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HomeMy WebLinkAbout1701 PACHECO ROAD FMC 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Pennit No. Permit No. File Number: c3 / 02 7 Address: 17 () ( ?i4 CS-e—Q Bakersfield, CA 933 Date Received: is -- / / —/Z Business Name: SYSTEM: BUILDING SQUARE FEET: F INSPECTION LOG 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 Q,, C7ther. Ltd Building Sq. Feet: Calculation Bldg. Sq. Ft: 1. 2. 3. 4. Date Time Signature Comments: r= a1w,'N A lveda 9Z z 6 ?Ye' c--,- VQ 9 7917r? c-YA 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 DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVRUPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: C JOB DESCRIPTION: t=VLA C- OCCUPANCY TYPE: OWNER: —?—// PERMIT NO. ,Q-16S)SO 15073 CONTRACTOR: Ao4 PHONE # S l FD 1743 UNDERGROUND STORAGE TANKS 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 # I i ENHANCED LEAK DETECTION TANK TIGHTNESS FIRS ARrN T BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 . Fax: 661-852-2171 Page I of 1 LINE TESTING SB -989 SECONDARY CONTAINMENT CP41lEL MONITORING CERTIFICATION SITE INFORMATION FACILITY 7 NAME & PHONE N OF C TAC PERSON SC) ADDRESS 1-70 achPr-e OWNER NA OPERATOR NAME PERMIT TO OPERATE # it OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK tf VOLUME CONTENTS PQ e-d I O IL re n u-hi TANK TESTING COMPANY TING OMPOAN T, NA e E fJ_OF COACT PERSON lCMIlADDRESS S2 C ^ D eC - I I I n ^ w'T+1 l l r 1 O J O M & PHONE # OF TEST OR SPECIAL INSPECTOR l[neao- CERTIFICATION i DATE t TIM TEST TO BE CONDUCTED 17a.m ICc TEST METHOD APPLICANT 4IGNATURE DATE T1qW AVAICATION BECOMES A PERMIT WHEN APPROVED AP D BY GATE FD2095 (Rev 03108) f` ' 1, ` t F J > UNDERGRdUND STORAGE TANKS Ile APPLICATION A f 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 a BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852.2171 Page 1 of 1 ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT TANK TIGHTNESS 094UEL MONITORING CERTIFICATION SITE INFORMATION FACILITY 7 -4 , NAME 6 PHONE a OF C(MTACj PERSON ADDRESS 1-701 achezc, Rd OWNER NA ` 1 OPERATOR NAME PERMIT TO OPERATE! r OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? O YES NO TANK Y VOLUME CONTENTS Rext LLviI eacteci 10 Ve ed 10 14 I re r1 (Li-hl TANK TESTING COMPANY TING OHPANY s NAME 6 PHONE r.0! CONTACT PERSON / _ • c ells Clete' /` M (LING ADDRE . S b Pns',_ ' l S D ecvioL C.l l a5 0 M b PHONE ! OF TEST (OR SPECIAL INSPECTOR LC(c CERTIFICATION ! DATEI t TIM TEST TO BE CONDUCTED 1 cLh 1 ICC tl TEST METHOD APPLICANT SIGNATURE DATE THW AIVFYLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE F02095 (Rev 03/08) TANKNOLOGY -SO. CALIFORNIA 5753 PH. (951) 676 -4060 41785 ENTERPRISE CIR S, STE D TEMECULA, CA 92590 Date /` Pay to the /& 16241220 order 1 $ olWELLSFARGOBANK, N.A. CALIFORNIA - Por7 (.3ag (3/ ll'00575311' 1:1 2 2000 24 71 :072602502611'