HomeMy WebLinkAboutN O V 10.15.19BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST a easel n Prevention Services Division
PrRi 2101 H Street
ARTM T Bakersfield, CA 93301
661- 326-3979
Fax: 6
Fax: 661- 852 -2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator:
Facility:
Address:
❑
There were NO violations observed during this inspection.
Date:
Notice to Comply: Minor Violations were found during this inspection as noted in the following
Summa of VioAlons.
The violations inflated 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
VIOLATION _ VIOLATION
Inspectors
Si nature:
Received by:
Phone:
Print Name:
Date:
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.
Si nature:
Title:
Print Name:
Date:
xn.es mreae _ a��m�e :a r.— Yellow — Business Coov to be sent in after Return -to- Compliance Pink — Prevention Services Copy