HomeMy WebLinkAboutFMC Folder 8-17-16HOODS
ALARMS
SPRINKLER SYSTEMS
SPRAY BOOTH
Permit No.
Permit No.
Permit No.
Permit No.
AST
Permit No.
UST
Permit No.
File Number:
l
Address: �2 9 3 2.. 13 y/L/ L a
Bakersfield, CA 933
Date Received:
? //'z/rte
Business Name: 224 - 6. 2 001e Z
C7 ec> 27- 73
INSPECTION LOG-]
BUILDING SQUARE FEET:
SYSTEM:
New Mod.
❑ 171
Commercial Hood System
Building Sq. Feet:
Date Time
❑ ❑
Fire Alarm System
Calculation Bldg. Sq. Ft:
❑ ❑
Fire Sprinkler System
2.
❑ ❑
Spray Finish System
3.
❑ ❑
Aboveground Storage Tank
LdZ,
4.
❑ ❑
Underground Storage Tank
minor
Sig6ure
modification
Underground Storage Tank
removal Underground Storage Tank
❑ Other: aI;; -
Comments:
Signature
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 # AO
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
H 8 R S F I D
mirk
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BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 -326 -3979 a Fax: 661- 852 -2171
Page 1 of 1
❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT
® FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
NAME & PHONE # OF CONTACT PERSON
O Garcia (661) 393 -7000
ADDRESS
2732 Brundage Lane Bakersfield CA 93304
OWNER NAME
Jaco Hill
OPERATOR NAME
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services Inc.
NAME & PHONE # OF CONTACT PERSON
Mel Balton 661 631 -3870
MAILING ADDRESS
16250 Meacham Road Bakersfield CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
A112t�n Star]-' J)30i-9945
CERTIFICATION #
'R45438
DATE & TIME TEST TO BE CONDUCTED
ICC #
TEST METHOD
APPLICANT SIGNATURE
DATE / b
THIS APPLICATION BECOMES A PER IT HEN APPROVED
APPROVED BY
;�
DATE
71,21116
FD2095 (Rev 03/08)