HomeMy WebLinkAboutUST-APPL/POST CARD 2004
JOB CARD
POST CARD AT JOB SITE
Bakersfield Fire Dept.
Prevention Services
900 Truxtun Ave #201
Bakersfield, CA 93301
Tel: (661)326-3979
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PERMIT No. BT- 0573
PHONE No.
INSTRUCTIONS:
PLEASE CALL FOR AN INSPECTOR ONLY WHEN EACH GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY. THEY WILL RUN IN CONSECUTIVE
ORDER BEGINNING WITH NUMBER ONE. DO NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL ALL ITEMS IN THAT GROUP ARE SIGNED OFF BY THE
PERMITTING AUTHORITY. FOLLOWING THESE INSTRUCTIONS WILL REDUCE THE NUMBER OF REQUIRED INSPECTION VISITS AND THEREFORE PREVENT
ASSESSMENT OF ADDITIONAL FEES.
INSPECTION
.-- -------~---_.._-------------
SPARK TEST CERTIFICATION OR MANUFACTURES METHOD
CATHODIC PROTECTION OF TANK(S)
----.--------...------ ---.--.-.---~_._-----------.--- ----- ------
t:~~1~~~:;1£D~li:~{~~;i:lj~~':~;:l~~*~~1~f!frf~pr
PRIMARY PIPING
--- ------~_._._--- -- .--.---------------------.-------
_._------~-, ----.-----------
SECONDARY PIPING
TYPE OF PIPING
-----,-----
---_.-------
-------.-----
o FLEX
o FIBERGLASS
CATHODIC PROTECTION SYSTEM-PIPING
-----~----r------.--------------------.---.~------- .------~.- ---------..-----~--~-------.--.
DISPENSER PAN
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CONTINUOUS VAPOR MONITORING
----~~--_._--------~_._------ -~._----~--,_.__._------- -- --- --.----.---..--.--.- - -- ----.--- -------_._~------ - - --.--
ENHANCHED LEAK DETECTOR TEST
-- -_._-------~------ --.----------.--.-.-----.---.---
--------~._. ---.-.-------------
LEVEL GAUGES OR SENSORS. FLOAT VENT VALVES
_.~-- -- _._-_._-_._---_.__._---~-~------------ ------.------. --------.-- -----..- -----_._-._.~----->-,-------~-----
FILL TIGHT FILL BOX(ES)
---- -------------.----.---------.-----.-------------- ------------ ---------------.-------
PRODUCT LINE LEAK DETECTOR(S)
.----- ---------------_._-~----------------------- --------------- ---------------.-
LEAK DETECTOR(S) FOR ANNUAL SPACE-OW, TANK(S)
. --------------.-^'--- -..--.----------.---- --------.---- _.--- --.----------.- ._----- - .-.,---------. -.---- ----_.------
MONITORING WELL(S)/SUMP(S) - H2o TEST
------------ON-BOXËS---·-----C;\~--f~---- v-E=-~------- ------
-;4~~~~~'~jf,;:~~ir;~1~~~~::;~~~~~~i~~~~[!;:i~:·~/fi~·,~:,~~::;1t~~;.~ÙE~.~~~~1~·: ·,~~:!~i~·· r!~~~~~:f;i~i1~~..·~;~ ;~.~ .
MONITORING WELLS, CAPS & LOCKS
..----- -'--"--- --------------- -- .--.- --------- -".--------- --- -.-.--- ---.-.---- ----,---_.-.---------
FILL BOX LOCK
_ ._____.__ __.______ ._>__.__u____ _...____________.__~.. ~n. __ __________ _._~___ ___ _...___ _ _.___ ___________ _ ~_______ __ .__________ _ _.________._
MONITORING REQUIREMENTS
TYPE
-----------
.~ -----~----------~ _ _ .--.. ---------.-------".>-.-----. . ----.-.-....-.-- --.- - -.
- - ----------.--
--. - --- -- - -.
. ~_._-- -.---.
. ---- - ---~--~--_.
AUTHORIZATION FOR FUEL DROP
CONTRACTOR ---l?e±{º-----Bi2ttd~{-'~I___J;uCu----------------- LICENSE No. 1Alg~--
CONTACT _______________________________________________________n_________________________________________ PHON E No. / ~2..J246=lZ85
fd1743
MAY 12 2004 : n: ~2
8KSFLD FIRE PREVENTION
(6611852-2172
p, 1
PERMIT APPLICATION TO CONSTRUCT/MOUIFY
UNDERGROUND STORAGE TANK
Bakersfield Fire Dept.
Environmental Service
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
PERMIT NO·1 e T - {, <¡ -13 I
TYPE OF APPLICATION (CHECK)
a NEW FACILliY )(MODIFICATION OF FACILiW
û NEW TANK INSTALLATION AT EXISTING FACILliY
- .
15 13S1A
stCì to; ()Vl
PROPOSED COMPLETION DATE
2U,..o 6lc
Z¡PCQOE
V, "3 ~\-~
ZIPCOOE C~45<33
ZIP COCE
Cb..o/O
BRI~Y OESCRlBE THE WORK TO BE DONE
~J({)'se/ \ E:-\Jr¿. l.lpgvZld¿ ~
.......TER TO FACIlI'TY I'ROVIOEO F1f
\ \¡\jlÃ~Ý
CEP'THTO \-1'-'
GROUND WATER \
NO, OF TANKS
TO Sf INSTALLED
L-U()10
E\lEHTION CONTROL AND COUNTER MEASURES PlAN ON FILE
CJ YES i::J NO
THIS SEÇTlON IS FOR MOTOR FUEL
TANK NO. VOLUME
UN.EADED
REGULAR
PREMIUM
DIESel
AVlATIOtI
THIS SECT10N IS FOR NON MOTOR FUEL STORAGE T ANI<S
TANK NO, VOLUME Q-fEWICAI. STORED jlfO ~RANO NAMe)
CAS NO 'IF KNOII'oN)
Ct£MICAI. PREVIOUSLY STORED
FOR OFFICIAL USE ONLY
f APPUCATlON DATE
I F~~'-' ~
I NO. OF TANI<S
I FEess
The appliçant has received, understanJ.s. c:J':d will comply with the attached conditions of the permit
and any¡óthe state. ¡ 01 federal teg.'.!!ú!ions, This form has been completed under penalty of
,perju' to es ofmykn ~dM~~u:.a;:,COV;ía~to ~tr~/ú7'( Waoli)
---~~P'_ICÃNT IV\!AE (PRINT) ( -'PPUCANT SIONATURE
THIS APPt:¡:::,~ ~n;:'ìd BECOMES A PERMIT WHEN APPROVED
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