HomeMy WebLinkAboutFMC Job Card 5-10-21INSPECTION RECORD BAKERSFIELD FIRE DEPARTMENT
Prevention Services
�pp 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-50PS1-1 HR
SECONDARY PIPE-5PS1-1 HR
PRF_FI fl
TANK TESTING
DESCRIPTION DATE SIGNATURE
Em C �
DESCRIPTION
DATE I SIGNATURE
1 DESCRIPTION ! DATE I SIGNATURE 1
MODIFICATIONS MINOR / MAJOR
DESCRIPTION DATE SIGNATURE
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 1g' -//0/-v1
BUILDING ADDRESS:l`�'1 �7 BUILDINGNAME:
JOB DESCRIPTION:
OWNER: �'` PERMIT NO.: - Y
C.�
CONTRACTOR:AcIMMI 1110-
i
FD 2165 (Rev. 3/2018)