HomeMy WebLinkAbout4101 CALLOWAY DRIVE FMC 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH
Permit No. Permit No. Permit No. Permit No.
File Number: l '7' Z 3 / Address: y/a / (2j"
Bakersfield, CA 933
Date Received:
Business Name: -7///
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
Cd,-Other.
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
el
2.
0
4.
AST UST
Permit No. Permit No.
INSPECTION LOG
Date Time
Signature
7MV.,
i1V
Signature
F
TANKNOLOGY -SO. CALIFORNIA 5690
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590 16-24 -1220
Date
Pay to the Fir , ..... order of
j J fir...
Dollars
WELLS FARGO BANK, N.A.
CALIFORNIA
r
1 WELLSSFFARGO.COM
j
Lo l Ol Q-llG(i.JCt --i D 'l i(' -- "r
III Q p - e fl. - - --- -- - 0 5690 . 1 2 2000 24 ?1:0 ? 260 2 50 26
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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
0NOr!
nSIP1D
Rt
AtrN' 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
6ZXUEL MONITORING CERTIFICATION
FD2095(Rev 03/08)
SITE INFORMATION
FACILITY
41
NAME & PHONE 2rCONT CT,P SON
eq - aa(plY^
ItYn S
ADDRESS
41 01 a o A Dr
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE 1
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK tt VOLUME CONTENTS
ReeiLday W71eadeg
S lL I rew i w,
TANK TESTING COMPANY
TESTING COMPANY
G .
NAME & PHONE # O CONTACT P RSO
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MAILING ADDRESS
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t, e*n ec u-1 cL G4 %3510
ME & PHO.NE Y OF TES E OR, SPECIAL NSPECTOR
G1 C.o o 51 -7 51-0(()?)
CERTIFICATION Y
DATE f T,IM ST 70 BE CONO
CAJ
7E'D
W' ,
ICC - TEST METHOD
APPLICANT SIGNATURE DATE
a-
S APPLICATION BECOMES A PERMIT WHEN APPROVED
APPR VED BY DATE
FD2095(Rev 03/08)
J
r
r , .0
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
ARrN r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 -326 -3979 a Fax: 661- 852 -2171
Page 1 of 1
LINE TESTING t SB -989 SECONDARY CONTAINMENT
6LUEL MONITORING CERTIFICATION
FD2095 (Rev 03/08)
SITE INFORMATION
FACILITY 3,:33 Lf NAME &PH Or POFrCONIt:0 11 G` L•` I LL, 1 ` -2
ADDRESS
D ' (1. 0 ' CL pv-
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE +
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
rewiivaiq
TANK TESTING COMPANY
TESTING COMPANY
c c.,
NAME & PHONE # O CONTACT PPRSOtA
ch _tie
Si)
MAILIN(G3AD_DRESS
ME 6 PHONE # OF TES E OR SPECIAL INSPE O
Gt . 0 5i r7 5i -D O`v.
CERTIFICATION +
DATE F TIME T ST TO BE CONDUCTED ICC #
c} Q 1.- - UT
TEST METHOD
APPLICANT SIGNATURE DATE
01/5 l3-
5 APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE
FD2095 (Rev 03/08)
JF
i
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. — eo Q
PRIMARY PIPE
PHONE ,$"/ p -
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR TOOPERATION_OF ANY SYSTEM,
ALL UST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.,
FIRE DEPARTMENT (FINAL)
BUILDING ADDRESS:
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: 7Z11 PERMIT NO. — eo Q
CONTRACTOR: PHONE ,$"/ p -
t — FD 1743