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BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST B R R s F I n Prevention Services Division
�,�� 2101 H Street
ARTA TBakersfield, CA 93301
Phone: 661-326-3979
Fax: 661-852-2171
NOTICE OF VIOLATION /SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Owner/Operator: !S QyE� (-npnf 'P 1 t%.jc ,
Facili •
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Address: "t_�� a �..t i�c..3—Tt
SUMMARY OF VIOLATIONS
Item VIOLATION
#
Notice Of Violation: Class 11 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.
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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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Inspectors
SReceived
nature:
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by.
[Phone: 66/- 17-6 _ -7
Print Name: A -
Date:
Date:
White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy