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i � � I � �O� � O O ; � ? � � _` F ` �'�9A�H�g�'G~ Fire Inspection Report � . � Property Name �- �-�= s,^� G �� ',µ_�. Date_'��z� q � Property Address 3,�E 2 �/ R!o w f�I�.. S4 0.•a �3�,OCc. Class. ��-.3' Owner Name �i�1 j�R....w, r.s.. ^ Phone# ''�7/ - 9 L O� � Contact Person ��e„�e�. �C'c, s'f o��v+ Phon Fa/2 � 7 Z•`f/x G � Const. Type Const. Year r q6� Addit. Year i I I � N Y NA 1.Exteriar N Y NA N Y NA �,SnHnkier Systems ❑ � ❑a.Fre Lanes marked/unobstructed ❑ � ❑e.Storage maintained 2'beiow ceiling ❑ ❑ �a.Adequate coverage l�l ❑ ❑b.Address�sibie (unsprinklered) ❑ ❑ [�b.Controls readily accessible ❑ ❑ �c.Fire hydrant(s)accessibie ❑ ❑ �f. Storage maintained 18"below ❑ ❑ �c.Valves lodced open or supervised � ,� ❑ ❑d.Combustible aawmulation acceptable sprinkler heads ❑ ❑ �d.Properly serviced I (� ❑ ❑e.Gas Meter/piping protected � ❑ ❑g.Aisles maintained-44'min. ❑ ❑ �e.Heads in good condition ❑ ❑ (�f. F.D.connections visible/good ❑ � ❑h. Rubbish,oily rags,waste material ❑ ❑ (�f. Wrench/spare heads present iconditions properly stored 10.Fire Alarm Equf inent 2.Exit Features 5.FlammablelComb.Linyids ❑ ❑ I�a.Detectors(smoke,heat)properly ❑ �' ❑a.Adequate number of exits ❑ � ❑a.Proper quantities installed ❑ � ❑b.Exits,aisles and corridors free of ❑ � ❑b.Proper storage/dispensing ❑ ❑ b.Pull stations properly instalied obstructions ❑ � ❑c.No sources of igni6on ❑ ❑ .Detectors needed ❑ � ❑c.Exits openable from inside ❑ I� ❑d.Adequate ventilation ❑ ❑ d.Properly serviced/maintained ❑ � ❑d.Exit hardware present and operational C7 � ❑e.Proper electrical equipment ❑ ❑ [�e.Tests/drills conducted � ❑ ❑e.Exit signs present ❑ ❑ ❑f. Exit corridors protected 6. tility.Mechanical.HVAG Eaui� 11.Other Fire Protectlon Ea�� ❑ � ❑g.Emergency IighGng present and ❑ Q ❑a. Relief valve present on boilers and ❑ ❑ a.Standpipes needed operational water heaters ❑ ❑ .Standpipemose in good condition ❑ ❑ �h.Occupant load posted and maintained ❑ � ❑b.Shut off valve present on gas ❑ ❑ c.Adequate coverage ❑ � ❑i, interior finish acceptable appliances ❑ ❑ ($d.Hood system-fuel shutoff present ❑ � ❑c.Adequate clearances between ❑ ❑ �e. Properly serviced/maintained 3.Constructlon Features combustibles and appliances ❑ �; ❑a.Fre separa6ons present and ❑ � ❑d.Clean ducts and filters 12.Electrical maintained ❑ � ❑a.Appliances/fixtures in good condition ❑ ��b.Structural elements intact 7.Flre Extingulshers ❑ ❑ I�b.Overcurrent protecGon present ❑ � ❑c.Rated fire doors present and ❑ � ❑a.Readily accessible/suitable loca6on ❑ � ❑c.Proper use of wiring,connections, operational(dosing/latching) ❑ [� ❑b.Proper number and type equipment ❑ � ❑d.Vertical openings acceptable ❑ � ❑c. Properly serviced/maintained ❑ (�- ❑d. Extension cords not used in place of • fixed wiring �� I,r�❑ ❑e.30'dear access to panels provided � ❑ ❑a.Storage neat and orderly ❑ ❑ . Proper quantities ❑ ($ ❑b.No combustible storage in boiler or ❑ ❑ .Proper Storage/Dispensing 13,�er• � mechanical rooms ❑ ❑ [�c.Proper Separa6on/Compatabiliry ❑ ❑ ❑ �./E c�. �e�r�e!`" ❑ (8. ❑c.No combustible storage in unprotected ❑ ❑ �d.Marking/ldentification present ❑ ❑ ❑ " a�a ❑ ❑ �e.Compressed gas cylinders secured ❑ ❑ ❑ ❑ [� ❑d.No combustible storage under ❑ ❑ ❑ unprotected stainNays Persans an Inspection: FOR FURTFiER ASSISTANCE, PLEASc CONTACT INSPECTOR NAMED BELOW. Owner/Rep.: `�\,' Inspector: �� 7�^ �� J iSianan�rs� iSmnaiure� ipna�a� i .