HomeMy WebLinkAbout5634 STINE Road _UST FMC 12.14.10111111111111
49
SYSTEM:
MOODS ALARMS SpG3NKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: �g 5
Date Received:
Address: !6-co Z3 4 5 � e � J'e ��-1 •
Bakersfield, CA 933
Business Name: 412'
❑ 2' Other: �=-AP/ C.
Comments: Cl <--& '506 Z
1.
a.
3.
4.
INSPECTION ON " O' ,
Date Time
90gnature
Signature
SYSTEM:
BUILDING SQUARE FEET:
New
Mod.
❑
❑
Commercial Hood System Building Sq. Feet:
❑
❑
Fire Alarm System Calculation Bldg. Sq. Ft:
❑
❑
Fire Sprinkler System
❑
❑
Spray Finish Systern
❑
❑
Aboveground Storage Tank
❑
❑
Underground Storage Tank
minor
modification
Underground Storage Tank
removal
Underground Storage Tank
❑ 2' Other: �=-AP/ C.
Comments: Cl <--& '506 Z
1.
a.
3.
4.
INSPECTION ON " O' ,
Date Time
90gnature
Signature
50
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
( -- -__ -- TANK - TESTING----- - - - - -- - -- )
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE _
PRIOR -TO -O P E R_A_TI O N -O F-A_N YS_YSTEM -!
ALL-UST-AND/OR-AST-SYSTEMS - SHALL BE7
INSTALL- ,- COMPLETE- AND- ACCEPTED_BYl
MISC. ACTIVITY THE BAKERSFIELD - CITY - FIRE - DEPARTMENT?
LFIRE_D.EP_ARTMENT (FINAL)_
1EMARKS:
BUILDING ADDRESS: -5-co s "i -P •
JOB DESCRIPTION: t-t.Yl G OCCUPANCY TYPE:
OWNER: /'C PERMIT NO. /Q--1 ,3
CONTRACTOR: Ajp 5 PHONE #e.,5 %G
TA-NKNOLOGY TEST11" G. NOTIFICATION
Southern California.RegionalOffice ;'
Tariknolopv `Corporate 'Headguaiters .
41785 Enterprise :.Circle- South';.,:SuiCe D .:::
;` = 8501 North MoPac.Expressway, Suite 400
Temecula, CA:92590`: -::;:. ":.: :•...:' >;.;:.-':';`; "'
:.,a " =' ".Austin,'TX 78759
951- 676- 4060 ., "f . ..'; :`, :. "• ;::: _ :: ':; ;':`- :...::
;::, :` 512- 4.51 =6334
800- 666 -2176 ..`,;':" :.`'; ":;: -",."
:800- 800 - 4633` "
.951- 676- 4061.F66sirhile' ..
.51'2-459-1459 Facsimile
TO': City of Bakersfield` : ;: :: „ ; _
_ :.. ' E= MAIL:.: www:ci.bakersfield:ca.us
Fire Department -
E -MAIL:
TELECOPY NO:.:'" :: :661- 852- 2171 "=.:.
_FROM:., Deanna Davenport ::..: : .::::.:: ; ; -;: :"
_ Y
;
.:: , E- MAIL:' - ddaVenoort r�Dtanknology:com
„
12/1'4%201,4.;„ .. ":
DATE:.. ,.. : >;:::::
TIME::; .
N0:-OF PAGES' :INCLUDING: COVER:.: :` °.:,_:_:
- _,..1:ORIGINAL.TO FOLLOW: No
COMMENTS: ; ; -_, = .:: _ :: Tanknology will be at the followirig
locations:
DATE
, ;:SITE i9ND°ADDRESS :
TEST TYPE
01/06%11 69`OOa'm�' :C "ircle K# 2701270; b634'Stine:;Road;- Bakersfield, CA Monitor Cert, Leak
93313 Detector and Spill
y -T''- 661 = 834=8625 .. Bucket Testing
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
ftR BAKERSFIELD FIRE DEPT.
Prevention Services
FIRS
* A Jffr rff,#J' ,
Bakersfield,, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB-989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST 0 TO PERFORM FUEL MONITORING CERTIFICATION
it
sift"IN Fb1RMA,TI6`N"`i'1
FAC I LITL, Q&G K-* Z� C) 't 7 7C) 1NAME
& PHONE NUMBER OF CONTACT PERSON
on
ADDRESt5(.34 gT� tj e V,_A
OWNErN4ME
OPE . RATLSjNr&j
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
17
P :x „Em._ � E E r _. 7 91--,
I W§T G- c6m -0-k Y N 1 -
NAME OF TESTING COMPANY Tanknology, Inc.
NAME & PHONE NUMBER OF Deanna Davenport
CONTACT PERSON
800'666-1130
MAILING ADDRESS 41785 Enler
. 'prise.Circle S. Suite D Temecula, CA 92590 -
NAME & PHONE NUMBER OF (D
TESTER OR SPECIAL INSPECTOR utksTe-o
DATE & TIME TEST T q,51-9 -
_Z; E
CONDUCTED:
CERTIFICATION #:
ICC #: TEST
I
OZ (o" -7q” - UT METHOU-- 56
SIGNATURE OF APPLICANT
DATE:
!��LIQAJIQN REWMESA PERMIT HERAPPROMED
APPROVED BY DATE
IN
ONE
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