HomeMy WebLinkAboutFMC Job Card 6-13-22INSPECTION RECORD `�j� � BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (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 Il
DESCRIPTION DATE SIGNATURE
UST REM- VAL
DESCRIPTION DATE SIGNATURE
BUILDING ADDRESS: % I % t'� � Ii u% 7` I 76
JOB DESCRIPTION:
OWNER: ( Li 21%V'ry�•�
CONTRACTOR: CL)"
DESCRIPTION I DATE I SIGNATURE I
MODIFICATIONS MINOR /MAJOR
DESCRIPTION DATE SIGNATURE
DESCRIPTION I DATE I SIGNATURE I
PRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
PERMIT NO.: j .jl - %t1000 Z2
FD 2165 (Rev. 3/2018)