HomeMy WebLinkAboutMOD Job Card 7-2-21INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMENT
Prevention Services
�pp 2101 H Street
UST JOB CARD Bakersfield, CA 93301
v 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-50PS1-1HR
SECONDARY PIPE-5PS1-1 HR
PRF_FI fl
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
)ILUINU AUUKtbb: IL
113 DESCRIPTION:
VNER: r f rr IL1r
)NTRACTOR: R .4a)
V
1 DESCRIPTION ! DATE I SIGNATURE 1
MODIFICATIONS MINOR / MAJOR
DESCRIPTION DATE,.,W,NATURE
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.
FIRE DEPARTMENT (FINAL) I
ULUINU NAMt:
PERMIT NO.:
FD 2165 (Rev. 3/2018)