HomeMy WebLinkAboutFMC Job Card 6-21-21INSPECTION RECORD `^� BAKERSFIELD FIRE DEPARTMENT
Prevention Services
�(a 2101 H Street
UST JOB CARD Bakersfield, CA 93301
v Tel.: (661) 326-3979
Fes: (6611852-2171
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
pQF_P:i n
TANK TESTING
DESCRIPTION DATE SIGNATURE
C
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
AST NEVA INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR /MAJOR
DESCRIPTION DATE SIGNATURE
AST REM VAL
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.
FBUILDING ADDRE }"� C B ILDING NAME:
DESCRIPTION:
ER: t"Lt } t L�'<<y- PERMIT NO.:TRACTOR: A d. rz-)4AA'j-)
FD 2165 (Rev. 3/2018)