HomeMy WebLinkAboutMinor 11-15-19_5-10BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST n easel n Prevention Services Division
F/RL 2101 s Street
BakerAR1M i 3301
Phone: f661-eld, 26CA 9979
Fax:
1-852-6-3979
Fax: 661-652-2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator: - -, tic
Facility:_ - -r -
Address:
❑
There were NO violations observed during this inspection.
Notice to Comply: Minor 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 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.
Snru1MARV nF Vlnl ATIONS
__...........
ItemREQUIREMENT
# VIOLATION
-- ----___- -
FOR CORRECTION OF
VIOLATION
DATE FOR
CORRECTION
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Inspectors
Signature:
Received by:
Phone 2c3C,,r 7
Print Name:
Date: ii'f!f --
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:
e,.-. ---- r....., V,11 - nueinaea Conv to be sent in after Return -to -Compliance Pink -Prevention Services copy