HomeMy WebLinkAbout3601 STOCKDALE HWY ATG TESTING 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
1& /doo0/3
File Number. Q 3 /3 Z
Date Received: /a 2T - /Z_
minor
modification Underground Storage Tank
removal Underground Storage Tank
8,' Other.
Address: -?6(0/
Bakersfield, CA 933
Business Name: 7//
BUILDING SQUARE FEET: INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Comments: /2y/ 9 oo ;,I
a.
3.
4.
Date Time
Signature
SYSTEM:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Sissy Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
8,' Other.
Address: -?6(0/
Bakersfield, CA 933
Business Name: 7//
BUILDING SQUARE FEET: INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Comments: /2y/ 9 oo ;,I
a.
3.
4.
Date Time
Signature
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.)
lw/R/
ARTN f
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661-852-2171
Page 1 of 1
PERMIT # .
o Ol r) -F6 I e41V1a Os I I e bjCL l ai'"J
J
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS FUEL MONITORING CERTIFICATION
FD2095(Rev 03/08)
8(o1 SITE INFORMATION
FACILITY ,,i..
ij^ 1-70
NAME & PHONE V OF N A PERSON —
a e 83 Dq
ADDRESS
Q iJ/i J
LJ I Ker e 330
OWNER NA
n '^ J 1
OPERATOR NAME PERMIT TO OPERATE r
S OF TANKS TO BE TESTED: 1S PIPING GOING TO BE TESTED? YES 0 NO
TANK # VOLUME CONTENTS
0 eALLto,
D ( e iar
3 lL rem tu-m
TANK TESTING COMPANY
TEST G COMPANY
Inc, f1michelleNAME & PHONE # CONTACT PER N
51 04o- k&o
M LING ADDRESS
as Enter e Ci Tern ecu L o- C>*3 a s qo
NAME & PNONE r TESTER R SPECIAL INSPECTOR
L 0.
CERTIFICATION r
DATE TIME TEST TO BE CONDUCTED
as am
ICC it
e>-UT
TEST METHOD
APPLICANTSIGNATURE DATE
TH49 APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROV BY / • DATE
j / '
L " r 3
FD2095(Rev 03/08)
l
UNDERGROUND STORAGE TANKS
APPLICATION. iRs
A T
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.)
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661-852-2171
Page I of 1
PERMIT x
e 1-1 -F11 I Cso iJl I!'1 il ' WCI I 1G {fl
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT
0 TANK TIGHTNESS FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY _
7
NAME S PHONE a OF NTA PERSON,
Ya -3G
ADO-R•,ESS
UCk e :' , e 35G`
DINER NA
t •air)
OPERATOR NAME PERMIT TO OPERATE
d OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK O VOLUME CONTENTS
J i. ecGLlcL+-
TANK TESTING COMPANY
TES COMPANY
he
NAME 11 PNONE 1 OP CONTACT PER N
7L - V
MA LING ADDRESS
PHONE A_ j TESTER R SPECIAL INSPECTOR
A G'
CERTIFICATION
DATE 6 TIME EST TO BE CONg TED
4- CLJ'1'l
ICC 1
l l
TEST METHOD
APPLICANT SIGNATURE DATE
TH, S APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590
FD2095(Rev 0] /06)
5761
Date 1-2 /,2111,;I, 16-24 -1220
Fay to the F q
order of 1' ^(k ;i/ f3 j r CST
Dollars 8
WELLS FARGO BANK, N.A
a.
CALIFORNIA
VIELLSFARGO.COM
For `!lr 77
11'005 ?61110 i• o b 2 2000 24 7 00? 260 2 50
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
Z ATG iQsi .va, I I
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 TOOPERATION OF ANY SYSTEM,
ALL UST-AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE_ DEPARTMENT (FINAL)
BUILDING ADDRESS: ( !Sc—cj r (/, C•e-
JOB DESCRIPTION: , rg7-<j :Z-F i;t/ OCCU ANCYTYPE:
OWNER: Z / PERMIT NO. /L3-/,6d66,6 /
CONTRACTOR: r -
7-A- ,,j ,, PHONE f 96-I 6;r.-g660