HomeMy WebLinkAbout5634 stine violation 12-19-13BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST R. E R s F I L D Prevention Services Division
2101 H Street
FIRE Bakersfield, CA 93301
ARTM T
Underground Storage Tank Program f Phone: 661 - 326 -3979
Fax: 661- 852 -2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner /Operator:
Facility:
Address:;
Print Name:
There were NO violations observed during .this inspection.
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Notice to Comply: Minor Violations were found during this inspection as noted in the following
El
Summary of Violations.
The violations indicated 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 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 VIOLATION REQUIREMENT FOR CORRECTION OF DATE FOR
## VIOLATION CORRECTION
Inspectors
Signature-
Received by:
!
Phone:
Print Name:
Date:
CERTIFICATION OF RETURN TO COMPLIANCE
I certify that the violations noted above on this Notice to Comply /Summary of Violations have been
corrected. I have personally examined any documentation attached to the certification to establish that
the violations have been corrected.
Signature:
Title:
Print Name:
Date:
KPS #8446
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