HomeMy WebLinkAboutFMC Job Card 6-22-21INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMENT
Prevention Services
U 2101 H Street
ST 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-50PS1-1 HR
SECONDARY _PIPE-5PS1-1 HR
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
AST NEW IN TALL
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.
B ILDING ADDRESS: `. BUILDING NAME:
JOB DESCRIPTION:
PERMIT NO.:t-
OWNER: o - t
CONTRACTOR:'
-C-,K^ k %,
FD 2165 (Rev. 3/2018)
L
TANK TESTING
DESCRIPTION
DATE SI NATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
AST NEW IN TALL
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.
B ILDING ADDRESS: `. BUILDING NAME:
JOB DESCRIPTION:
PERMIT NO.:t-
OWNER: o - t
CONTRACTOR:'
-C-,K^ k %,
FD 2165 (Rev. 3/2018)
L