HomeMy WebLinkAbout726 UNION Avenue_UST 3.26.1010 /l57,�W 5':06
HOODS ALARMS SPG°3NKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
/a- r6eeoaS�
File Number: , )!3 � Address: 7a C. S - VnJ 0�
Bakersfield, CA 933
Date Received:
Business Name: utj c., tom`.,
SYSTEM: BUILDING SQUARE FEET: F INSPECTION LOG
New Mod.
❑ ❑ Commercial Hood System Building Sq. Feet: al Date Time
❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 1.
❑ ❑ Fire Sprinkler System 2.
❑ ❑ Spray Finish System 3.
❑ ❑ Aboveground Storage Tank 4.
❑ ❑ Underground Storage Tank
minor _
modification Underground Storage Tank
removal Underground Storage Tank
❑ G�Other:
Comments:
FW C—..
Signature
5�
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IE
10 /l57,�W 5':06
HOODS ALARMS SPG°3NKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
/a- r6eeoaS�
File Number: , )!3 � Address: 7a C. S - VnJ 0�
Bakersfield, CA 933
Date Received:
Business Name: utj c., tom`.,
SYSTEM: BUILDING SQUARE FEET: F INSPECTION LOG
New Mod.
❑ ❑ Commercial Hood System Building Sq. Feet: al Date Time
❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 1.
❑ ❑ Fire Sprinkler System 2.
❑ ❑ Spray Finish System 3.
❑ ❑ Aboveground Storage Tank 4.
❑ ❑ Underground Storage Tank
minor _
modification Underground Storage Tank
removal Underground Storage Tank
❑ G�Other:
Comments:
FW C—..
Signature
5�
G
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 B R S P I S n
FIR!
DFARTM 11 T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 . Fax: 661-852-2171
Page 1 of 1
❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
TO PERFORM FUEL MONITORING CERTIFICATION X Cathodic Protection Testing
FD 2095 (Rev. 09/05)
SITE INFORMATION
FACILITY Lucky 7 #3
NAME & PHONE NUMBER OF
CONTACT PERSON
ADDRESS 726 S. Union Ave. 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
91 U/L
1
Diesel
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 #:
DATE & TIME TEST TO BE CONDUCTED
ICC #: 8032698 -U4
SIGNATURE OF APPLICANT L�
DATE 8117/2010
THW APPLI O . i B
, OMES, A PERMIT WHEN APPROVE0
APPROVED B ,
DATE
FD 2095 (Rev. 09/05)
BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove far Duration of Work
InSDection Reauest Phone No. (661) 326 -3979
UST NEW IM" I
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
i�
DATE
DESCRIPTION DATE SIGNATURE
PRIOR T_UOPERATION-OF ANY SYSTEM;
ALL UST ANDIOR AST SYSTEMS SHALL BE
in
INSTALLED, COMPLETE AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT. -
FIRE DEPARTMENT FINAL - -
-2- C0 Ili ! d _
rJOB DESCRIPTION 7� OCCUPANCY TYPE
NER PERMIT NO.
NTRACTOR Gi/ PHONE # —93o
FD 1743