HomeMy WebLinkAbout3360 PANAMA LANE FMC 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
X? amp i
File Number: /3 7s-Z-
Date Received: /a - 4 / - i z
Address:
Bakersfield, CA 933
Business Name: C -`l d'a aj
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
Other. U/l C--
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
INSPECTION LOG
Date Time
Signature
Comments: TEM : E-014 u AV&7 &0
1 U--O gD2 OQ W- 6X2.
1!2 :tt )? 7 7 y1q? 45y /; 2 /3 /3
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
f/AL
AffrN 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 SB -989 SECONDARY CONTAINMENT
FUEL MONITORING CERTIFICATION
FD2095(Rey 03/08)
SITE INFORMATION
FACILITY
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NAME & PHONE d OF CON ACT ERSON —
C lY„
ADDRESS
9 -3 a-
OWNER N M
heyrori
OPERATOR NAME PERMIT TO OPERATE +
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME`% CONTEEN,T,,S
SL I OL lus
3 I'd, IZ e14
TANK TESTING COMPANY
JLVING CO PANY
o c, ImichemeNAMEPHONEJf OF CONTACT PE SON
o S% - o(o
MAILING ADDRESS
prise- r e, p e rne-C UAa CA S o
a PHONE + F TESTER OR SPECIAL INSPECTOR
h eX CERTIFICATION t
DI& T i TEST TO BE.CONNDUUCCT,ED
UUIR IC
UT
TEST METHOD
APPLICANT SIGNATURE DATE
H APPLICATION BECOMES A PERMIT WHEN APPROVED
APPR DATE
FD2095(Rey 03/08)
UNDERGftUND STORAGE TANKS
APPLICATION PiRI
TO PERFORM ELD /LINE TESTING/ AR1•M 1
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 S
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
Pape 1 of 1
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS ,FUEL MONITORING CERTIFICATION
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590
Pay to the
order of _
WELLS FARGO BANK, N.A.
CALIFORNIA
WELLSFARGO.COM
FD2095(Rev 03 /08)
5760
7624-1220
Date 02 = / .-
CSL'>
l Dollars ,-=d
For
11,005 760V j: 1 2 2000 24 71:0 7 260 2 SO 26112
SITE INFORMATION
FACILITY `^
C(.iG , Chevron1
NAME 6 PHONE A OF COH A
1.
R5 —
ADDRESS
33L'o ;ti
OWNER N 1
yr_ojj
OPERATOR NAME PERMIT TO OPERATE i
e OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK V VOLUME CONTENTS
i j IL SL ' eme,
W, I eaJ ed
TANK TESTING COMPANY
ING COMPANY
try
NAME 6 PHONE 1 01 CONTACT PF SON
e a 51 L,- U
MAILING ADDRESS
se. E, r 4-D mectLL C;Y S 0
F CIAL INSPECTOR6PyONEsTTERORSPE
Y r. U
CERTIFICATION t
DA 6 T E TEST TO BE ONOUCTED
i 13 cLm
1CC,a
t,LT
TEST METHOD
APPLICANT SIGNATURE
1 clan — A &
DAT
H APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY I
DATE
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590
Pay to the
order of _
WELLS FARGO BANK, N.A.
CALIFORNIA
WELLSFARGO.COM
FD2095(Rev 03 /08)
5760
7624-1220
Date 02 = / .-
CSL'>
l Dollars ,-=d
For
11,005 760V j: 1 2 2000 24 71:0 7 260 2 SO 26112