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HomeMy WebLinkAboutMinor 1-11-21BAKERSFIELD FIRE DEPARTMENT UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services Division B F., R 3 F I 1. T) 2101 H Street FIRE Bakersfield, CA 93301 ARTM T Underground Storage Tank Program Phone: 661-326-3979 Fax: 661-852-2171 NOTICE TO COMPLY / SUMMARY OF VIOLATIONS MINOR VIOLATIONS SUMMARY OF VIOLATIONS Item VIOLATION # REQUIREMENT FOR CORRECTION OF DATE FOR VIOLATION CORRECTION ef 'e—k- 2f'-SWQC-'-? Q'Lz"4.r_ cfa z Zzz 4v ,r V i 44.19 d4 14,4 r I nspectors Signature: _ Received b : f y �� [Phone: Print Name: f'' `'A/7" -! T--_ Date: f - 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: Loc uOAAC White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy