HomeMy WebLinkAboutJob Card MOD 9-10-2020_1-4INSPECTION RECORD `Ai BAKEi2SFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD BakersfieldCA 93301
Tel.: (661) 326-3979
Fax: (661)852-2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PS1-1 HR
SECONDARY PIPE-5PS1-1 HR
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
DESCRIPTION DATE SIGN�T;URE
FIPRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
NTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT FINALV1012�k- 1'.(P,\
[BUILDING ADDRE l B ILDIN NAME: 'T"a- t r°
OB DESCRIPTION:WNER: PERMIT NO.: 2 o tONTRACTOR: 7!��A
FD 2165 (Rev. 3/2018)