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HomeMy WebLinkAboutline test 2021_10_15INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMENT Prevention Services �pg 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-5PS1-1HR 1iDpr=-i=i fl DESCRIPTION DATE SIGNATURE UST P RA VAL DESCRIPTION DATE SIGNATURE DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR /MAJOR DESCRIPTION DATE I SIGNATURE AS L '7 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. F nFPA T (171 1 io/evvl 11fA C' N //// rJOBDESCRIPTION: ER: PERMIT NO.:RACTOR: E FD 2165 (Rev. 3/2018) PREPARED 9/17/211 8:08:26 PAYMENT DUE CITY OF BAKERSFIELD PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 21-10000510 1918 M ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES 99.00 MANDATED LEAK DETECT TEST 99.00 TOTAL DUE 198.00 Please present this receipt to the cashier with full payment. BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Dhnnn- . Fair• tiF,�-Rrii-71 7� LOCATION OF PROJECT PROPERTY OWNER SA004 - 1918 M Street Pacific Bell Telephone Co. dba AT&T California SCOPE OF WORK Annual Precision Line Testing NAME Adolfo Aguilar PROJECT NAME ADDRESS PHONE # SA004 � � � 8 M Street (661) 361-4408 PROJECT ADDRESS 1918 M Street Bakersfield CA CITY -?->,Af<,'C-T`SF1 C-i.....-T:� STATE CA ZIP CODE 93301-4635 CONTRACTOR NAMECA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # _,�., (714) ���-�� a�� Envir nmental Services i jpC, ,3 �3 �7 X3 3 g,. , - • • � � �, 2/28/2022 18 CONTRACTOR COMPANY NAME FAX # (714) �-�rQ-GVr��+�Tait Environmental Services, lnc.j t,} ADDRESS 701 N. Parkcenter Drive CrrY Santa Ana ZIP CODE 92745 Please make checks payable to CITY OF BA ERSFIELD. NO CASH Please. Thank you. ! 1 W PERMIT TYPE FEE CALCULATION TOTAL DUE TREASURYI a ❑ Alarm - New & Modification (minimum charge) FA $ 28-8- 880 0 Over 10,000 sq ft $ 0 .0288 x sq ft ❑ larm - Minor Modification (Add 1 device/Relocation of 2 devices) $ 98/hr (2 hrs minimum) _ $196 84 ❑ Sprinkler - New & Modification (minimum charge) FIRE $ 288 ❑ Over 10,000 sq ft $ 0 .028 x sq ft ❑ Sprinkler - Minor Modification (<10 heads) $ 98/hr (2 hrs minimum) = $196 84 0 Commercial Hood (New & UL 300 Upgrade Modification) FHD Additional Hood $ 241 $ 59/hood ❑ Commercial Hood - Minor Modification (add/move nozzle) $ 98/hr (2 hrs minimum) _ $196 84 ❑ Spray Booth (New & Modification) SB $ 241 ❑ Aboveground Storage Tank (1 inspection per installation) AST $ 185/tank ❑ Each Additional Tank $ 98/Tank ❑ Aboveground Storage Tank (Removal, Mod, or Inspection) ATR $ 112/tank ❑ Underground Storage Tank (Installation/Inspection) NI $ 900/tank ❑ Underground Storage Tank (Modification) MOD $ 900/site ❑ Underground Storage Tank (Minor Modification) MTM $ 171/site ❑ Underground Storage Tank (Removal) TR $ 587/tank Mandated UST Testing: Fuel Mont Cert/SB989/Cath. Prot. NOTE: $98/hr for each type of test/per site/per UST system Even if scheduled at the same time TT $ 98/hr (2 hrs minimum) = $196 196 ❑ Oil well (Installation, Inspection, or re -inspection) X $ 98/hr 84 ❑ Tent TENT $ 98/hr ❑ After-hours inspection fee 124 hr 2 hrs minimum = 248 ❑ Pyrotechnic (1 permit per event, plus an inspection fee of $98/hr during business hours) PYRO OTE: After hours Pyrotechnic event inspection is @ 124/hr $ 98/hr + (5 hrs min standby fee/insp) = $588 5 hrs min standby fee insD = $620 ❑ Re-inspection/Follow-up Inspection $ 98/hr 84 ❑ Portable LPG (Propane): # of Cages? $ 98/hr 84 ❑ Explosive Storage $ 241 84 ❑ Copying & File Research (File Research fee $51/hr) $ 0.02/page 84 ❑ Miscellaneous Site Plan Review (Carnival & Fairs/Vehicle $ 98/hr 84 FD2021 (Rev 0//18) UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD/LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that these are separate individual tests and Will be charged per separate type test accordingly.) PERMIT # I L ❑ ENHANCED LEAK DETECTION LINE TESTING F-1 TANK TTC;HTNFS:� ❑ FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services 2191 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ❑ SB -989 SECONDARY CONTAINMENT ❑ OVERFILL PREVENTION SITE INFORMATION FACILITY Pacific Bell Telephone Co. dba AT&T California NAME & PHONE # OF CONTACT PERSON Adolfo Aguilar (661) 361-4408 ADDRESS 1918 M Street, Bakersfield, CA 93301-4635 OWNER NAME Pacific Bell Telephone Co. dba AT&T California OPERATOR NAME AT&T PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES ❑ NO TANK # VOLUME CONTENTS SA004UO-0-1 20,149 Gallons Diesel TANK TESTING COMPANY TESTING COMPANY Tait Environmental Services, Inc. NAME 8e PHONE # OF CONTACT PERSON Carlos Cardenas (714) 567-6418 MAILING ADDRESS 701 N. Parkcenter Drive, Santa Ana, CA 92705 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR Pat Banbury 714-920-5476 CERTIFICATION # SWRCB License # 90-1413 TEST METHOD Leighton O'Brien Line Test Kit and/or Petro-Tite Test Kit ICC # 5254955 APPLICANT SIGNATURE ... DATE 9/9/2021 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/18)