HomeMy WebLinkAbout2023-08-23 Job Card Minor ModBAKERSFIELD FIM 1JbyAx i N1rj1v 1
INSPECTION RECORD
UST JOB CARD
1
t
date issued
if requested.
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
TANKINSTALL
PRIMARY PIPE-50PSI-1HR
SECONDARY PIPE-5PSI-1HR
PRE-ELD
BACKFILL
SECONDARY CONTAINMENT
FINAL ELD
AUTHORIZATION FOR FUEL
FINAL STARTUP TESTING
TANK TESTING
DESCRIPTION
DATE
SIGNATURE
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
of
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
PRIOR TO OCCUPANCY OF ANY SYSTEM,
ALL UST AND/OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPA
3
BUILDING ADDRESS. 3701 Min Ave.
JOB DESCRIPTION
OCCUPANCY TYPE - M
OWNER JACO
PERMIT NO. 23-10000551
CONTRACTOR Nwestco
FD 2165 (Rev. 6/2023)