HomeMy WebLinkAbout10 UNION AVENUE FMCHOODS ALARMSS SPRINKLER SYSTEMS SPRAY BOOTHOOTH AST
Permit No. Permit No. Permit No. Permit No. Permit No
UST
Permit No.
File Number: 7 X37 Z Address:
Bakersfield, CA 933
Date Received:
Business Name: CLej <-o
SYSTEM: BUILDING SQUARE FEET F INSPECTION LOG
New Mod.
Commercial Hood System
Fire Ala m System
Fire Sprinkler System
Spiray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
2 Other: awl C
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
2.
3.
4.
Comments: V07eF ' Pl"65C11 [. e-D 74"Ifel -
Date Time
Signature
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.)
PERMIT #
ENHANCED LEAK DETECTION
TANK TIGHTNESS
LI TESTING El SB -989 SECONDARY CONTAINMENT
ED UEL MONITORING CERTIFICATION
SITE INFORMATION
BAKERSFIELD FIRE DEPARTMENT
NAM F-& PHONE # OF CONTACT eER ON
Prevention Servicesg
n 2101 H Street
P/R! Bakersfield, CA 93301
ARTAf f Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
IS PIPING GOING TO BE TESTED? YES NO
Page 1 of 1
LI TESTING El SB -989 SECONDARY CONTAINMENT
ED UEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY NAM F-& PHONE # OF CONTACT eER ON
AD uL(5 Q g. 0A-- 49 33 0
OWNER N
OPERATOR NA PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
A AYV
7 1 C/ -
TANK'TEST-ING COMPANY
TESTING COMP, I D ME P Nfj O_ N PE lllL•GG
I I ) G DfES 1
E & PHONE # 0 TESTER 0 E`CI•ALL WSP C OR
Ewk)
CERTIFICATION #
DATE & TIME TEST TO BE CONDUCT
xk
r ICC # ` /w _ / EST
APPLICANT SIGNATURE 1
11V
DATE
41iHI4\,CATION BECOMES A PER-- W EN APPROVED
APPROVED BYB "Y\ /\ DATE
FD2095 (Rev 03/08)
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, TE D
TEMECULA, CA 92
Pay to the
order of _
WELLS FARGO BANK, N.A.
CALIFORNIA
O.COMWELLSFARG
b LkA) cwj c --
111005539,10 1: L 2 2000 24 71: 07 260 250 2611'
5539
111 1r- 16 -24- 122200
D o 1 a r 4'
IWP
TANKNOLOGY TESTING NOTIFICATION
Southern California Regional Office Tanknology Corporate Headquarters
41785 Enterprise Circle South, Suite D 8501 North MoPac Expressway, Suite 400
Temecula, CA 92590 Austin, TX 78759
951 - 676 -4060 512 -451 -6334
800 - 666 -2176 800 - 800 -4633
951 - 676 -4061 Facsimile 512 -459 -1459 Facsimile
TO: City of Bakersfield
Fire Department
TELECOPY NO. 661 - 852 -2171
FROM: Deanna Davenport
DATE: 4/30/2012
E -MAIL: www.ci.bakersfield.ca.us
E -MAIL:
E -MAIL: ddavenport(o)-tanknology.com
TIME:
NO. OF PAGES INCLUDING COVER: 1 ORIGINAL TO FOLLOW:
COMMENTS: Tanknology will be at the following locations:
No
Tanknology, Worldwide Leaders in UST Compliance Testing
CONFIDENTIALITY NOTICE - This message is intended for the use of the individual or entity for
which it is addressed and may contain information that is legally privileged, confidential, and
exempt from disclosure.
If the reader of this messaage is not the intended recipient, you are hereby notifiedthat any
dissemination, distribution, or copying of this communication is strictly prohibited. If you received
this communication in error, please notify us immediately by telephone to arrange for the return
of the original material.
DATE TIME SITE AND ADDRESS TEST TYPE
05/10/12 9:00 a.m. Chevron # 355920, 10 Union Avenue, Bakersfield
CA 93307
661 - 861 -0543
Please advise if test date and time is acceptable
Check # 5539 Enclosed for $ 192.00 for testing
Monitor Cert, Leak
Detector and Spill
Bucket Annual
Compliance Testing
Tanknology, Worldwide Leaders in UST Compliance Testing
CONFIDENTIALITY NOTICE - This message is intended for the use of the individual or entity for
which it is addressed and may contain information that is legally privileged, confidential, and
exempt from disclosure.
If the reader of this messaage is not the intended recipient, you are hereby notifiedthat any
dissemination, distribution, or copying of this communication is strictly prohibited. If you received
this communication in error, please notify us immediately by telephone to arrange for the return
of the original material.
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
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR TO OPERATION 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)
REMARKS:
BUILDING ADDRESS: dealt
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: w PERMIT NO.
CONTRACTOR: PHONE #
v9c FD 1743