HomeMy WebLinkAboutFMC Job Card 5-12-21INSPECTION RECORD f^� BAKERSFIELD FIRE DEPARTMENT
Prevention Services
�py 2101 H Street
UST JOB CARD Bakersfield, CA 93301
Tel.: (661) 326-3979
Fes: (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
1ppp:-P:i Il
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
F
ARK
BUILDING ADDRESS: FC1 1i` i cL'�- tiL
JOB DESCRIPTION:
OWNER: Fa t 'vim S
CONTRACTOR: A d va.,4�C d C c
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR /MAJOR
DESCRIPTION DATE SIGNATURE
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 FINAL
PERMIT NO.: J I I u—,ccoc
FD 2165 (Rev. 3/2018)