HomeMy WebLinkAboutCLASS 1 NOV 8-17-18Owner/Operator:
Notice Of Violation: Cla
noted in the followin Su
s H and /car Class Violations were found during this inspection as
mary of Vio%mfis
Facility:
tA.A 4 A
Address:
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Notice Of Violation: Cla
noted in the followin Su
s H and /car Class Violations were found during this inspection as
mary of Vio%mfis
Item
The violations indicated
in this inspection report must be corrected within 30 days, unless
REQUIREMENT FOR CORRECTION
otherwise noted.
Formal enforcement will be
initiated for all Class I Violations, and for any Class 11 violations not
corrected within the requir
d timeframe. This report does not represent that there are no other
violations at this facility. A
re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item
REQUIREMENT FOR CORRECTION
DATE FOR
VIOLATION
OF VIOLATION
CORRECTION,
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Inspectors
Received by:
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Print Name: ,: I 1-1 (JI r Id
Date:
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White - Business Copy
ellow — Business Copy to be sent in after Return-to- Compliance Pink - Prevention Services Copy
' BAKE RSFIELD FIRE DEPARTMENT.
UNIFIED PROGRAM INSPECTION CHECKLIST B E R, 5 F,._r.. V
Peevention•Service.s Division
D
F' /RLc .
2akersf eI Street
pRTAI T
"Bake A 933091
: Phone:: 66'1- 26 -397
Fax; 661 -852-2171
NOTICE TO COMPLY / SUMMARY:OF VIOLATIONS
MINOR VIOLATIONS
Owner /Operator:
Facility
Address:. D 0; M 1AJ 11 r
There were NO violation observed during this inspection.
Notice to Com l Mi t
PY ,
f
Violations: Were found during this inspection as noted_ in:the following.
;
Summa ry of Violations.
The violations indicate
in this inspection .report must be corrected within 30 days., unless
otherwise noted.
Formal enforcement may
be 'initiated for any violations noted, and for those not corrected in.a
'timely manner.. This. rep
rt does not'represe.n, hat there are no other violations at this facility. A
re= inspection may occur t
determine compliance status._
SUMMARY OF.VIQLATIONS
Item
Y
REQUIREMENT FOR CORRECTION OF ,
DATE" FOR
VIOLATIO
VIOLATION
CORRECTION.
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Inspectors
-Signature.,.: E
Received by:. .:
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Phone: ;, -: -
Print: Name: f ,'` . t�
Date:
Dater
CIER
TIFIC ATION Of RETURN TO'COMPLIANCE
I certify that the violations note
above on this.Notice to Comply /Summary of Violations have =been
corrected'. I have personally examined
any documentation attached to he certification to:establish that
the violations have been correc
ed. -
Signature
.
Title:
Print Name:
Date:
KPS #8446
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vAn�ti - R. i_cinacc C nnv tn 6e sent in after Return-to- Compliance Pink — Prevention Services Copy