HomeMy WebLinkAboutMinor 8-25-2020_5-8BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services Division
B E R 5 F i L j' 2101 H Street
T Bakersfield, CA 93301
ARTM T
A%W*. Phone: 661-326-3979
Fax: 661-852-2171
NOTICE TO COMPLY /SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator: .- , -one- I , r
Facility:
Address:.-,-,
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There were NO violations observed during this inspection.
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Notice to Comply: Minor Violations were found during this inspection as noted in the following
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Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
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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 VIOLATIONS
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION OF DATE FOR
VIOLATION CORRECTION
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Signature: � ! Received by: �„ ,, U � �v, y) A,Q
Phone: ; .� 1- ��.--,I 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:
White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy