HomeMy WebLinkAboutMinor 3-14-22BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLISTPrevention Services Division
B F R 5 F I I- r� 2101 H Street
F/RE
ABakersfield, CA 93301
RTM T
Underground Storage Tank Program Phone: 661-326-3979
Fax: 661-852-2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator: pAtj CI r, C, —C r ,
-Facility: l
Address: e -
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There were NO violations observed during p this inspection.
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Notice to Comply: Minor Violations were found during this inspection as noted in the following
Summary of Violations.
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The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
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,
Formal enforcement may be initiated for any violations noted, and for those not corrected in a
manner. 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
#
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VIOLATION
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REQUIREMENT FOR CORRECTION OF
VIOLATION
40M
DATE FOR
CORRECTION
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I nspectors
Signature:
Phone:
Date:
Received by:
Print Name:
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