Loading...
HomeMy WebLinkAbout4101 TRUXTUN Avenue_UST LINE TESTING FMC_11.24.10ca W/&% /� @ q;oo -HOODS ALARMS SPRNKLER SYSTEMS IE AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. ca W/&% /� @ q;oo -HOODS ALARMS SPRNKLER SYSTEMS SPRAY BOOTH - AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: i00 4FIW7 Date Received: 11- 2 cF—/ p. Address: Ny U•, Bakersfield, CA 933.... Business Name: .VIA / `i UNDERGROUND STORAGE TANKS APPLICATION 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 H 1 R 8 P 1 D P/Rs A_ RTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 X LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing SITE INFORMATION FACILITY Bakersfield City Corp. Yard NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 4101 Truxtun Ave. Bakersfield, Ca. OWNERS NAME Same OPERATORS NAME Same FPERMIT 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 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 [CC #: 1064437- T SIGNATURE OF APPLICANT DATE 11/24/2010 PERMIRWIll APPROVED DATE / �D .r 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 f " ---- TANK-TESTING ! UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO-OPERATION OF ANY SYSTEM; ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: ' j JOB DESCRIPTION: '„-j `, OCCUPANCY TYPE: Z. OWNER: PERMIT NO. CONTRACTOR: PHONE # FD 1743