HomeMy WebLinkAboutClass II 5-10-21UNIFIED PROGRAM INSPECTION CHECKLIST
Underground Storage Tank Program
B E R S F t T)
FIRE
ARTM
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979
Fax: 661-852-2171
NOTICE OF VIOLATION /SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Owner/Operator:
FaciIity: p(4,,zo A �g t -A �- --1
Address: i3o1 F Si. -kFL-j:�o CA cl3-.3ul
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION DATE FOR
# OF VIOLATION CORRECTION
Lpl-m IS-T-
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Inspectors
Signature: p a Rt,..jS i
Notice Of Violation: �C.Iassjipndlor Class I Violations were found during this inspection as
noted in the following Summary of Violations.
Phone: i-3zco--002, C �
The violations indicated in this inspection report must be corrected within 30 days, unless
Date: 2_ t
otherwise noted.
Formal enforcement will be initiated for all Class I Violations, and for any Class II 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
Lpl-m IS-T-
zr 1
Inspectors
Signature: p a Rt,..jS i
Received by: �
P
Phone: i-3zco--002, C �
Print Name: I�')t,, 00J
Date: 2_ t
Date:
KPS #8447 i
White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy