HomeMy WebLinkAboutminor mod Job Card 1-21-21INSPECTION RECORD `^� BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD Bakersfield, CA 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-50PS1-1HR
SECONDARY PIPE-5PS1-1 HR
1ppi=-P:i n
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
BUILDING ADDRESS: LI(Q� G C
JOB DESCRIPTION: MkAj
OWNER:
CONTRACTOR: V reW AI'-
DESCRIPTION I DATE 4 SIGNATURE
MODIFICATIONS MINOR / MAJOR
DESCRIPTION DATE SI ATURE
t'::;1A-C)k44 Z E PA M -X I / 'i4 /2f `
1 DESCRIPTION I DATE I SIGNATURE 1
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)
BUILDING NAME: _S14,0vi C 0
PERMIT NO.: ;? p /0 d 0 0 T -k
FD 2165 (Rev. 3/2018)