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BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST r Prevention services Division
/IRf 2101 H Street
Aff/ Bakersfeld, CA 93301
Phone: 661 - 326 -3979
Fax: 661 - 852 -2171
NOTICE OF VIOLATION 1 SUMMARY OF VIOLATIONS
_
CLASS II AND CLASS I VIOLATIONS
Owner /O erato_r:
Facili
Address:
White - Business Copy Yellow - Business Copy to be sent in after Retum- toCOmpliance Pink - Prevention Berv
El
Notice Of Violation: Class 11 and/or Class I Violations were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
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
n
violations at this facility. A re-inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item
If
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Inspectors
Signature:
Received by:
Phone:
Print Name:
Date:
Date:
iws Copy