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Home My WebLink About100 OSWELLPHOENIX FIRE PROTECTION. P. ,. 1 OC+Qr rZ 210 S. Cotta Court Visalia, CA 93292 559.622.8969 559.622.9023 FAx lic# C16779030 Letter of Refusal/ Corrections Company Name: Address: Date: l h- ! Fire Protection Equipment: Last Date of Maintenance or Inspection: Fire Protection Equipment was not serviced or certified because of the following checked reason(s): Fire protection system is not UL 300 compliant Facility personn jI r use to have Service performed Reason: (: V/ (/ r Fire Protection System does not adequately protect hazard Exhaust Hood heavily contaminated with grease build up requiring cleaning Improper fire extinguishers Make up air cut off inoperable/ Non - existent Other reason Per fire codes NFPA 17A, 10A Portable Fire Extinguisher are to be serviced annually and hood systems semi - annually. Due to the above referenced equipment not being serviced and inspected as required, PHOENIX FIRE PROTECTION shall not be responsible for any inadequacies, failures, damages or cost. A copy of this may be forwarded to the Authority Having Jurisdiction. r J ' Technician's Signature Customer's Authorized Agent Signature kiti Technician's Name Printed Refusal X Customer's Authorized Agent (Print) Correction F-1 Authority Having Jurisdiction Copy i Letter of Refusal/ Corrections Company Name: Address: Date: l h- ! Fire Protection Equipment: Last Date of Maintenance or Inspection: Fire Protection Equipment was not serviced or certified because of the following checked reason(s): Fire protection system is not UL 300 compliant Facility personn jI r use to have Service performed Reason: (: V/ (/ r Fire Protection System does not adequately protect hazard Exhaust Hood heavily contaminated with grease build up requiring cleaning Improper fire extinguishers Make up air cut off inoperable/ Non - existent Other reason Per fire codes NFPA 17A, 10A Portable Fire Extinguisher are to be serviced annually and hood systems semi - annually. Due to the above referenced equipment not being serviced and inspected as required, PHOENIX FIRE PROTECTION shall not be responsible for any inadequacies, failures, damages or cost. A copy of this may be forwarded to the Authority Having Jurisdiction. r J ' Technician's Signature Customer's Authorized Agent Signature kiti Technician's Name Printed Refusal X Customer's Authorized Agent (Print) Correction F-1 Authority Having Jurisdiction Copy aw"