HomeMy WebLinkAboutFMC Job Card 3-31-21INSPECTION 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
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REM VAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
1 MODIFICATIONS MINOR / MAJOR i
DESCRIPTION I DATE I SIGNATURE I
AST REMOVAL
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 FINAL1-3,13i12-1
7BUILDING NAME:
N ADDRE :
("T .� �10C u. LESCRIPTION:
EIL
R: ' j; 1 i
��� q �� s;.,,.� PERMIT NO.: � , � cACTOR:
FD 2165 (Rev. 3/2018)