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Home My WebLink About6801 COLONY STREET FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 3 /G60M g 7 File Number: /dp f5 Date Received: / -/G 13 Address: 6 $0 / (2b Cz N y- Bakersfield, CA 933 Business Name: CA,( - `J S( c BUILDING SQUARE FEET: INSPECTION LOG Building Sq. Feet: Calculation Bldg. Sq. Ft: 2. 3. 4. Date Time Signature Comments: - M-0 S-o ZC:, 2 y Fr cis, g" /W/ 3 VRj:c T? 3 2 4 ) /i y /ice SYSTEM: New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spray FlP sh System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Gii/ Other. f /c Address: 6 $0 / (2b Cz N y- Bakersfield, CA 933 Business Name: CA,( - `J S( c BUILDING SQUARE FEET: INSPECTION LOG Building Sq. Feet: Calculation Bldg. Sq. Ft: 2. 3. 4. Date Time Signature Comments: - M-0 S-o ZC:, 2 y Fr cis, g" /W/ 3 VRj:c T? 3 2 4 ) /i y /ice UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING I SB989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT N0. BAKERSFIELD FIRE DEPT. B P ' Prevention Services A'FRIRrRM,#'F 2 - j ) ( i( .:, Sq -LOOT Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS TEST 10 TO PERFORM FUEL MONITORING CERTIFICATION 0. SITE`INFORMATION -.., .: F ILITY VI NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS /Q OI J OW S AMt w rja 1 I L OPE ORS ME NUMBER OF TANKS TO BE TESTED i 1 PERMIT TO OPERATE NO. y / 1 /1rn IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS jf i TANK TES.TING.COMPANY 9Y, i NAME OF TESTING COMPANY Tanknolo Inc. NAME & PHONE NUMBER OF Deanna DavenportCONTACTPERSON 800 - 666 -1130 MAILING ADDRESS 41785 Enterprise Circle S. Suite D Temecula, CA 92590 NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR: 7_.'Z A 1 CERTIFICATION #: nY Ik 3 DATE & TIME TEST TO BE I CONDUCTED: 5( ICC #: q.. 62 7 METHOD LJ 1 SIGNATURE OF APPLICANT E: ( /I 5 -1 APPROVED BY ' DATE oZ I.3 0. x ' 4, 0 x ' 0 Z, 1 > ffi SITE= .INFORMA•T,ION..'..: ., f1 NAME & PHONE NUMB ER OF NAME 8 PHONE NUMBER OF CONTACT PERSON UNDERGROUND STORAGE TANKS E9 t,. .._ BAKERSFIELD FIRE DEPT. SIGNATURE OF APPLICANTI B awB ° Prevention Services rr PINK ANrN r 2— i L7 ti :. STLooT APPLICATION Bakersfield, CA 93301 TO PERFORM ELD / LINE TESTING Tel.: (661) 326 -3979 SB989 SECONDARY CONTAINMENT TESTING? Fax: (661) 852 -2171TANKTIGHTNESSTESTANDTOPERFORM FUEL MONITORING CERTIFICATION Page i of 1 PERMIT NO. I ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS TFST 171 Tn PFRFnRM FI IFI mnN1T( Pwr CFRTIFICATION SITE= .INFORMA•T,ION..'..: ., MAILING ADDRESS 41785 Enterprise Circle S. Suite D Temecula, CA 92590 NAME & PHONE NUMB ER OF NAME 8 PHONE NUMBER OF CONTACT PERSON TESTER OR SPECIAL INSPECTOR: . E9 on -' -1 ADDRESS 8O COIL 30v- OW qS NAM 1 L- -- -- - -- - - OPE ORS ME ea i V PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO TANK # _ VOLUME _ - CONTENTS _ _I 1221 i TANK TESTING COMPANY NAME OF TESTING COMPANY NAME & PHONE NUMBER OFTanknology, Inc. CONTACT PERSON Deanna Davenport I tsuu -000- I 1 )u — — MAILING ADDRESS 41785 Enterprise Circle S. Suite D Temecula, CA 92590 NAME & PHONE NUMB ER OF CERTIFICATION #: . 42 1 l 13TESTERORSPECIALINSPECTOR: . E9 I DATE & TIME TEST TO BE 1iCONDUCTED: r ` 0 ICC #: D 0 4 TEST ' DFjO "' T METHOD (_,j_/'_ SIGNATURE OF APPLICANTI TE: TH l.q A 041H nAl RRP_P1MFS A 0;:RMIT WHIN APPRnVF:n TANKNOLOGY -SO. CALIFORNIA'. PH. (951) 676 -4060 41785 ENTERPRISE CIR S, STE D TEMECULA, CA 92590 Pay to the • - - order of i % 11.E I L_ WELLS FARGO BANK, N.A. CALIFORNIA i WELLSFARGO.COM r 0 0 Cororc4l_WK 2_ 1'00 5 7B611 1: 2 200 4 71:0 7 260 2 50 2611' 5786 16 -24 -1220 Date i ` l' ( CC o I I a 4 Of, W°- 0. AV Edwin Pineda - REG 16 External Certifications Cert # Date Completed Due Date Internal Certifications Date Completed Due Date OPW - Phase I EVR 6033 2/3/2011 2/3 /2013 Safe 10/19/2012 10/19/2013 Veeder Root Red Jacekt CPT B37453 2/26/2010 2/25/2015 UST 101 2/10/2009 2/8 /2019 Veeder Root Red Jacket LD B37453 8/12/2011 8/11/2013 1 level III PV ca 1/10/2011 1/9/2014 Veeder Root 4 B37453 2/6/2011 2 /5/2013 ATG 8/14/2012 8/14/2015 Veeder Root Vapor Products B37453 3/17/2011 3/16/2013 Spill Container 7/26/2012 7/26/2015 VST EVR 1652 3125/2011 3/2512013 Stage II 1/10/2011 1/9/2014 SCAQMD - Tester T -9037 6/12/2009 N/A TLD -1 5/25/2011 5/25/2014 SCAQMD - 461 A09049 9/19/2009 N/A DOT Com I. III 6/28/2012 6/28/2013 San Joaquin GDF SJV -0227 3/16/2011 3/16/2013 Healy 356213762 1/24/2011 1/24/2013 Phil -Tite 1620323702 8/8/2012 8/8/2014 Weights & Measure 6747 12/16/2008 12/15/2013 CNI 1870 9/23/2011 9/23/2013 Beaudreau 400 -500 FFS- DC400 Dispensing Cutoff System 1620323702 10/4/2011 10/4/2013 Beaudreau a -site Incon - FMS level 1 Installation 1620323702 5/27/2011 5/27/2013 Incon - FMS level 2 Programminq 1620323702 5/27/2011 5127/2013 Incon - FMS level 3 Leak detection Incon - FMS level 4 Sump Test O r Incon VRM level 5 in sta dia . 1620323702 5/27/2011 5/27/2013 Ronan ICC - Des O r API ICC - Sery Tech 8026748 -UT 8/16/2011 8/16/2013 VR ICC - Vapor Recovery Test & Repair 8026748 -VT 2/23/2012 2/23/2014 FF ICC - Vapor Recovery Installer 8026748 -VI 8/16/2011 8/16/2013 ICC ICC U3 Tank tightness testing API 18537631 11/9/2012 11/20/2013 Blueline CA Water Res. Control Board VMI- Vaporless- Tanknology 2344 5/24/2011 5/24/2013 RSC/Unded Rentals Mobile Equipment Training I n/a 1 12/14/2012 12/14/2015 EMCO Phase 11 EVR 456 6/21/2011 6/21/2013 N 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 -- - UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY.SYSTEW ALL - UST AND /OR. AST- SYSTEMS. SHALL BE INSTALL,_COMPLETE_AND ACCEPTED BY T,HE_BAKERSFIELD CITY FIRE DEPARTMENT: FIRE DEPARTMENT (FINAL) .. BUILDING ADDRESS: &'rO Si JOB DESCRIPTION: T= "-k C. OCCUPANCY TYPE: 13 OWNER: w- ,d. PERMIT NO. i3 —J QC06 k CONTRACTOR: PHONE #(-5,W) loco --Ls1,3Q FD 1743 Recommended unit HALL7 for requirement AMB (4.27 mi) FOR -MB.D