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'BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST ,� �, E R S F t D Prevention Services Division
FIRE 2101 H Street
&E AN Bakersfield, CA 93301
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Phone: 661-326-3979
Fax: 661-852-2171
NOTICE OF VIOLATION /SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Owner/Operator: -3Tv Av 'Z)L-1 s
Facility: 10&:je -7-6ya-rA
Address: —lac) AL_ Dk v« 4kF�Lp CA
SUMMARY OF VIOLATIONS
Item VIOLATION
#
Notice Of Violation: Clas�11 nd/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
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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
OF VIOLATION CORRECTION
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' Gtum t'j
Inspectors
[Signature: P4�
Received by
[Phone: -:3
Print Name:
Date: ��`� ,a
Date: � r go
White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy