HomeMy WebLinkAboutminor mod 9-2-21_1-3INSPECTION RECORD f�� BAKERSFIELD FIRE
Prevention Services
�pQ � 2101 H Street
UST JOB CARD Bakersfield, CA 93301
Tel.: (661) 326-3979
Fac: 16611 852-2171
Post this Card at the Job Site and DO NOT Remove for Duration i
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PS1-1HR
SECONDARY PIPE-5PS1-1HR
PRF_FI fl
TANK TESTING
DESCRIPTION DATE SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
DESCRIPTION DAT 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.
11- rInE!! M=nAMTRfi=K T imKi I % 10/?1' 11 Ak
BUILDING ADDRE 17 L t �"1�1 i int#.- BUILDING NAME:
JOB DESCRIPTION:
OWNER:"� 5- r`_;I, 3 .0 '7 yj PERMIT NO.: C�`L ��4 C
CONTRACTOR:
FD 2165 (Rev. 3/2018)