HomeMy WebLinkAboutMINOR NOV 5.2.19BAKE FIE !D FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIS B E R 5 F I ^ p Preve tion ervices Division
F/ 2101 H s reet
ARTM Bakersfie ld, CA 93301
Phone: E 61-326 =3979
Fax: 661-852-2171
NOTICE TO CO PLY / SUMMARY OF VIOLATION
INOR VIOLATIONS
Owner /Operator:
Facility:
Address:
❑ I There were NO violations observed during this inspection.
F-1 Notice to Comply: Minor Violations were found during this inspection s n ted in the following
Summary of Violations.
The violations indicated in this inspection report must a correcte wit in 30 days, unless
otherwise noted.
Formal enforcement may be initiated for any violations noted , and for those n t corrected in a
timely manner. This report does not epresent that there ar no other v latio, s at this facility. A
re- inspection may occur to determine compliance status,
SUM ARY OF VIOLATIO14S
Item VIOLATION REQUIREMENT' F R CORRECT ION '' DATE FOR
# VIO ATION CORRECTION
Inspectors
Signature:
Phone:
Date:
Print Name:
Date:
CERTIFICATION OF RETURN TO CQMPLIANC
certify that the violations noted above on this
Notiq'e
to Comply
/Summary
of
r olati'
ns have been
corrected. I have personally examined any
documentation,
attached
to the ceit
ficat
on to establish that
the violations have been corrected.
Signature:
Title:
Print Name:
Date:
KPS #8446
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