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/
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