HomeMy WebLinkAbout5600 AUBURN STREET_UST sb9891.29.11HOODS ALARMS SpG3NKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: �`��(� Address: S -600 A0 10,1 S`i "
Bakersfield, CA 933
Date Received:
Business Name: e c e- C. Qom. K
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
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❑
IE
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HOODS ALARMS SpG3NKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: �`��(� Address: S -600 A0 10,1 S`i "
Bakersfield, CA 933
Date Received:
Business Name: e c e- C. Qom. K
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
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❑
Commercial Mood System
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Fire Alarm System
❑
❑
Fire Sprinkler System
❑
❑
Spray FWsh System
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Aboveground Storage 'bank
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Underground Storage Tank
minor
modification
Underground Storage Tank
removal
Underground Storage Tank
❑ Other:
Comments:
Building Sq. Feet: Of
Calculation Bldg. Sq. Ft:
s -e—'Trc3 A/S
I.
2.
3.
4.
nate 'Time
aigneiure
Signature
i��pi�uu =o
,
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
JOB DESCRIPTION: -
DESCRIPTION
DATE
SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
V-_ .__ - - -- - -- TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
O
EVR UPGRADE
MISC. ACTIVITY
tEMARKS:
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
(PRIO.R 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: (5 a 11►cJ v S c
JOB DESCRIPTION: -
OCCUPANCY TYPE:
OWNER: - Cr:4 K
PERMIT NO. -- Z_66Q20
CONTRACTOR: —/ ,vim PHONE If 9GI ea ?C, -- &A
A* FD 1743
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
❑ _ LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING
_jTO PERFORM FUEL MONITORING CERTIFICATION
B ' '< -4
�RrN :r
BAKERSFIELD FIRE DEPT.
Prevention..$ervices
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
❑ ENHANCED. LEAK DETECTION
❑ TANK TIGHTNESS TEST
'', %51TEvIAFGiRMATION�`.::���`r
FACILIT
1vcle a� ®8105
NAME & PHONE NUMB R OF COgICIT PERS_ ��
an ev
ADDRESS
0c ur h
_
OWNERS NAME
OPERATO NNAME
C
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES
❑ NO
TANK #
VOLUME
CONTENTS
q1
I 0
?rem tum
10 8 clast-
104
1 e4 UAO-y
`T 5-7 es+
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e u1
i
r•TANK;TESTING COMPANY:,,; . "' •':. :...
NAME OF TESTING COMPANY Tanknolo Inc. NAME & PHONE NUMBER OF Michelle Cleghorn -Young
sy� CONTACT PERSON 800- 666 -1130
MAILING ADDRESS 41785 Enterprise Circle S. Suite D Temecula, CA 92590 j
NAME & PHONE NUMBER OF �� 11 d ers . CERTIFICATION #: -�
TESTER OR SPECIAL INSPECTOR: _ G✓
DATE &TIME TEST TO BE 'S tl 0, 1OQ�
CONDUCTED: Oc
ICC # :c0Qc'C,olu' tl `T
:.7 J l� 1
TEST
METHOD
SIGN E O APPLICANT
DATE:
as r r
TA14APPLicAT-tom BECOMES A PERMIT WHEN APPROVED.
APPROVED BY DATE �.� �Q - l�
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