HomeMy WebLinkAboutFMC JOB CARD 11.19.19INSPECTION RECORD
UST JOB CARD
BAKERSFIELD FIRE
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Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: 16611852-2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
PRIOR TO OCCUPANCY OF ANY SYSTEM,
ALL UST AND /OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
I
JOB DESCRIPTION:
OCCUPANCY TYPE:
OWNER:
DESCRIPTION
DATE
SIGNATURE
DESCRIPTION
DATE
SIGNATURE
TANKINSTALL
PRIMARY PIPE- 50PSI -1 HR
SECONDARY PIPE- 5PSI -1HR
FIN..
AUTHORIZATION FOR FIIFI
I
TANK TES ING
MODIFICATIONS MINOR
/ MAJOR
DESCRIPTION
DATE
SIGNATURE
DESCRIPTION
DATE
SIGNATURE
FVA C.
I
UST REM
AST RFMC
DESCRIPTION DATE
SIGNATURE
DESCRIPTION
DATE
SIGNATURE
PRIOR TO OCCUPANCY OF ANY SYSTEM,
ALL UST AND /OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
I
JOB DESCRIPTION:
OCCUPANCY TYPE:
OWNER:
PERMIT NO.:
CONTRACTOR: S rR-E
FD 2165 (Rev. 3/2018)