HomeMy WebLinkAboutJob Card SB989 3-11-21INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMEN
Prevention Services
app 2101 H Street
UST JOB CARD .. Bakersfield, CA 93301
Tel.: (66 1) 326-3979
Fes: 16611 852-2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
ST NEW INSTALL
DESCRIPTION DATE SIGNATURE
TAN K I N STAL L
PRIMARY PIPE-50PSI-1 HR
SECONDARY PIPE-5PS1-1 HR
pQp-pi n
UST REMOVAL
DESCRIPTION DATE SIGNATURE
1 DESCRIPTION I DATE I SIGNATURE 1
MODIFICATIONS MINOR I MAJOR �
DESCRIPTION DATE SIGNATURE
AST REM VAL
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 ADDRESS:�! �+�-'� �-- BUILDING NAME:
JOB DESCRIPTION:
OWNER: ,�C' , :# "�''�� ' -.1 PER NO.: - C� ��
CONTRACTOR: C',, ; 1 i,15
FD 2165 (Rev. 3/2018)
TANK TESTING
DESCRIPTION
DATE S NATURE
-3/11/2/
UST REMOVAL
DESCRIPTION DATE SIGNATURE
1 DESCRIPTION I DATE I SIGNATURE 1
MODIFICATIONS MINOR I MAJOR �
DESCRIPTION DATE SIGNATURE
AST REM VAL
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 ADDRESS:�! �+�-'� �-- BUILDING NAME:
JOB DESCRIPTION:
OWNER: ,�C' , :# "�''�� ' -.1 PER NO.: - C� ��
CONTRACTOR: C',, ; 1 i,15
FD 2165 (Rev. 3/2018)