HomeMy WebLinkAboutFMC Job Card 6-17-21r
INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMENT
Prevention Services
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-5PS1-1HR
PRF_FI fl
TANK TESTING
DESCRIPTION DATE SIGNATURE
L t L a
UST REM VAL
DESCRIPTION DATE SIGNATURE
DESCRIPTION I DATE I SIGNATURE
MODIFICATIONS MINOR / MAJOR
DESCRIPTION DATE SIGNATURE
AST REMOVAL
DESCRIPTION DATE SIGNATURE
FIPRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
NTALLED, COMPLETED, AND ACCEPTED BY _
THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT FINAL 6 ✓
FDIN ADDRESS:C-4 BUILDING NAME:
DESCRIPTION:
ER: � PERMIT NO.:TRACTOR: = t• ,� ���,,�, G `�' '"
FD 2165 (Rev. 3/2018)