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BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST R F. R s F t D Prevention Services Division
R 2101 H Street
FIR
rr Bakersfield, CA 93301
ANTS'
Phone: 661-326-3979
Fax: 661-852-2171
NOTICE OF VIOLATION / SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Owner/Operator: A,, j I k -ides El I
Facility: o
Address: 01 " 'L -b c A 937)i-4
F-1
Notice Of Violation: Class 11 and/or Class I Violations were found during this inspection as
noted in the followin Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for all Class I Violations, and for any Class it 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
�e-
Inspectors
Signature: /I
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Received by: ok -- �
Phone:
.k
Print Name: o" i
Date:
Date:
White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy