HomeMy WebLinkAboutClass 2 12-14-2020UNIFIED PROGRAM INSPECTION CHECKLIST
Underground Storage Tank Program
B E R S F I i T)
FIRE
ARTM T442P*
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979
Fax: 661-852-2171
NOTICE TO COMPLY /SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator: ,
Facility: j cj,j EF
Address: 4 r). 7Rkc,_;) l
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There were NO violations observed during p this inspection.
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Notice to Comply: Minor Violations were found during this inspection as noted in the following
Summary of Violations. C
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
VIOLATION
DATE FOR
CORRECTION
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Inspectors -�
Signature: �� Received by: l p�
Phone: Print Name: t i 4--i c k
Date: Date: # f
CERTIFICATION OF RFTHRN TO COMPI IANC'_F
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