HomeMy WebLinkAboutFMC Job Card 4-7-21INSPECTION RECORD `Ai BAKERSFIELD FIRE DEPARTMENT
Prevention Services
�p9 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-5PS1-1HR
IiDpiz-m n
TANK TESTING
DESCRIPTION DATE SIGNATURE
tC I
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARK
BUILDING ADDRESS:
JOB DESCRIPTION:
OWNER:') 6 VLt
CONTRACTOR: A d vrk-,
ez
MODIFICATIONS MINOR /MAJOR
DESCRIPTION I DATE I SIGNATURE
DESCRIPTION I 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.
DEPARTMENT (FINAL)
PERMIT NO.: I/ — / Q C L e' �i
FD 2165 (Rev. 3/2018)