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4101 CALLOWAY DRIVE (4)
UNDERGROUND STORAGE TANK ~ ~..~. ..~.,m~~,,~~.~~~~,~.~~~~: ~--...~.~~~~..c::r~~ INSPECTION FORM ~~ FOR TANK REMOVAL ~~ ~~ B R 8 A I D E/1t/ A~ ! BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 F~: (661) 852-2171 Paee 1 of 1 ACILITY • ~ ~ ( , DRESS , c [I ~ m ~. ` WNER ~ '- ~ ~ ~lC ~ r ERMIT T~iOPERATE N0. ~~ .~~! ONTRACTOR ~_~~ ,f ;,. ~ . ~~ V ~ l}_ ~ ~ ~~ . ~Q a ONTACT PERS Y, i iU BORATORY ~ O. OF SAMPLES l J l V~~ l Cu~~ c EST METHODOLOGY 3 - ~~ ~c~ ~ i . RELIMINARY ASSESSMENT C0. S `: ~;:, . ONT~ ERSON ~ 0. RECIEPT EL% 2% , ~ ~ U ~ ': ' i,' _ ( ~ PL'OT PLAN ~ (~. ;~ r , I~~ ~~~. ~ ~ ,~_ _. ~ ~ f--x~ ~ ~ ~ ~ - - -- 8q -m s T-~ - - X i ~ ~ _ _ _, ~t ~ = 5[~cuGU~~S ONDITIUN OF TANKS ~ ~, i / _~ j ONOITION OF PIPING ~ 0 ONDITION OF SOII ' S ~- . OMMENTS / ATE INSPECTORS NAME ~ IGNATUR ' . ) ~ ~ ~. ~'~... ~ C FD 2089 (Rev. 09/05;