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Home My WebLink About1501 FELIZ DRIVE SPILL TEST 2013 (2)HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 1916 Z Date Received: -2-2-3-1-2 Address: Bakersfield, CA 933 / Business Name: i .— e1"5 2 Cc T SCLS6 SYSTEM: BUILDING SQUARE FEET: 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 Building Sq. Feet: Calculation Bldg. Sq. Ft: (f/ 1. rkr/ Other: v< < < T c.k -Q-T I Q S Comments: X27 a. 3. 4. INSPECTION L ®G Date Time Signature Signature cTicovi*s &'z, ;.Is/ oN So.% g uc K ET r6577 Signature Signature cTicov 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 c) Z I - 2- DESCRIPTION DATE SIGNATURE BACKFILL PERMIT NO. gr=2 - PRIMARY PIPE PHONE # — 4 SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF t - TANK TESTING 7j5,j K ems' UST REMOVAL DESCRIPTION DATE SIGNATURE REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO;OPERATION OF ANY SYSTEM, ALL - UST - AND /OR AST SYSTEMS SHALL BED INSTALL, -COMPLETE AND ACCEPTED BYE MISC. ACTIVITY THE-BAKERSFIELD -CITY FIRE DEPARTMENT.-\ CFIRE DEPARTMENT (FINAL) BUILDING ADDRESS: c) Z I - 2- JOB DESCRIPTION: t` '3J (Fe.T OCCUPANCY TYPE: OWNER: PERMIT NO. gr=2 - CONTRACTOR: PHONE # — 4 FD 1743 SWRCB, January 2006 Spill Bucket Testing Report Form _ Thisform is intendedfor use by contractors performing annual testing ofUSTspill containment structures. The completedform and printoutsfrom tests (ifapplicable), should beprovided to thefacility owner /operatorfor submittal to the local regulatory agency. 1_ FACTT.TTV TNFORMAT'TnN Facility Name: Bakersfield City Schools Date ofTesting: 04 /17/13 Facility Address: 1501 Feliz Drive Facility Contact: John Worley Phone: 661 - 631 -5880 Date Local Agency Was Notified ofTesting: 04/12/13 Name of Local Agency Inspector (fpresent during testing): Ernie Medina 2_ TF.STTNC: r.ONTR ACTnR TNFnRMATTON Company Name: Cal - Valley Equipment Technician Conducting Test: Nathan Holman Credentials: CSLB Contractor X ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): ICC: S-d c(Q L( 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic Vacuum Other Test Equipment Used: Incon TS -STS Equipment Resolution: .0000" Identify Spill Bucket (By Tank Number, Stored Product, etc) 1 Diesel till 2 3 4 Bucket Installation Type: X Direct Bury Contained in Sump Direct Bury Contained in Sump Direct Bury Contained in Sump Direct Bury Contained in Sum Bucket Diameter: 12" Bucket Depth: 12" Wait time between applying vacuum/water and start oftest: 15 minutes Test Start Time (Ti): 3:28 pm / 3:59 pm Initial Reading (Rj): 3.5556 / 3.5556 Test End Time (TF): 3:43 pm / 3:59 pm Final Reading (RF): 3.5555 / 3.5557 Test Duration (TF — Ti): 15 minutes each Change in Reading (RF - RO: 0001 /.0001 Pass/Fail Threshold or Criteria: 002" COMMent8 — (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING Ihereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature. Date:-04/17/13 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. 13 7- s BCSD 1501 FELIZ DR BAKERSFIELD 04/17/2013 3:43 PM SUMP LEAK TEST REPORT DSL FS TEST STARTED 3:26 PM TEST STARTED 04/17/2013 BEGIN LEVEL 3.5556 IN END TIME 3:43 PM END DATE 04/17/2013 END LEVEL 3.5555 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED ! BCSD 1501 FELIZ DR BAKERSFIELD ji 04/17/2013 3:59 PM SUMP LEAK TEST REPORT I DSL FB TEST STARTED 3:44 PM TEST STARTED 04/17/2013 BEGIN LEVEL 3.5556 IN END TIME 3:59 PM END DATE 04/17/2013 END LEVEL 3.5557 IN LEAK THRESHOLD 0.002 IN TEST RESULT PASSED f i. ILLING & PERMrT STATEMENT f ece a u. ®( A ® PERMII4 epay 2101 H StreetAfBBLY Bakersfield, CA 93301 Phone: 661 - 326 -3979 a Fax: 661- 852 -2171 LOCATION OF PROTECT Underground Storage Tank (Removal) TIR I PROPERTY OWNER t r, z f 82 i , Z„ STARTING DATE T COMPLETION DATE NAME ' B2 After -hours inspection fee Pyrotechnic (1 permit per event, plus an Inspection fee of 1 $96 /hr during business hours) ICY j OTIE: Ai r hours PyroteCY,riC e-.ent ; specticr, is @! $121/hr PROJECT NAME 84 ADDRESS PHONE O 96 /hr 96 /hr -^ YV y- V ^~ 84 34 PROJECT ADDRESS Explosive Storage Copying & File Research (File Research fee $501hr) Miscellaneous -- - cm $/iK,ERSFIEL.D sraTE Cfk ZIP CODE 84 84 84 CF— M-TOR NAME CA LICENSE 0 TYPE OF LICENSE EXPIRATION DATE PHONE # C -r+i , :z-l1 c 4 2 73 r i-t.r i fL - 3:; -12 3Z• I i I. CONTRACTOR COMPANY NAME FAX # I.-' /r I V a- t 1 L; 4 , 44,)y014 6:n •I ADDRESS 3 ZIP CODEj I I,M v i1.;'e't,- . 1 111 permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Underground Storage Tank (Removal) TIR 573 /tank t Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even if scheduled at the same time Tg 00 well (Installation, Inspection, or re- Inspection) - X Tent 96 /hr (2 hrs imum) =$192 '7 - 3 - I -2- L 2 i 1 - —t a- 82 i , Z„ 9b /hr B2 After -hours inspection fee Pyrotechnic (1 permit per event, plus an Inspection fee of 1 $96 /hr during business hours) ICY j OTIE: Ai r hours PyroteCY,riC e-.ent ; specticr, is @! $121/hr 121 /hr (2 hrs minimum) =$242 96 /hr + (5 hrs min standby fiee/insp) =$576 hcs min snndw_, Te_' 1r ,- :5Ei;= _ 84 Re- inspection/Follow-up Inspection 96 /hr 96 /hr -^ YV y- V ^~ 84 Portable LPG (Propane): # of Cages? 34 Explosive Storage Copying & File Research (File Research fee $501hr) Miscellaneous -- - 266 0.25 /page _ 84 84 84 BILLING & PERMIT STATEMENT PERM T # BAKERSFIELD FIRE DEPARTMENT s Preventlon Sew t'Ra 2101 H Streetar Bakersfield, CA 93301 PROTECT NAME AODREBS PKONe D ( 60,11 APOPLESS x ir v aTY $AK6TZ.SF(E1D sra CAF WCODe 33u7 CONTRACTOR INFORMATION CONTRACTOR NAME CAIICENSE d TYPEOFLICENSE EXPIRATION GATE PMNe 0 C —V4-11 E 73.3 - 3u — 2 U? 34 CWURACM COMPANY NAME FAX a 4- I - 36o Coil yS n All permits must be reviewed, stamped, and approped PRIOR TO BEGINNING - WORK. 0 0 Alarm - New & Modification-(minimum charge) Over 10,000 sq ft so 0.028 x sq it O Sprinkler - New & Modlf cation (miolmum charge) 280 0 Over 10,000 sq ft 0.028 x sq'ft Minor Sprinkler. Modfficatlon ( <10 heads) 96 (Inspection only) 84 Commerrlal Hood (New & Modification) 470 Additional hood 58 Spray Booth (New & Modification) AbovegroundStorageTbrik (1 inspection per installation) AST 470 98 180/tank 82 0 Additional Tank ATI 96 /tank 82 146oveground Storage Tank (Removal, Mod,or Inspect' n) ATR 109/tank 82 I7 Underground Storage Tank (InstallatioMnspecdon) M 878%tank 82 Undergrou_nd S_tbra<je Tank (Modification) 9400 Underground Storage Tank (Minor Modification) NTH 878 /site 167 /site 82 82 a Underground Storage Tank (Removal) Tit 573 /tank 84 Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site every if scheduled.at the same time TT 96 /hr (2 hrs mLnimum) -$192 - 3- l Z 0_ K Les -7 c,a el 1-1 z 82 0 00 well (Installation, Inspection, or re- Inspection) X 961hr 82 Tent * 96/tent 84 After -hours Inspection fee Pyrotechnic, (1 permit per event, plus an Inspection fee of 96 /hr during business hours) Self OTB: After hours Pyrotechnic event Inspection Is @ $121 /hr 121/hr (2 hrs minimum) =$242 96 /hr + (5 hrs min standby feeAnsp)m$576 5 hrs min standby fee ns = 605 84 Re- Inspection/Follow -up Inspection 96/hr 84 0 Poitable.LPG (Propane): # of Cages? _ 96/hr 84 Explosive Storage Copying & File Research (File Research flee $50/hr) 266 0.25 /page - 84 84