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HomeMy WebLinkAbout2 OAK STREET FMC '13HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: n 3 Address: Date Received: - - 3 m/ Other. Business Name: 2, QsK sT Bakersfield, CA 933 11v6 0•- BUILDING SQUARE FEET: Building Sq. Feet: Calculation Bldg. Sq. Ft: a. 3. 4. INSPECTION L ©G Date Time Signature Comments: 'TCLi ; STEw2.eT B ac%.. 9 SYSTEM: New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System pPa y FWsh System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank m/ Other. Business Name: 2, QsK sT Bakersfield, CA 933 11v6 0•- BUILDING SQUARE FEET: Building Sq. Feet: Calculation Bldg. Sq. Ft: a. 3. 4. INSPECTION L ©G Date Time Signature Comments: 'TCLi ; STEw2.eT B ac%.. 9 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 ANKTESTING - - - - Gf f UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIORTO.OPERATION OF ANY SYSTEM, ALL IJSTAND /OR-AST SYSTEMS SHALL BE INSTALL, - COMPLETE AND ACCEPTED' BY MISC. ACTIVITY THE- BAKERSFIELD CITY FIREDEPARTMENT. FIRE _DEPARTMENT_- (FINAL).2 -- REMARKS: BUILDING ADDRESS: a 84• JOB DESCRIPTION: r N!1 C__ OCCUPANCY TYPE: OWNER: I-v l d L° PERMIT NO. / - /QpOC'Dp 'S CONTRACTOR: , C PHONE # G3 — 'p 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 # L- 11 ENHANCED LEAK DETECTION TANK TIGHTNESS 11 Iw Do A'rR1Rr'AffF4JF 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 SB -989 SECONDARY CONTAINMENT t FUEL MONITORING CERTIFICATION SITE INFORMATION FACILITY // 5 4J uk NAME & PHONE # OF CONTACT PERSON ADDRESS Z OWNER NAME / OPERATOR NAME C,h PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES BPS NO TANK !# VOLUME CONTENTS TANK TESTING COMPANY TESTING COMPANY4. 1 NAME & PHON jF OF CONTACT PERSON MAILING ADORES N ME & ION # OF TESTER OR SPECIAL INSPECT R 0 5 k? v n vv . 99 CERTIFICATION # DATE & TIME TEST TO BE CONDUCTED ICC # szHZ3s, TEST METHOD APPLICANT ATURE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APP BY DATE FD2095 (Rev 03/08)