HomeMy WebLinkAboutFMC JOB CARD 8.1.19INSPECTION RECORD
UST JOB CARD
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UST NEW IN: tTALL
BAKERSFIELD FIRE
OCCUPANCY TYPE:
Prevention Services
DESCRIPTION
2101 H Street
SIGNATURE
Bakersfield, CA 93301
DATE
Tel.: (661) 326 -3979
TANKINSTALL
Fax: 16611852-2171
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UST NEW IN: tTALL
40" DESCRIPTION: T N C
OCCUPANCY TYPE:
OWNER:
DESCRIPTION
DATE
SIGNATURE
_.&§j.W0MqTALL
DESCRIPTION
DATE
SIGNATURE
TANKINSTALL
PRIMARY PIPE- 50PSI -1 HR
SECONDARY PIPE-5PSI-1HR
SECONDARY CONTAINMENT
FINAI Fin
TANK E T ING
MODIFICATIONS MINOR
/ MAJOR
DESCRIPTION DATE
IGNA RE
DESCRIPTION
DATE
SIGNATURE
L
I
PRIOR TO OCCUPANCY OF ANY SYSTEM,
ALL UST AND /OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
RLIILnING ADDRESS, O
40" DESCRIPTION: T N C
OCCUPANCY TYPE:
OWNER:
PERMITNO.:\ IO
CONTRACTOR: Yk CIV FF-U CE.y
FD 2165 (Rev. 3/2018)