTION SYSTEM - PIPING
PHONE N0. PERMIT NO.
INSTRUCTIONS:
PLEASE CALL FOR AN INSPECTOR ONLY WHEN EACH GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY. THEY WILL RUN IN
CONSECUTIVE ORDER BEGINNING WITH NUMBER 1. DO NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL ALL ITEMS IN THAT GROUP
ARE SIGNED OFF BY THE PERMITTING AUTHORITY. FOLLOWING THESE INSTRUCTIONS WILL REDUCE THE NUMBER OF REQUIRED
INSPECTION VISITS AND THEREFORE PREVENT ASSESSMENT OF ADDITIONAL FEES.
CONTRACTOR
CONTACT
LICENSE NO.
PHONE NO.
FD 2097 (Rev. 09/05)
INSPECTION DATE INSPECTOR
TANKS AND BACKFILL
BACKFILL OF TANK(S)
SPARK TEST CERTIFICATION OR MANUFACTURES METHOD
CATHODIC PROTECTION OF TANK(S)
PIPING SYSTEM
PIPING & RACEWAY W /COLLECTION SUMP
CORROSION PROTECTION OF PIPING, JOINTS, FILL PIPE
ELECTRICAL ISOLATION OF PIPING FROM TANK(S)
CATHODIC PROTECTION SYSTEM - PIPING
DISPENSER PAN
SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION
LINER INSTALLATION - TANK(S)
LINER INSTALLATION — PIPING
VAULT WITH PRODUCT COMPATIBLE SEALER
LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES
PRODUCT COMPATIBLE FILL BOX(ES)
PRODUCT LINE LEAK DETECTOR(S)
LEAK DETECTOR(S) FOR ANNUAL SPACE -D.W. TANK(S)
MONITORING WELL(S) /SUMP(S) - H2O TEST
LEAK DETECTION DEVICE(S) FOR VADOSE/GROUNDWATER
SPILL PREVENTION BOXES
FINAL
MONITORING WELLS, CAPS & LOCKS
FILL BOX LOCK
MONITORING REQUIREMENTS TYPE
AUTHORIZATION FOR FUEL DROP
CONTRACTOR
CONTACT
LICENSE NO.
PHONE NO.
FD 2097 (Rev. 09/05)