HomeMy WebLinkAboutMinor 5-12-21BAKERSFIELD FIRE DEPARTMENT
TION CHECKLIST F I Prevention Services Division
UNIFIED PROGRAM INSPECTION B __E x s__
- --- - 2101 H Street
SIRE
aRrH r Bakersfield, CA 93301
Phone: 661-326-3979
Fax: 661-852-2171
NOTICE TO COMPLY /SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
SUMMARY OF VIOLATIONS
--•--. w=- I w . .9"r r/1 r%
Item
REQUIREMENT FOR GOKKtt: I 1UN Ur DA I t rum
VIOLATION
VIOLATION CORRECTION
LNx
�
�-Tc
�"
Inspectors
Received b=-
S ig n atu re:
Phone:
Print Name:
Date-
Date:�_-
r_FRTiFIrATION 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 �a44s
White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy