HomeMy WebLinkAbout3221 H STREET FMC 20120,113
HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
S
File Number: d 3iCb9 Address:
Date Received:
Business Name:
3o2a/ S - r
Bakersfield, CA 933
4TIr
SYSTEM: I 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
al- Other. I Z7"4 C,
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
INSPECTION LOG
Date Time
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
JOB DESCRIPTION:
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
TANK TESTING MODIFICATIONS MINOR / MAJOR
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
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) --
BUILDING ADDRESS: S . 241 S
JOB DESCRIPTION: OCCUPANCY TYPE: a
OWNER: -r ` j -' PERMIT NO.
CONTRACTOR: PHONE if 7i4 aids -W TO
FD 1743
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
d
PERMIT NO.
I ENHANCED LEAK DETECTION lay LINE TESTING O-K SB -989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
Pacific Bell Telephone Co. dba AT &T California
NAME & PHONE NUMBER OF CONTACT PERSON
Grant Armstrong (661) 327 -6903
BAKERSFIELD FIRE DEPT.
FIRE
ARTM
Prevention Services
T 900 Truxtun Ave., Ste. 210
IS PIPING GOING TO BE TESTED? 1 YES a NO
Bakersfield, CA 93301
VOLUME
Tel.: (661) 326 -3979
SA098U001
Fax: (661) 852 -2171
Diesel
Page 1 of 1
I ENHANCED LEAK DETECTION lay LINE TESTING O-K SB -989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
Pacific Bell Telephone Co. dba AT &T California
NAME & PHONE NUMBER OF CONTACT PERSON
Grant Armstrong (661) 327 -6903
ADDRESS
3221 South H Street
OWNERS NAME
Pacific Bell Telephone Co. dba AT &T California
OPERATORS NAME PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? 1 YES a NO
TANK# VOLUME CONTENTS
SA098U001 6,016 Gallons Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY
Tait Environmental Services, INC.
NAME & PHONE NUMBER OF CONTACT PERSON
Matt Denison (714) 345 -8080
MAILING ADDRESS
2131 South Dupont Drive, Anaheim CA 92806
NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR
Adolfo Aguilar
CERTIFICATION #: ^
Incon TS -STS 173253702
DATE & TIME TEST TO BE CONDUCTED
12/17 2012 Q 9:00am
ICC #: _T5238610
TEST METHOD
SIGNATURE OF APPLICANT DATE 11 / 2 3 / 2 0 12
THL8. APPLICATION BE OMES. A PERMIT WHEN APPROVED
APPROVED BY Ga I DATE // — 0 ?4511 —
FD 2095 (Rev. 09/05)
TAITWRW i4bke9ERVICES, INC. 701 N. Park Center Drive o SantaRok6A 92705
112012 i 11/20/2012 27347
9 PLEASET.JE`f269 AND RETAIN FOR YOUR RECORDS
192.00
I
WELLS FARGO BANK, N.A. 048242::,, SOUTHERN CALIFORNIA 1
Tait Environmental Services, Inc.
701 N. Park CenterDrive
Santa Ana, CA 92705
Y:
A
11/2112012
N0, ,0:49:242
PAY * * * * * * * * *x * * * * * * * * * * * * * * *x* 92 DOLLARS ANC ***** *x * ***Oo CENTS xxxxxxxxxx *xxxx192.00.
TO THE BAKERSFIELD FIRE DEPT.
ORDER 1501 TRUXTUN AVE.
OF BAKERSFIELD, CA 93301 US
TAIT ENVIRONMENTAL SERVICES, INC.
N
0049 24 211' 1: 12 2000 24 711: 20000 369844 213 I'm
AIT ENVIRONMENTAL SERVICES, INC. 701 N. Park Center Drive • Santa Ana, CA 92705
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