HomeMy WebLinkAbout2501 HALEY STREET FMC 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number C 3
Date Received: /,!? - -- Z
Address:
Bakersfield, CA 933 1
Business Name: fo e c-( lit S S
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
W- Other. zf'yf/l C,
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
INSPECTION LOG
Date Time
ignazure
Signature
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
Le PERMIT NO.
PRIMARY PIPE
ao C PHONE
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
EVR UPGRADE
PRIOR TO-OPERATION OF ANY SYSTEM, I
ALL USTAND %OR AST SYSTEMS SHALL BE
INSTALL, _COMP-LETE -AND ACCEPTED BY
MISC. ACTIVITY THE.BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE_ DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: d
JOB DESCRIPTION: C_ OCCUPANCY TYPE:
OWNER: Le PERMIT NO.
CONTRACTOR: ao C PHONE
FD 1743
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UNDERGROUND STORAGE TANKS
APPLICATION FOR PERFORM
FUEL MONITORING CERTIFICATION
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Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel: (661) 326 -3979
Fax: (661) 852 -2171
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TANK# VOLUME CONTENTS
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NAME OF TESTING COMPANY
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AILING ADDRESS
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NAS 8 PHONE NUMBER F ONTACT PERSON
ATE & TIME TEST TO BE CO UCTED ICC #
IGNA F IC DATE
THIS APP!_ICATIO EGOMES A PERMIT WHEN "APPROVED
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BELSHIRE ENVIRONMENTAL SERVICES, INC. 46523
VENDOR ID I NAME I PAYMENT NUMBER CHECK DATE
000046523 i l
1,
BAKE003 BAKERSFIELD FIRE DEPARTMENT 1 00021896 12/6/2012
OUR VOUCHER NUMBER YOUR VOUCHER NUMBER DATE AMOUNT AMOUNT PAID DISCOUNT WRITE -OFF NET
00109016 SITE 384 JOB #10946 12/6/2012 $192.0 $192.00 $0.0c $0.0 $192.00
192.0 92.0 $0.0 $0.011 192.0
COMMENT
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i ;,_FOOTHILLF
7 t 26660`PC
MsHIRE ENVIRONMENTAL SERVICES, INC FOOTHIEt
2597,1:TOWNECENIRE DRIVE i ==
FOOTHILL RANCH, CA 926,10 2462 :;
PAY -
One Hundred Ninety,., Two Dollars And 00 Centsj, `'t t E, r
iK
TO:THE
ORDER BAKERSFIELD FIRE DEPARTMENT
OFr L01 ,.H, STREET
BAKERSFIELD CA'93301',