HomeMy WebLinkAboutFMC JOB CARD_9.25.19 DIESEL SIDEINSPECTION RECORD BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD ® Bakersfield, CA 93301
>/VI Tel.: (661) 326 -3979
Fax: 16611852-2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
T REMOVAL
DESCRIPTION
DESCRIPTgS1-
DATE
SIGNATURE
DESCRIPTION
DATE
SIGNATURE
TANKINSTALL
PRIMARY PIPE- 5
SECONDARY PIPE-5
PRE-El D
.qF('nNr)ARY CO
TON
11
TANK TESTING
MODIFICATIONS MINOR
I MAJOR
DESCRIPTION
DATE
SIGN&
DESCRIPTION
DATE
SIGNATURE
iAAC
z
2�
T REMOVAL
DESCRIPTION
DATE
SIGNATURE
DESCRIPTION
GATE
SIGNATURE
PRIOR TO OCCUPANCY OF ANY SYSTEM,
ALL UST ANDIOR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT F IS
BUILDING ADDRESS, -7
D R
JOB DESCRIPTION: I OCCUPANCY TYPE:
OWNER: PERMIT NO.:II p0ooty2a
CONTRACTOR: S S12
FD 2165 (Rev. 3/2015)