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Home My WebLink About1701 PACHECO ROAD SB-989 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 6,312 7 Address: 1'261 ;,4 - e c 6 Bakersfield, CA 933 Date Received: /6— 2z-1 Z // 1BusinessName: 7 SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish SZystern Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank m," Other. Sc? 9S- 9 Building Sq. Feet: AT,- Calculation Bldg. Sq. Ft: 4 r Comments: - r-,z2ys / -irr 50M"2 -4: %`-/ 58° 9*9 1. 2. 3. 4. Date Time Signature 11/15/2012 17:21 9516764061 TANKNOLOGY PAGE 01/01 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ S13569 SECONDARY CONTAINMENT TESTINGITANK TIGHTNESS TEST AND FUEL, MONITOR7rNG CERTIFICATION Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # BAKERSFIELD FIRE DEPAItTMENT Preventi*n Services 2301 H Street l I1P Bakersfield, CA 93301A, r Phone: 661- 326 -3979 •Fax: 661- 652•2171 Page 1 Of 1 H n : 0 ENHANCED LEAK DETECTION LINE TESTING A113E1 -989 SECONDARY CONTAINMENT CQ TANK TIGHTNESS FUEL MONITORING CERTIFICATION ' ."T":.s- 0'- 4Per 4/1 le MediVla no inspec -rter, Ql e, rtQl•- l.ire-d 4 F02093 (Rev 03108) SITZ INFORI4ATION Cam' FACILITY 7/1/ 4 3.)3 NAME U. PWONE 0 00 CONTACT PERSON ADDRESS A U OWNER NAME OPERATOR NAME PERMIT TO OPERATE • OF TANKS TO BE TESTED: IS PIPING GOING TO Be TESTED? YES NO TANK VOLUME CONTENTS loo t/- TANK TESTING COMPANY TESLUJfUOMPANY o nC, NAME b PHONE 0 OP CONTACT PERSON ICING AbORE Dr *D 1 emea4 9aS90 E PHONE t OF R OR SPECIAL. INSPECTOR CERTIFICAON C GATE lk TIM TEST TO BE CONDUCTED ICC r mod 57/5 - 1 TEST METHOD APP CAffNT'SIGNATURE DATE Mug iPPLICATION BECOMES A PERMIT WHEN A;YPROVED APPROVED SY DATE 4Per 4/1 le MediVla no inspec -rter, Ql e, rtQl•- l.ire-d 4 F02093 (Rev 03108) V 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 # ENHANCED LEAK DETECTION TANK TIGHTNESS 204 Res P I D ARTN T BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 -326 -3979 • Fax; 661-852-2171 Page 1 of 1 LINE TESTING 6B -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION Fi nl S h TP ,&+urnq SITE INFORMATION FACILITY - I 3a^ C• t NAME '& 1fONEQOFCONTACT PERSON ADDRESS 0 e oo 2a OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK VOLUME CONTENTS D 11 e S iphoyl a o K ox• O-Lkl 3 0 /Z- err, twm TANK TESTING COMPANY TESTING COMPAN G . NAME HGO, NEOF C NTACT PER&Pn S SfJ 1q71,` MAILING ADDRESS 116r, rer rise Ctrcb- Sdczh D e necu.ic G4 ga5 o 757 E & PHONE iSQ.Vti OR SP IAL NSPECTOR_ CERTIFICATION r D 17 --- ITI & TIME EST To BE NDUCTEED^, ICc 5a3'SZ s - UT TEST METHOD APPLICANT SIGNATUREa q*v- DATE Io <7 TaSUP'PLICATION BECOMES A PERMIT WHEN APPROVED APPR,DVkD BY DATE FD2095(Rev 03 /08) UNDERGROUND STORAGE TANKS APPLICATION -1Rr RrMJ TO PERFORM ELD /LINE TESTING/ 58989 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 BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 . Fax: 661-852-2171 Page I of 1 ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT TANK TIGHTNESS FUEL MONITORING CERTIFICATION Ft n i J h 71 P SfLnCA I DATE TANKNOLOGY -SO. CALIFORNIA 5694 PH. (951) 676 -4060 41785 ENTERPRISE CIR S. STE D TEMECULA, CA 92590 / 1 16- 24.1220 Date Pay to the % I order of i $ / 9A. oa J' WELLS FARGO BANK, N.A. I" Dollars CALIFORNIA WE;LLSFARGO.COM lForC {{tiL (t3 9 -Ir)yl i?4ekpw Qd 11300569411° 1 :L2 2000 24 71 :072602502611' SITE INFORMATION FACILITY 1 I •y 9IW^ f NAME 6 PHONE # F CONTACT PERSON L-Ln a H ADDRESS G Rw eco OWNER NAME OPERATOR NAME PERMIT TO OPERATE OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? O YES 0 NO TANK # VOLUME CONTENTS a D ,k e Ilan owh erniU"lq TANK TESTING COMPANY TESTING COMPAN u , NAME 6 PHONE A OF C NTACT PERS c1-i 1 ` 510( MAILING A000.E55 , leas 6"tex %- sz CAA -c 9 s`z y E h PHONE ! 7 STE OR SP IAL NSPECTOR I vt 5 c- 3iv5 i CERTIFICATION t 1111 -711DI1SIMETEST 0 B6-', 1 ICc # s 3- ors -ur TEST METHOD APPLICANTiSIGNATURE DATE - Tg S PPLICATION BECOMES A PERMIT WHEN APPROVED I DATE TANKNOLOGY -SO. CALIFORNIA 5694 PH. (951) 676 -4060 41785 ENTERPRISE CIR S. STE D TEMECULA, CA 92590 / 1 16- 24.1220 Date Pay to the % I order of i $ / 9A. oa J' WELLS FARGO BANK, N.A. I" Dollars CALIFORNIA WE;LLSFARGO.COM lForC {{tiL (t3 9 -Ir)yl i?4ekpw Qd 11300569411° 1 :L2 2000 24 71 :072602502611' 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 MER- . SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR MAJOR BPIW1.50--maKArlM110 OWNER: -7X/ PERMIT NO. S Z-- CONTRACTOR: PHONE MER- . IIIG':7/fl C AST REMOVAL DESCRIPTION DATE SIGNATURE EVRUPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ACC LIST _AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT: FIRE DEPARTMENT (FINAL) 111 BUILDING ADDRESS: e O r JOB DESCRIPTION: - OCCUPANCY TYPE: OWNER: -7X/ PERMIT NO. S Z-- CONTRACTOR: PHONE FD 1743