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FIRE DEPARTMENT748 PISMO ST. SAN oBrsPo cA. 9340r (eos) 543-6(.j-46
INSPECTION
LU IS
FIRERECORD OF
NOTICE OF FIRE 8 SAFETY HAZARDS : YouX ,; .r1 !':1. iiiji'.l l i::.f11:i.':'
ore hereby notif ied thot on inspectlon of your premises locoted ol
,hos disclosed the followlnE fire sofety hozords ond,/or violot'rons
codes ,of ihe provlsions of oppropriote locol or stote
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ORDER TO COMPLY:
As such conditions ore controry to low,you ore hereby required to correct soid conditlons lmmediotely
upon recei
or obout
An inspection to determine whether you hove complied wlll be conducted on
ilure io comply wlfh the foregolng order before the ddte of such relnspectiron
moy render you lioble to the penolties provlded by low for such violotlons
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INSPECTORS SIGNATURE
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COMPANY- PLATOON
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notice
of
violationFIREPNEUEIITIlli|
Dnre
Itlnme
Aooness
Re: PRemtses Rr
YOU ARE HERBY NOTIFID TI-IAT YOU ARE IN VIOI.ATI$I ffi:
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Punse coMPLY wrrH THIS REouEST
Rernspeeno{ wrr BE oN oR ABotn
Ouslrorus REr-AT
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IS
OF
TO
II'I4EDIATELY TO AVOID ENFORCEMENT ACTIOT.I.
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BED
748
TO SnruIot't sl-puLDV
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REcerveo sv:INoR, CHIErR
iiJHI TE-OWNER YELLOW-FD PINK-ENG CO GOLDENR -CITY ATTORNEY
FDP 2OI
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SAN LUIS O'..CITY F.IRE DIIPARTI'IENT INSPEC?.9N RECOND
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ADDRESS
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ADDRESS
RESTDENSE
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FULT. PART._ I'IONE_
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I}.ISPECTION DATE R TUNN DA?E
AETEIVED
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t, A "rJ Service Station Maintenance & Equipment"\ { ^Uy I tszot sourH ALMA o cARDENA, cALtF. 90249
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DISPATCH #
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MAKE
MODEL
SERIAL #
COMP. SERIAL #
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WORK ORDER
DESCRIPTION OF WORK PERFORMED {
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SALES TAX
MAINT. MAN I
LAEORHELPER:
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ALL PARTS LISTED
ITEMS TAGGED
WARRANTY
YES No fl
WORK PERFORMED $ATISFACTORILY AUTHORIZED SIGNATUNE
E XTE NSION
JOB COMPLETED
COLLECTION EXPENSE OR ATTORNEY'S FEES WILL BE ADDED IF ACCOUNT EMPLOYED FOR COLLECTION.
SAN LUISz CTTY FIRE DEPANTI'IENT rNsPr-JroN RECoRD
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NSNJRN DATE
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INSPECTOR