HomeMy WebLinkAbout1131 OAK STREET (3)HOODS ALARMS SPRINKLER SYSTEMS AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: .'3 Address: //3 / (') 4(G
Bakersfield, CA 933
Date Received:
Business Name: a-p c-
SYSTEM: BUILDING SQUARE FEET: WSPECT@ON LOcC
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
ipFay Imsk G Sie m
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
C Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 9.
2.
3.
4.
Date Time
nature
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
r a$l
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
V-EUEL MONITORING CERTIFICATION
FD2095(Rev 03/08)
SITE INFORMATION
FACILITN NAME & PHONE # OF CONTACT P SO
ADDRI1 cl1 OcLk S+ Bq erS iII
OWNER ME
o11
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
I o 14 S ?-'me,
1014 plus
ID L 12e u ar
10 I Die se i
TANK TESTING COMPANY
TEST MP
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AN
o[O n
NAME & PHONE # OF CONTACT PERSON
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MAILING ADDRESS
85 C— %r rise, C S, D em ece,...lcl
Lj
9a 590
ME & PHONE # PF TE TER OR 5 CIAL NSPECTORdlhOD) 3110 -a77a
CERTIFICATION #
DATE & TIME, TEST_
1
TO CONDUCTED
ayn
ICC # TEST METHOD
APPL CA4T SIGNATURE DATE
T S LICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE
FD2095(Rev 03/08)
R[CLIPT
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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
BACKFI LL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
C— 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: 1131 1:5-7-1
JOB DESCRIPTION: %1-1 C- ICONTRACTOR:-j-i4
OCCUPANCY TYPE: '>
OWNER: V PERMIT NO.
PHONE lGZ 3GC,
FD 1743