HomeMy WebLinkAboutFMC Job Card 12-27-16M
BAKER FIELD I E� DEPARTMENT
S F R
INSPECTION :RECORD
Prevention' Services
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B' R-S.fF i
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a
2101 H Street ,
.
UST JOB CARD
ARTM
T Bakersfield, CA 93301
.
- Tel.:.: (661.) 326-3979
Fax: (661) 852 -2171 .
St t yS- Card at t o' Si to @ r - ratl b $. r
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TALL*
SIGNATURE '
TALL
'DATE SIGNATURE,
DESCRIPTION
DATE
DESCRIPTION
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SENSORS
AUTHO
"ELECTRICAL SEA K-�OFF
MODIFICATIONS MINOR
/ MAJOR
DESCRIPTION
DATE
SIG TURE
DESCRIPTION
DATE'
SIGNATURE
``
SIGNATURE-,
DESCRIPTION. .'
DATE
DESCRIPTION
DATE
SIGNATURE`
EVUPGRADE
PRIORIO OCCUPANCY OF ANY SYSTEM,.
"
ALL UST AND /OR AST SYSTEMS SHALL BE
INTALLED, _COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE. DEPARTMENT.
FINAL) W a4- i� �-
BUILDING ADDRESS,,
6 .'
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•JOB DESCRIPTION
_
OCCUPANCY TYPE.
OWNER r
2,21
PERMIT NO.
- CONTRACTOR
FD, 2165 (Rev. 2/2016)