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Home My WebLink About2612 BUCK OWENS BOULEVARD (2)HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. ioadd i69 File Number: 'lD e4 s `( Address: a(rc, 1 Z -i-'i c-,(< Bakersfield, CA 933 Date Received: Business Name: SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. minor modification removal Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank Underground Storage Tank Underground Storage Tank Other: Comments: Building Sq. Feet: ,e!- Calculation Bldg. Sq. Ft: q' was !'Gr /6o/ 7LV X, /G2 %"o www.spillmagic.com i 1. 2. 3. 4. Date Time Signature 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 PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR/ MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM;. ALL UST AND /OR AST SYSTEMS SHALL BED INSTALL, COMPLETE AND ACCEPTED BY`, THE BAKERSFIELD CITY FIRE DEPARTMENT.`,, FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: 6/Z r0 cL JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: PERMIT NO. V leg CONTRACTOR: PHONE # 374 —jrCml:g--7 FD 1743 BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services 1501 TI uxtun Avenue, 1 Floor PERMIT APPLICATION Bakersfield CA 93301 TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW Phone: 661 - 326 -3979 •Fax: 661 - 852 -2171 TANK INSTALL (E)QSTING FACILITY) /MOD -MINOR MOD 47!' Page 1 of i i ermit # TYPE OF APPLICATION: NEW TANK INSTALUNEW FACILITY NEW TANK INSTALLIWSTING FACILITY CMFCIC nNF ONLY) MODIFICATION OF FACILITY MINOR MODIFICATION OF FACILITY STARTING DATE/ PROPOSED COMPLETION DATE FAQLrTY NAME ' EXI5IING FAcuiw PERMIT S FACILITY ADDRESS ` S \ C I ZIP CODE Q bQB TYPE OF BUSIN O APN # TANK OWNER PHONE # ADDRESS ` ` O S ZIP CODE ooKrAr+cTOR CA LICENSE. # IM ADDRE55 CJ.. CITY. ZIP CODE PfiDpE t J b F>$D'aTY BUSINESS LICENSE #.. VVORKMANS COMP # p. INSURER BRIEFLY DESCRIBE THE WORK TO BE DONE: VVATM TO'FAdLnY PROVIDED BY. IQEPTIi TO' GROUND WATER SOIL TYPE EXPECTED AT SITE f' .OF, ,T , ANKS TO BE INSTALLED , ARE THEY FOR MOTOR FUEL? D YES D NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? D YES D NO ITMIS;SECTION IS FOR STORAGE TANK IDENTIFICATION TANIC'C'.:`: .• VOLUTE: UNLEADED REGULAR PRBQUM DAL OTHER. Tank Testing Company wine oPTESrn+e a PNDNE NUMBER MAILING ADDRESS NAME OF TESTER ICcs THE-APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PER7URY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. e OF TESTER CCs THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY 1 APPROVED: ' FD20 6 (Rev 08/09) j a • L Rich Environmental Service Station Services 5643 Brooks Ct. Bakersfield, CA 93308 661 326 -8402 Fax 661588-7808 Ca. Lic# C61/D40 809850 Name / Address TAFT HWY CHEVRON (JOHNNY) 1999 TAFT HWY BAKERFIELD, CA 93313 Description REPAIRS MADE TO COMPLETE SB989 TESTING LABOR - REPLACE OLD TCI PLASTIC PIPE WITH APT PLASTIC FROM STP TO DISPENSER LINE #1 -1/2 (87)(9 1) REMOVE DISPENSER TO MAKE REPAIRS REMOVE PLASTIC PIPING FROM ROCK GUARD INSTALL NEW 1.5" PLASTIC DOUBLE WALL PRODUCT PIPING INSTALL REPAIR PENETRATION - DISP 7/8 (91) INSTALL JUMPER, IN DISPENSER PAN TO CONNECT ONE LINE TO THE OTHER. REINSTALL DONUT INTO EXISTING PENETRATION LINE #2 -DISP 3/4 (87)(91)(DSL) PARTS APT XP 1.50" X 250' SECONDARY CONTAINED PROD PIPE PER FOOT, ; . APT BARBED CLAMSHELL FIT W/ SWIVEL & 1.5" NPT GALV APT 11.5" TEST BOOT FOR P- 150 -SC JUMPERS FOR APT PIPE RETEST"' SECONDARY PIPING TESTING ONLY DISPENSER SECONDARY CONTAINMENT TESTING ONLY PERMIT BAKERSFIELD CITY FIRE DEPARTMENT PERMIT FEE 1, (print) to'pay in full upon completion of this job. Signature N Date agree Qty Estimate Date Estimate # 4/16/2012 5230 Rate I Project I Total 6 500.00 3,000.00 3 500.00 1,500.00 3 1,500.00 4,500.00 1 165.00 165.00 12 25.00 300.00 3 1 50.001 150.00 200 20.40 4,080.00T 6 80.50 483.00T 6 13.44 80.64T 12 9.49 113.88T 3 100.00 300.00 6 100.00 600.00 167.001 167.00 Subtotal 1 $15,439.52 Sales Tax (7.25 %) $344.92 Total 1 $15,784.44