HomeMy WebLinkAboutJob Card 1-8-21INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMENT
Prevention Services
�pp � 2101 H Street
UST JOB CARD Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-217
Post this Card at the Job Site and DO NOT Remove for Duration of Work
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PS1-1HR
SECONDARY PIPE-5PS1-1 HR
pQp:_P:i n
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR I MAJOR
DESCRIPTION I DATE I SIGNATURE
AST RL
DESCRIPTION DATE SIGNATURE
PRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT FINAL
B ILDIN ADDRE i B ILDIN NAME -
JOB DESCRIPTION:
OWNER: PERMIT NO.: C; ^
CONTRACTOR: S�
FD 2165 (Rev. 3/2018)