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2929 BRUNDAGE Lane_UST FMC 10.07.09
HOODS Permit No. File Number: Date Received: ALARMS Permit No. ;o SPRINKLER SYSTEMS SPRAY BOOTH Permit No. Permit No. Address: a52,5 Bakersfield, CA, 933 Business Name: SYSTEM: BUILDING WING SQU ARE FEET: New M Mod. ❑ ❑ ❑ C Commercial Hood System ystem ❑ ❑ ❑ F Fite-AlarM -SyM6m ❑ ❑ ❑ F Fire Sprinkler System ❑ ❑ ❑ S Spnty FWDAh System ❑ Abbveground Storage Tank ❑ 9--� Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ ❑ Other Comments: C-1 Building Sq. Feet-.- Calculation Bldg. Sq. Ft... Permit No. 2. 3. 4. UST Permit, No. C9-L4R��y INSPECTION E-CTION LOG Da te I Time %, ' Signature Signature so 1E UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION PERMIT # 0 _ 06002 13 ENHANCED LEAK DETECTION 0 TANK TIGHTNESS H P 1 GIRL A-T T BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Ave., Suite 401 Bakersfield, CA 93301 Phone: 661 - 326=3979 • Fax: 661 -852 -2171 Page 1ofI c5-v ❑ LINE TESTING '5<SB -989 SECONDARY CONTAINMENT `t�FUEL MONITORING CERTIFICATION -. R F- --I SITE INFORMATION FACILLT,l, _Y^ ccc & PIJA GONTACi N 3 '7-z + ADORESS 2 -) eL -t C. JYVl�(,,,t J--�I lai"CCc.�IIC�rWr I LAS l�A 133v OWNEK,�p.ME I ? Cut- OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES NO TANK # VOLUME CONTENTS ese TANK TESTING COMPANY TESTING COMPANY NAME & PHONE Y OF CONTACT PERSON FL`,iqS�yL�U 951Q - MAILING ADDRESS '?E55 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR '£ 2 bQY b� 1't�'r�4 CERTIFICATION # v L, 2 7. , .2 Z i3'Iz4p . DATE & TIME EST TO BE COND TED _0 9 ICC # TEST METHOD APPLICANT kfrNATURE - DATE {� i / //y120/0 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE 101111 (Rev 111111 n C,s � 0,C) S© Y aSYS YIgU Q. �'� � M \j qm,s -, ► C) ,r-1 ; s CEO ,n ,o1 A-0 -pad �O\r are- es� 2 �'d 999Z9tZ-496 S1S11V103dS NNVl 8Z6 :60 60 LO PO Oct 07 09 09:12a TANK SPECIALISTS 951- 2452886 p.1