HomeMy WebLinkAbouthmbp 2019 4100 WHITE LNFACILITY NAME
INSPECTION DATE ,
INSPECTION TIME
/ L/.!" i
ADDRESS g.q 7p }{j
PHONE NO.
NO OF EMPLOYEES
yp
�j
FACILITY CONTACT
BUSINESS ID NUMBER
l.f�% 1 VW
V$� MJV.
A N
Consent to Inspect Name /Title
gf
t
� 6r ✓h, � 'i
, .. ..:
�
,,.�...,� �., it �3 „,.,..... ..,:i.
:.. ., , .�:.'q.. 3 � �_.. .. r..,. ...
r.. '..: i ..v' ,.;. ., , 3 '....,:'.
7. .,..:.'i,.: ,... ,. :'.fi3: 3>�.E ...... x. .. .,, j) '.... .. a
3.. ..<:.: _ 3: �., ..�: .., ,a , .......,, ,...: i ,,.:.;.. ,. kr ,.a.
, � Pro. ram
s nessx: Plan .and, ln.ventor.. {
,. Section,.�1 Bu �. _ 3
3.
�:i `....,3.,.. .. ...- .., ....
.f � „,.,,:
i.i3im
ROUTINE ❑ COMBINED, ❑. JOINT AGENCY ❑ ` MULTI- AGENCY ❑. COMPLAINT ❑ RE- INSPECTION .
inspector. g'
4� Ad 1�i,.��Fi t�s1 � fs xir4'tt d ��j r
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services 2101 H Street, California. 93301
Date
White Business Copy ' '' Yellow Station Copy Pink — Prevention Services FD2155 (Rev 9/2017)