HomeMy WebLinkAbout2901 brundage ln_ust abandonement 3.16.21_3-3INSPECTION RECORD `Ai BAKE1tSFIELD FIRE DEPARTMENT
Prevention Services
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2 10 1 H Street
UST JOB CARD Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (6611852 -2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE- 50PSI -1 HR
SECONDARY PIPE- 5PS1 -1 HR
PRE -ELD
BACKEILL
SECONDARY CONTAINMENT
FINAI Fin
-AUTHORIZATION FOR FUEL
FINAL STARTUP TESTING
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION
DATE
SIGNATURE
V, nj0 �
-7 ° Z
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L
REMARKS:
ASTNEWINSTALL
DESCRIPTION DATE SIGNATURE
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.
FIRE DEPARTMENT (FINAL)
B BUILDING ADDRESS: 0 9(2u^/0,QCpC BUILDING NAME: G (T Y �6�'ZCS"J
JOB DESCRIPTION: V ST AbA n/ o o Qm �r
OWNER:
PERMIT NO.: 0 ( C)000 "'7 2
Co NTRACTOR:
FD 2165 ( Rev. 3/2018)