HomeMy WebLinkAbout2023-06-14 AST Job CardINSPECTION RECORD ��� BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD oa ) 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
Permits are valid for 160 days from the date issued with an additional 6 month extension
if requested.
UST NEW INSTALL
DESCRIPTION
DATE
SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PSI-1HR
SECONDARY PIPE-5PS1-1 HR
PRE-ELD
BACKFILL
SECONDARY CONTAINMENT
FINAL ELD
AUTHORIZATION FOR FUEL
FINAL STARTUP TESTING
TANK TESTING
DESCRIPTION DATE SIGNATURE
s "*
*� 7ri �`� '0w ; -
3W tip
UST REMOVAL
DESCRIPTION I DATE SIGNATURE
REMARKS:
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
F50 B C02_TANK 5#1AV-) aC P;,�c►n,�,U
MODIFICATIONS MINOR / MAJOR
DESCRIPTION I DATE I SIGNATURE
i fAt V ## **
AST REMOVAL
DESCRIP DATE SIGNATURE
FIPRIOR TO OCCUPANCY OF ANY SYSTEM,
ALL UST AND/OR AST SYSTEMS SHALL BE
NTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)
DING ADDRESS. 1003 E. CALIFORNIA AVE.
DESCRIPTION INSTALL
OCCUPANCY TYPE - B
ER JACK IN THE BOX
FcTRACTOR
PERMIT NO. 23-10000452
NUCO2
FD 2165 (Rev. 6/2023)