HomeMy WebLinkAboutFMC Job Card 6-29-21INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTME
Prevention Services
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
1 nFSCRIPTION I DATE I SIGNATURE 1
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION I DATE I SIGNATURE
F==MODIFICATIONS MINOR / MAJOR
DESCRIPTION I DATE I 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.
�
BUILDING ADDRESS:- �- BUILDING NAME:
�� �,- �-
JOB DESCRIPTION:
OWNER: r �'' s ' �,�. i� . r PERMIT NO.: ,, - 06 0 (,.N/- L
CONTRACTOR:
FD 2165 ( Rev. 3/2018)
TANK TESTING
DESCRIPTION
DATE/ SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION I DATE I SIGNATURE
F==MODIFICATIONS MINOR / MAJOR
DESCRIPTION I DATE I 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.
�
BUILDING ADDRESS:- �- BUILDING NAME:
�� �,- �-
JOB DESCRIPTION:
OWNER: r �'' s ' �,�. i� . r PERMIT NO.: ,, - 06 0 (,.N/- L
CONTRACTOR:
FD 2165 ( Rev. 3/2018)