HomeMy WebLinkAboutMinor 6-14-21i BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST h A K F r � F 1 i. r) Prevention Services Division
SIRE 2101 H Street
ARTM � Bakersfield, CA 93301
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
VIOLATION
DATE FOR
CORRECTION
S jo I 'L - FA I ti 0
'ems EPATO
.L t
G l hJ er_--r-
I Cl) - I. -U
M '
L --t- 24t-
L. /I. AA L_l.r A C= 2 d i �► -
r--zj<Les
S 54
t%A,� ix
EZC' c
Inspectors
Signature: � 7 14=7
Received by : 1
Phone: �sro - �e-, --I � e-7
Print Name:
Date:
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:
11 Date:
KPS #8446
White — Business Copy Yellow — Business Copy to be sent in after Return -to -Compliance Pink — Prevention Services Copy