HomeMy WebLinkAbout3601 STOCKDALE HWY SB-989 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY (BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 63132 Address: 360 /
Bakersfield, CA 933
Date Received: 3
Business Name: _?
L BUILDING SQUARE FEE r INSPECTION LOCaSYSTEM:
New Mod.
Commercial Hood System Building Sq. Feet: Date Time
Fire Alarm System Calculation Bldg. Sq. Ft: 1.
Fire Sprinkler System 2.
Spray Finish System 3.
Aboveground Storage Tank 4.
Underground Storage Tank
minor Signature
modification Underground Storage Tank
removal Underground Storage Tank
Signature
Other. 5'3 - 9 S' --7
Comments: A,-rb gzF4 c..T 42 T!, r
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTINGITANK 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
4! . %'
1PL
Alan 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 b(SB -989 SECONDARY CONTAINMENT
FUEL MONITORING CERTIFICATION
FD2095(Rev 03/08)
SITE INFORMATION
FACILITY
a
NAME & PHONE # OF CONTACT ER ON
D - 3093
ADORES$
I 1
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK# VOLUME CONTENTS
I 0 e l
3 0 V- rem i am
TANK TESTING COMPANY
TESTING CO NY
c Ln K o o c.
NAME & PHONE # OF CONTACT PER N
l e SI &' Oloo
MAIL NG ADDRESS ki4j.
q17f3s 6h et- Ise C r e South ,[ % eao- dJ4- 9as70
E & PHONE # 0 T STER OR PECI INSPECTOR
t 1 2h
L
7 -No5
CERTIFICATION #
DJTJ TIME TEST TO BE f HOmED
1
ICC ' TEST METHOD
APPLICANT SIGNATURE DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
0 G, -2 f
DATE
a - -/3
FD2095(Rev 03/08)
fu
J N.
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
WA r-
ARIA/ T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 . Fax: 661 -852 -2171
Page 1 of 1
I
LINE TESTING V-SB -989 SECONDARY CONTAINMENT
FUEL MONITORING CERTIFICATION
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590
Pay to theC;.1, order Of f ,
in D- A unalle -,1 Y i ket4 11
5785
I
1s•24-I220
Date I 1 ! W' 1 `3
re, q_or-;
Dollars
WELLS FARGO BANK, N.A.
CALIFORNIA
WELLSFARGO.COM
For ICY I "t' 7 NP
11800 S ?B Sill 1: 12 2000 21, 71:0 ? 260 2 50 26,18
SITE INFORMATION
FACILITY - 7 a
NAME & PHONE # OF CONTACT ER ON
4j - 3093
ADDRESS
i
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
k OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
D el Ldctr
R2< L.LACu -
3 O uxr
TANK TESTING COMPANY
TESTING COMPANY % NAME & PHONE # OF CONTACT PER N /
MAILING ADDRESS
h ee- rasa L r f1 l t.Ll.17 , c L 1 C.T '57&
E & PHONE # 0 T STER ORtPECI INSPECTOR
Vr)bert 7 ei Q
CER IFICATION #
DAT & TIME TEST TO BE ! ^"IDUCTED
1 r Ci / i .z G;ioh 1
ICc #
7 / I : •" 1 A T
TEST METHOD
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590
Pay to theC;.1, order Of f ,
in D- A unalle -,1 Y i ket4 11
5785
I
1s•24-I220
Date I 1 ! W' 1 `3
re, q_or-;
Dollars
WELLS FARGO BANK, N.A.
CALIFORNIA
WELLSFARGO.COM
For ICY I "t' 7 NP
11800 S ?B Sill 1: 12 2000 21, 71:0 ? 260 2 50 26,18
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
PERMIT NO.
PRIMARY PIPE
QK.J < <rud (gyp PHONE 4Y5 6 -q6 66
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 _TOOPERATION OF ANY SYSTEM,
ALL_UST.AND /OR AST-SYSTEM$ SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENTI
r__FIRE- .DEP-ARTMENT.(.FINAL)-
REMARKS:
BUILDING ADDRESS: 3ro6 r v c (<
JOB DESCRIPTION: 5&- C7 OCCUPA CY TYPE:
OWNER: PERMIT NO.
CONTRACTOR: QK.J < <rud (gyp PHONE 4Y5 6 -q6 66
FD 1743