HomeMy WebLinkAbout2601 CHESTER Avenue_UST FMC 9.13.10HOODS ALARMS SpRNKLC R SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
/4 il.IGl�.z9�'
File Number: 3 Z,ZyI
Date Received: S— 13 lb
Address: c�?�Q / S C._yLes t �✓✓` ,�tc�_
Bakersfield, CA 933
Business Name: X UC.&y %
JI
SYSTEM: BUILDING SQUARE FEET:
New Mod.
❑ ❑ Commercial Mood System Building Sq. Feet:
❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft:
❑ ❑ Fire Sprinkler System
❑ ❑ Spray Finish System
❑ ❑ Aboveground Storage Tank
❑ ❑ Underground Storage Tank
minor
modification Underground Storage Tank
removal . Underground Storage Tank
❑ nl- Other: '1 � C•
Comments:
I.
2.
3.
4.
INSPECTION O`t,
Date Time
Signature
IE
HOODS ALARMS SpRNKLC R SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
/4 il.IGl�.z9�'
File Number: 3 Z,ZyI
Date Received: S— 13 lb
Address: c�?�Q / S C._yLes t �✓✓` ,�tc�_
Bakersfield, CA 933
Business Name: X UC.&y %
JI
SYSTEM: BUILDING SQUARE FEET:
New Mod.
❑ ❑ Commercial Mood System Building Sq. Feet:
❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft:
❑ ❑ Fire Sprinkler System
❑ ❑ Spray Finish System
❑ ❑ Aboveground Storage Tank
❑ ❑ Underground Storage Tank
minor
modification Underground Storage Tank
removal . Underground Storage Tank
❑ nl- Other: '1 � C•
Comments:
I.
2.
3.
4.
INSPECTION O`t,
Date Time
Signature
IE
UNDERGROUND STORAGE TANKS
APPLICATION
B A, X a R s P I E JL n
FIRM )
D�)AR rMEr
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS TEST
LINE TESTING
X TO PERFORM FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., 1St Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY Lucky 7 #8
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS ?.f9-2•S. Chester Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK#
VOLUME
CONTENTS
1
87 UL
2
89 UL
3
91 UL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Cal - Valley Equipment
Bruce W. Hinsley 661- 327 -9341
MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308
Bruce W. Hinsley 661- 327 -9341
CERTIFICATION #: 548333761
DATE & TIME TEST TO BE CONDUCTED
icc #: 5270921 -UT
SIGNATURE OF APPLICANT
DATE 8/17/2010
THIS. PPLL C . MN SE W ES, A PERM- WHER .APP ROVED,
APPROVED BY'-_ DATE
FD 2095 (Rev. 09/05)
BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove for Duration of Work
Inspection Request Phone No. (661) 326 -3979
UST NEW
INSTALL
DESCRIPTION
DATE
SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
- TANK-T
UST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
MISC. ACTIVITY
REMARKS:
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODICATIONS MINOR / MAJOR I
AST REMOVAL
DESCRIPTION DATE SIGNATURE
PRIOR-TO-- - OPERATION OF ANY SYSTEM,
ALL- UST _AND /OR- AST - SYSTEMS SHALL RE J
INSTALLED,- COMPLETE- AND_ACCEFTED BY
- - _ — - --
THE-BAKERSFIELD- CITY- FIRE-DEPARTMENT.I
[FIRE_DEP_ARTMENT- (FINAL) -____
BUILDING ADDRESS: O i S
JOB DESCRIPTION: Zi
OCCUPANCY TYPE:
OWNER:
PERMIT NO.
CONTRACTOR: PHONE #
FD 1743