HomeMy WebLinkAboutMINOR NOV 12.5.19BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIS� n. r a s r t n Prevention Services Division
F /R6 2101 H Street
AR rM r Bakersfeld, CA 93301
Phone: 661 - 326 -3979
Fax: 661 - 852 -2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator:
Facility:
Address:
❑
There were NO violations observed during this inspection.
Print Name:
Date:
L1
Summary to Comply: Minor Violations were found during this inspection as noted in the following
Summa 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.
RI IMMARY OF VIOLATIONS
Item
S
VIOLATION
REQUIREMENT FOR CORRECTION OF
VIOLATION
DATE FOR
CORRECTION
Title:
Print Name:
Date:
rc11—
Inspectors
Signature:
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.
Signature:
Title:
Print Name:
Date:
rc11—
mmee_.— i ... . c,..,v Yellow - Business Cop, to be sent in after Retum -to -Compliance Pink - Prevention Services Copy