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Home My WebLink About1125 COFFEE ROADHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: o z z3 Address: //a 5 C-1Z Q4-Q-'0- zL . Date Received: Bakersfield, CA 933 _ j -/ f— / Z Business Name: SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG 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 M-1 Other tl il C— Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: 1. 2. 3. 4. lci Date Time Signature Signature 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 REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE i MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) .G L , BUILDING ADDRESS: JOB DESCRIPTION: :T:- L, L— OCCUPANCY TYPE: OWNER: yZy PERMIT NO. CONTRACTOR: ^T io..J PHONE Gj7(o- FD 1743 TANKNOLOGY-SO. CALIFORNIA. 5685 PH. (951) 676-4060 41785 ENTERPRISE CIR S, STE D TEMECULA, CA 92590 1624 -1220 Date Pay to the vel a Fir'- eorderof Dollars WELLS FARGO BANK, N.A. CALIFORNIA WELLSFARGO.COM For 74- jJ-;2:5 Corr-f-,--e- 11300 S G a SO 1: 1 2 2000 2L, 71:0 7 260 2 SO 26 fig 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 r-1 TnNk TfrHTNFCS r BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 . Fax: 661 - 852 -2171 Page 1 of 1 fV LINE TESTING SB -989 SECONDARY CONTAINMENT n -' - lFUELMONITORINGCERTIFICATIONI11d'tl L +l0 Sa0- SITE INFORMATION FACILITY e 0?35 NAME &PHONE # OF CONT CT PERSON LjADDRESS I Lee er 15f, eAd OWNER NAME eV e) r 1 OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES TANK# VOLUME CONTENTS a e a. a IL u s ula,,r TANK TESTING COMPANY TESTING COMPANY TpLtn n,01.o h c NAM€ & PHONE # OF CONTACT PERSON m kh4l e oLLn CQ15 - O MAILING ADDRESS L11 7255 Enfier rl 8e &rc-l' &LCM *D Te»ecu Loy e14 9a590 NAME & PHONE # QF TEST R OR SPECIAL INSPECTOR l.m - s - a(os I CERTIFICATION # DAT & TIM TasT TO BE CONDUC ED ICC APPLICANfSIGNATURE DATE 0/// 6 TH A LICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY 0 :", -er' DATE is —/ -/z FD2095(Rev 03/08) Wayne Perry Inc. Maintenance Division A/L- V/L Results 6/28/2012 30 Main Ave. , Suite 5 8281 Commonwealth Ave A/L- V/L Results Sacramento, CA 95838 Buena Park, CA 90621 Job Ticket# NCA 121212 8635 Commerce Ave 0.00'". fastech t617 1.00 San Diego, CA 92121 0.00, r 0.00', Call ID: 1600010270 0.00'' Service Station Maintenance Record Date: 10/3/12 Customer Name: Chevron NCM NFC Job #: Contact Name: SCM SFC Job #: 247 Station Address: 1125 coffee rd. Job# NO /WA/OR: City /Zip: bakersfield/93308 Facility#: 203576 Description of Work Performed: VEEDER -ROOT LOST ISD MAPPING FROM TANKNOLOGY- test veeder -root and determine the ecpu2 brd. is bad. replaced ecpu2 brd.,cold start, program set - up,isd map and test fail safe. test ok. Is Job Complete? Yes ® No Testing Performed? Yes No If No, Comments Hose # 1 -24 Hose # Hose # Hose # Hose # 25 -36 Other GPM A/L- V/L Results GPM A/L- V/L Results GPM A/L- V/L Results GPM A/L- V/L Results GPM A/L- V/L Results Personnel Time In Time Out Rate Hours` Total Tony Veteto 1:00 PM 5:30 PM weeder -root, ecpu2 s/n:2156996 -06 4.50 0.00'". fastech t617 1.00 0.00, r 0.00', 0.00'' Part # Part Description Warranty DOA Vendor Qty Unit Price Totals, 05703N weeder -root, ecpu2 s/n:2156996 -06 El fastech t617 1.00 0.00, 0.06, t$. 0.001, Authorized Signature: Date Dealer Refused to Sign Co -Op ® Third Party Labor,Subtotq.L 0.00 Travel Subtotal Material Subtotal., 0:00 0.0o Attach L RECE`IPT`SW, d Nl`S 641 FORNIS to tliis' 1Vlaintenance Decod!` 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 rAmr 1 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 FUEL MONITORING CERTIFICATION M J `Jt cL j1e FD2095(Rev 03/08) SITE INFORMATION FACILITY 4 NAME & PHONE # OF CONT CT PERSON ADDRESS OWNER NAME r OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? 0 YES NO TANK# VOLUME CONTENTS AS I e iii a-)r TANK TESTING COMPANY TESTING COMPANY NAMF & PHONE # OF CONTACT PERSON Sto MAILING ADDRESS qOP55 Crier -r S 1rc i h D . ' i C« Ci4 9 3 `ice NAME & PHONE # F TEST R OR SPECIAL INSPECTOR 7 57 1 CERTIFICATION # DAT - & TIME TEST TO BE CONDUCTED K-) 1 - r% Li I Yl ICc # 5c)30-715 - U E TEST METHOD APP ICAN SIGNATURE t DATE TH A LICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095(Rev 03/08) Wayne Perry Inc. Maintenance Division 30 Main Ave. , Suite 5 8281 Commonwealth Ave Sacramento, CA 95838 Buena Park, CA 90621 8635 Commerce Ave San Diego, CA 92121 Customer Name: Contact Name: Station Address: City/Zip: Chevron 1125 coffee rd. bakersfield/93308 Service Station Maintenance Record 6/28/2012 Job Ticket# NCA 121212 Call ID: 1600010270 Date; NCM NFC Job #: SCM SFC Job #: Job# NO /WA /OR: Facility#: 10/3/12 247 203576 Description of Work Performed: VEEDER -ROOT LOST ISD MAPPING FROM TANKNOLOGY- test veeder -root and determine the ecnu2 brd is bad replaced ecnu2 brd. cold start program set -up isd map and test fail safe test ok Is Job Complete? Yes 12 1 No U Testing Performed? Yes No If No, Comments Time In Time Out Hose # 1 -24 25 -36 Other GPM A/L- V/L Results Hose # GPM A/L- V/L Results Hose # GPM A/L- V/L Results Hose # GPM A/L- V/L Results Hose # GPM A/L- V/L Results Personnel Time In Time Out Rate HoursTofalk Qty Tony Veteto 1:00 PM 5:30 PM veeder -root, ecpu2 s/n:2156996 -06 4.50$0: 0 fastech t617 1.00 Part # Part Description Warranty DOA Vendor Qty Unit Price QTotal`t+ 05703N veeder -root, ecpu2 s/n:2156996 -06 El fastech t617 1.00 0 "00` ice;. . ;s MW66 Authorized Signature: Date: Dealer Refused to Sign Co -Op ® Third Party aM Travel Subtotal t;,;Matenal Subtotals ;s $;Ot001 UNION AttacFr AL1AME 'PTSaarid IVI'S 641 F®RIVIS to th s Ma ntenane Record