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UNIFIED PROGRAM INSPECTION CHECKLISTB E R s FfI-
D
FIRE
A RTA+/
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
SUMMARY OF VIOLATIONS
r-1=RT11=ir-ATION 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:
KPS #8446
White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy