HomeMy WebLinkAboutHMBP_2019_20_3-10BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST . o Prevention Services Division
P/t, 2101 H Street
ARYN Bakersfield, CA 93301
Phone: 661 - 326 -3979
Fax: 661 -852 -2171
NOTICE OF VIOLATION I SUMMARY OF VIOLATIONS
CLASS II AND CLAS_S_I VIOLATIONS
Owner /Operator:
Facility:
Address:
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION DATE FOR
g OF VIOLATION CORRECTION
t
Inspectors Received by:
Signature:
Phone: Print Name:
Date: Date:
White - Business Copy Yellow - Business Copy to be sent in after Retur rAo- Compliance Pink - Prevention Services Copy
Notice Of Violation: Class H and /or Class I 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
g OF VIOLATION CORRECTION
t
Inspectors Received by:
Signature:
Phone: Print Name:
Date: Date:
White - Business Copy Yellow - Business Copy to be sent in after Retur rAo- Compliance Pink - Prevention Services Copy