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_ �o� , . . o � o � � �? � ��y�.E$HOg'�G~ Fire Inspec�ion Report Pr�perty Name �i°�Q�� c.a lc�r c /�a.rr� �� Date '�� 9 9 Property Address 3 2�,;�„ /iJe►r !�!�, S�e�� /3/ OCc. Class. S— ,3 Owner Name R,'�t�n� ,�k d e r s 4 w Phone# '�7!• z!, a�` Contact Person ,�o b �� ..,f"�- Phone# �7/�-/ �. 7,� Const. Type Const. Year Addit. Year N Y NA 1.Exterior N Y NA N Y NA 9y rinkler�ystems ❑ (� ❑a.Fre Lanes marked/unobstructed ❑ �' ❑e.Storage maintained 2'below ceiling ❑ ❑ �$Ja.Adequate coverage � ❑ ❑b.Address Visible (unsprinklered) ❑ ❑ .Controis readily accessible ❑ ❑J�c.Fire hydrant(s)accessible ❑ ❑ �t. Storage maintained 18"below ❑ ❑ c.Valves locked open or supervised �] ❑ ❑d.Combustible aaximulation acceptable sprinkler heads ❑ ❑ d.Properly serviced ❑ (� ❑e.Gas Meter/piping protected ❑ I� ❑g.Aisles maintained-44"min. ❑ ❑ �"e. Heads in good condition ❑ ❑ (gj f. F.D.connections visible!good ❑ � ❑h.Rubbish,oily rags,waste material ❑ ❑ �f. Wrench/spare heads present conditions properly stored 10.Fire Alarm Equfpment 2.Exit Features 5.FlammablelComb.Liquids ❑ ❑ (�a.Detectors(smoke,heat)properiy ❑ � ❑a.Adequate number of exits ❑ � ❑a.Proper quantiGes instailed � ❑ ❑b.Exits,aisles and corridors free of ❑ � ❑b.Proper storage/dispensing ❑ ❑ �jb.Pull stations properly installed obsUuctions ❑ � �c.No sources of ignition ❑ ❑ [$c.Detectors needed ❑ � ❑c.Exits openable from inside ❑ (� ❑d.Adequate ven6lation ❑ ❑ �d.Properly serviced/maintained ❑ (� ❑d.Exit hardware present and operational ❑ � ❑e.Proper electrical equipment ❑ ❑ �e.Tests/driils conducted � CI ❑e.Exit signs present ❑ � ❑f. Exit corridors protecUed �.Ulilitv.Mechanical.HVAC Eaui�. ❑ � ❑g.Emergency fighting present and ❑ � ❑a.Relief valve present on boilers and ❑ ❑ a.Standpipes needed operational water heaters ❑ ❑ b.Standpipelhose in good condition ❑ �hh.Occupant load posted and maintained ❑ � ❑b.Shut off vaive present on gas ❑ ❑ c.Adequate coverage ❑ � ❑i. Interior finish acceptable appliances ❑ ❑ d. Hood system-(uel shutoff present ❑ l� ❑c.Adequate clearances between ❑ ❑ e. Properly serviced/maintained . 3.Constructlon Features combus6bles and appliances ❑ � �a.Fre separations present and ❑ Q� ❑d.Clean ducts and filters 12.Electrical maintained ❑ [��a.Appliances/fixtures in good condi6on ❑ � ❑b.SVucturai elements intact 7.Fire Exiinqulshers ❑ �❑b.Overcurrent protectidn present ❑ � ❑c.Rated fire doors present and ❑ I� ❑a.Readily accessible/suitable location ❑ �'[]c.Proper use of wiring�wnnections, operational(dosingllatching) � ❑ ❑b.Proper number and type equipment ❑ � ❑d.VerGcal openings acceptable ❑ � �c. Properly serviced/maintained ❑ (,�' �d.Extension cords not used in place of • fixed wiring 4•Storaae �rdous Materlals ❑ [��e.30"dear access to panels provided � ❑ ❑a.Storage neat and orderly ❑ ❑ a.Proper quan6ties � ❑ ❑b.No combustible storage in boiler or ❑ ❑ �b.Proper Storage/Dispensing 13.Other: mechanical rooms ❑ ❑ c.Proper SeparatioNCompatability ❑ ❑ ❑ ❑ ❑ �c.No combus�ble storage in unprotected ❑ ❑ d.Markinglldentification present ❑ ❑ ❑ atti�s ❑ ❑ C�e.Compressed gas cylinders secured ❑ ❑ ❑ ❑ ❑ �'d.No combustible storage under ❑ ❑ ❑ ( unprotected stairways F'vc �x-�- - ,�,,�v�c !9 9 9 � Persans on Inspection: FOR FURTHER AS ANC�, P�EASc TACT INSPECTOR NAMED BELOW. OwnedRep.� Inspectar: ��""'—""''—+e�""9r"t._ C �O w ��`/�— � fSiOnaMrel ISiqnaturel IP�onel !\ _ ( j.� � !