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HomeMy WebLinkAbout1475 WHITE LANE (2)25 -78 INSPECTION, TESTING, AND MAINTENANCE OF WATER -BASED FIRE PROTECTION SYSTEMS Inspection, Testing, and<Maintenance Cover Sheet NFPA 25 as amended by CCR, Title 19 Property Information: Name: (4 ML Cm P017/1? Occupancy /use: of CA40 Address: // %SD,jl Construction Type: a City: r/ No. Stories: ZIP: g5(9k Year Constructed: E Mp Contact: Ildi/ /,1 0 Telephone: 5 r ontractor Information: V Number of System Risers Jorgensen Company Copy sent to: 2345 S. Fruitvale Ave., #1 y °., Owner Date Bakersfield o.FireAHJ Date -2- ll CA 93308 } Contractor Date 661 - 327 -4352 NOTES: 262995 1) For,specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2002 Edition as amended by Job # S California Code of Regulations, Title 49, §901 to §906. 2). Inspection Items may be performed by the Performed b : G • c W Print) Owner in accordance with California Code of Regulations Title 19 §904.1(a) Forms included with this report NFPA 25 Chapter Number of Forms N/A FAIL" PASS Automatic Sprinkler System 5,, Standpipe::and'Hose Systems 6 Private Water Supply System 7 Fire Pump g Water Storage Tank g Water Spray System 10 Foam Water Sprinkler System 11 See "Deficiencies and Comments". section at end of each respective form. State Fire Marshal AES 1 March 21, 2006