HomeMy WebLinkAboutFMC Job Card 7-23-21W.
INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD Bakersfield, CA 93301
v� Tel.: (661) 326-3979
Fax: (661)852-2171
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-50PS1-1 HR
SECONDARY PIPE-5PS1-1 HR
P -
BACKEILL
SECONDARY CONTAINMENT
AUTHORIZATION FOR FUEL
FINAL STARTUP TESTING
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW IN
TALL
DESCRIPTION
DATE SIGNATURE
BUILDING NAME:
PERMIT NO.:
AST REM VAL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR /MAJOR
DESCRIPTION DATE SIGNATURE
BUILDING NAME:
PERMIT NO.:
AST REM VAL
DESCRIPTION DATE SIGNATURE
7
ALL UST AND/OR AST SYSTEMS SHALL BE
FIPRIOR TO OCCUPANCY OF ANY BUILDING,
NTALLED, COMPLETED, AND ACCEPTED BY
T HE BAKERSFIELD CITY FIRE DEPARTMENT.
FIREDEPARTMENT FINAL7-3 z1
FD 2165 (Rev. 3/2018)
BUILDING NAME:
PERMIT NO.:
FD 2165 (Rev. 3/2018)