HomeMy WebLinkAboutFMC Job Card5-11-21INSPECTION RECORD BAKERSFIELD FIRE DEPARTME
Prevention Services
�pp 2101 H Street
UST JOB CARD Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: 16611 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
1ppp:-P:i fl
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW IN TALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR I MAJOR
DESCRIPTION DATE SIGNATURE
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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.
B ILDIN ADDRESS: 7 C S tC14L�1 6- BUILDING NAME:
JOB DESCRIPTION:
OWNER: kose�' da/k;- ctteij.ri.)6��PERMIT NO.: ,2 — t' ten
CONTRACTOR:
FD 2165 (Rev. 3/2018)