HomeMy WebLinkAbout3701 BELLE TERRACE_UST FMC 8.26.10INWWN 61
HOODS
Permit No.
ALARMS
Permit No.
41�
File Number: 3.:z Cfq
Date Received: $ ca C. _ /p
SpG°3NKLER SYSTEMS S SPRAY BOOTH
Permit No. Permit No.
Address:
AST UST
Permit No. Permit No.
Bakersfield, CA 933
Business Name: Ae,cV. s;>1-5p I
SYSTEM: BUILDING SQUARE FEET:
New Mod.
❑
❑
Commercial Hood System
❑
❑
Fire Alarm System
❑
❑
Fire Sprinkler System
❑
❑
Spray Finnish System
❑
❑
Aboveground Storage Tank
❑
❑
Underground Storage Tank
minor
modification
Underground Storage Tank
removal
Underground Storage Tank
❑
Other: V;C!pl C__.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: % 9.
2.
3.
4.
INSPECTION LOG
Date Time
Signature
JE
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
D
BAKERSFIELD FIRE DEPT.
4A§1 �Fl
FIRM J Prevention Services
Df?ARTM T 2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testinq
SITE INFORMATION
FACILITY Kern High School DISC.
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 3701 E. Belle Terrace 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 U/L
1
Diesel'
1
Waste Oil
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 #: B33309 Rafael Martinez
DATE & TIME TEST TO BE CONDUCTED
ICC #:
1064437- T
SIGNATURE OF APPLICANT
DATE 8/17/2010
THIS MUCATi1 Ni SE ES
A POWI'T WHENi AP—MO\i,ED1
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
InsDection Reauest Phone No. (661) 326 -3979
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT,
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK OFF
AST REMOVAL
DESCRIPTION DATE SIGNATURE
PRIOR TO.OP_ERAATION-OF-ANY SYSTEM;
ALL_UST_ AND/OR AST' SYSTEMS _SHALL BE. n
- INSTALLED,_COMP__LEfiE AND ACCEPTED BYE
TNE_BAKERSFIELD CITY FIRE DEPARTMENT.`
FIRE - DEPARTMENT (FINAL - - - - - -- -- —