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BAKERSFIED FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST lill rE'R S F t E �_ D Prevention Services Division
2101 H Street
T, Bakersfield, CA 93301
A%O Phone: 661-326-3979
Fax: 661-852-2171
NOTICE OF VIOLATION / SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Owner/Operator: _ C
Facility: __2.,
[Address: Yo,?.- G;--) rAl. r
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Notice Of Violation: (Class 11 and/or Class I Violations were found during this inspection as
noted in the following Summary of Violations.
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The violations indicated in this inspection report must be corrected within 30 days, unless
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otherwise noted.
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Formal enforcement will be initiated for all Class I Violations, and for any Class 11 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
Signature:
Received by:
Phone: �- �-
Print Name: �4^Afa 4
Date: « ,
Date:
White — Business Copy Yellow — Business Copy to be sent in atter Return -to -Compliance Pink — Prevention Services Copy