HomeMy WebLinkAbout4041 E BRUNDAGE LN RTC20145
UNIFIED PROGRAM INSPECTION CHECKLIST rA;R D
r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979
Fax: 661 - 852 -2171
NOTICE OF VIOLATION / SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Owner /Operator:
Facility:
Address: 4
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION DATE FOR
# OF VIOLATION CORRECTION
Inspectors Received by:
Signature:
Phone: Print Name:
Date: Date:
KPS ft M7
White — Business Copy Yellow — Business Copy to be sent in after Return-to-Compliance Pink — Prevention Services Copy
Notice Of Violation: Class 11 and /or Class 1 Violations were found during this inspection as
noted in the following Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for all Class I Violations, and for any Class II violations not
corrected within the required 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 VIOLATION REQUIREMENT FOR CORRECTION DATE FOR
# OF VIOLATION CORRECTION
Inspectors Received by:
Signature:
Phone: Print Name:
Date: Date:
KPS ft M7
White — Business Copy Yellow — Business Copy to be sent in after Return-to-Compliance Pink — Prevention Services Copy