HomeMy WebLinkAboutJob Card SB 989 10-30-2020_1-4INSPECTION RECORD `Ai BAKERSFIELD FIRE DEPARTMENT
Prevention Services
�09 2101 H Street
UST JOB CARD Bakersfield, CA 93301
v Tel.: (661) 326-3979
Fax: (661)852-2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
BUILDING ADDRESS:") t S^
JOB DESCRIPTION:
OWNER:
CONTRACTOR:
1 DESCRIPTION I DATE I SIGNATURE 1
MODIFICATIONS MINOR /MAJOR
DESCRIPTION DATE SIGNATURE
1 DESCRIPTION I DATE I SIGNATURE i
PRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE: BAKERSFIELD CITY FIRE DEPARTMENT.
PARTMENT FINAL
►UILDING NAME: SP4-1 Y T
PERMIT NO.: 2n t3 L4 `70
FD 2165 (Rev. 3/2018)
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PS1-1 HR
SECONDARY PIPE-5PS1-1HR
PRE-ELD
BACKEILL
SFCONDARY CONTAINMENT
FINAL ELD
AUTHORIZATION FOR FUR
FINAL STARTUP TESTING
TANK TESTING
DESCRIPTION DATE SIGN TURE
{
BUILDING ADDRESS:") t S^
JOB DESCRIPTION:
OWNER:
CONTRACTOR:
1 DESCRIPTION I DATE I SIGNATURE 1
MODIFICATIONS MINOR /MAJOR
DESCRIPTION DATE SIGNATURE
1 DESCRIPTION I DATE I SIGNATURE i
PRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE: BAKERSFIELD CITY FIRE DEPARTMENT.
PARTMENT FINAL
►UILDING NAME: SP4-1 Y T
PERMIT NO.: 2n t3 L4 `70
FD 2165 (Rev. 3/2018)