HomeMy WebLinkAboutMinor 6-27-19 FMC_9-9'z BAKERSFIELD FIRE DEPARTMENT
TION CHECKLIST 4!j Prevention Services Division
2101 H Street
Bakersfield, CA 93301
phone: 661-326-3979
Fax: 661-852-2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MiNnR VIOLATIONS
Rt1MMARY OF VIOLATIONS
t-coru=1f%A rinK1 nF RFTIIRN TO COMPLIANCE
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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 #8448
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REQUIREMENT FOR CORRECTION OF
VIOLATION
0-30016 - /� ,ice: �. � Z ,
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DATE FOR
CORRECTION
ItemVIOLATION
#
Inspectors
Signature:
Received by:
Phone:d�3� _`3 Print Name: A t V -,\-
Date: Date: Lo a-.'� --
t-coru=1f%A rinK1 nF RFTIIRN TO COMPLIANCE
V1...1\111 IV/-�■w® w■ ■..� ._ — — ----- —
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 #8448
V.,11-- — Eli min=ce r%nnv +� ha cent in after Return -to -Compliance Pink —Prevention Services Copy