HomeMy WebLinkAboutFMC Job Card 9-30-16BAKERSFIELD FIRE DEPARTMENT
INSPECTION RECORD,
:Prevention Services
E:1
B R S F
F/RE
D
2.101 H Stteet
JOB CARD
� R,
r Bakersfield, CA*93301
.:..UST . ..
i
Tel.: (661) 326- 3979 -
Fax: X661) 852 -2171
. t':. i t Card 1 ,, t . .. :1. , , r . atl r
SIGNATURE
DESCRIPTION
DATE
DESCRIPTION
DATE
SIGNATURE
_BACKFILL.._� _:... .... ..
PRIMARY PIPE "
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION, FOR EUEL
MODIFICATIONS MINOR/
MAJOR
DESCRIPTION-
DATE
SIGNATURE
DESCRIPTION
DATE
SIGNATURE
SIGNATURE .
AL.
cur
VAL
- DESCRIPTION.
DATE
DESCRIPTION
DATE
SIGNATURE'
PRIOR TO OCCUPANCY OF ANY-SYSTEM', '
ALL :UST AND /OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
VITY
THE. BAKERSFIELD CITY FIRE DEPARTMENT. .
FIRE DEPARTME
REMARr'
BUILDING ADDRESS" .240, •
^5%��
_ JOB DESCRIPTION : -'
DCCUPANCY TYPE'_ .
OWNER; - �r
PERMIT NO.:p
TRACTOR,-�
FD 2165 (Rev. 2/2016)