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HomeMy WebLinkAbout1125 COFFEE RD 2009 FMC FILE O S ALARMS SpRNKLER SYSTEMS EMS AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. d cC'!G»Oi0a7"7 11111111�II!1!II��ll 73 1 File Number: /00i?3 7 Address: //2-5' t-� Q�. Bakersfield, CA 933 Date Received: M-'t off Business Name: Cie.,.,v-0e ) SYSTEM: BUILDING SQUARE FEET: F O aFF-c-roOH Lor.7] New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: 99 ©aQe 7 6me ❑ ❑ F6Pe clam SyZISM Calculation Bldg. Sq. Ft: ❑ ❑ Fire Sprinkler System �. ❑ ❑ 3. ❑ ❑ Aboveground Storage Tank 4. ❑ 01-- Underground Storage Tank minor ftnatura modification Underground Storage Tank removal Underground Storage Tank S6gn�4�Pe ❑ ❑ Other: Comments: i may! C, 1111111 IIII�III Il�I 74 IE BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANKS Prevention Services B H R SF I D 150J TrUXtUn Ave., APPLICATION " irm Bakersfield, CA 93301 TO PERFORM ELD/LINE TESTING/ A Phone: 661-326-3979 . Fax: 661-852-2171 h SB989 SECONDARY CONTAINMENT Page 1 of 1 TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION PERMIT# ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB-989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS FUEL MONITORING CERTIFICATION SITE INFORMATION FACILITY NAM &PHONE#OF CO TACT PERSOty,f _ � � 0 a� M^ �e `Atha C^ ('l� /� V ADDRESS 1 e..\\' I7/'"Cft-E4W��E�-D� CA OWNER NAME V'TT ��aco .n OPERATOR NAME PERMIT TO OPERATE# e S O✓X # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES 10l NO TANK # VOLUME CONTENTS I ►� ► 4e, as TANK TESTING COMPANY TESTING COMPANY_ NAME&PHONE#OF CONTACT PERSON O MAILING ADDRESS L( 4 `c (e r P, PHONE #OF TESTER OR SPECIAL INSPECTOR02 ._ CERTIFICATION# DATE,&TI E TE T TO BE CONDUCTED 33 ICC# TEST METH 9 a.M 0/", �l�L APPLICA T SIGNATURE DATE Q � dl THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APP VED BY DATE 16-6 "�G• FD2095(Rev 06/07)