HomeMy WebLinkAbout4101 TRUXTUN Avenue_UST LINE TESTING FMC_11.24.10ca W/&%
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ALARMS
SPRNKLER SYSTEMS
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AST
UST
Permit No.
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-HOODS
ALARMS
SPRNKLER SYSTEMS
SPRAY BOOTH -
AST
UST
Permit No.
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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