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INSPECTION ':RECORD
Bakersfield Fire Dept.
J 1715 Chester Ave,
Bakersfield, CA 93301
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CUSTOMER I.D. #
ENTERED
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FACILITY ADDRESS:
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ZIP: FEE:
o CITY
o COUNTY
DATE:
FACILITY NAME:
MANAGER NAME
I
FACILITY PHONE
BUSINESS OWNER NAME, ADDRESS, ZIP CODE
BILL TO: (IF DIFFERENT FROM ABOVE)-NAME, ADDRESS, ZIP CODE, PHONE No,
OCC TYPE
/
OCC LOAD
No. OF FLOORS
HI RISE BLDG.
YES 0 NO 0
EQ
YES 0 NO 0
DATE OF REINSPECTION
RISER DATE
VIOLATION NOTICE CORRECTION:
1,
2,
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3,
4,
5,
6.
....
7,
NOTES
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AP No,
FIRE SAFETY CONTROL
(805) 326-3951
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WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COpy PINK-FILE
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