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OF QUANTITIES CCR: 2729.4
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• Correct the violation (s) noted above by _w Signature (that all violations have been corrected as noted)
Within '5 days of correcting all of the violations s� n and return a copy of this page to:
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Bakersfield p ire De t. Prevention Services 2101 H Street California 93301
' Date
White; Business Copy Yellow = Business' Copy to be Sent in after return to Compliance Pink — Prevention Services Cody ED2155 (Rev 6//10)