HomeMy WebLinkAboutSams Minor Mod 10-11-21INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMENT �
Prevention Services
�pq 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
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PS1-1 HR
[SECONDARY PIPE-5PS1-1HR
-1-1mrmimb1
TAM TESIING
DESCRIPTION DATE SIGNATURE
DESCRIPTION DATE SIGNATURE
DESCRIPTION I DATE I SIGNATURE
MODIFICATIONS MINOR / MAJOR
DESCRIPTION DATE SIGNATURE
DESCRIPTION I DATE I SIGNATURE
FTPRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
NTALLED, COMPLETED, AND ACCEPTED BY
HE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL) I I Y0
FD 2165 (Rev. 3/2018)