HomeMy WebLinkAboutFire Inspection 2017FILE NO.
0, VAN
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LOCATION
PREPLAN / INSPECTION REPORT / BILLING INVOICE
X
❑
X
❑
H = HAZ /MAT
E = EXEMPT
OWNER / MANAGER
, -
TARGET HAZARD
P = PRIMARY
New Inspection
Purge
D =DELETE
t5A-fE' s
MONTH
S = SECONDARY
w
D = DELETE
O = ODD YEAR
GENERAL USE
1
x
s
3USINESS NO OF NO.OF JURIS
MANAGER
PHONE BLDGS STORIES BS T.IBI DICTION
RESPONSIBLE
BUSINESS
OWNER
SHIFT Lj .
PHONE PHONE DATE OF
LAST INSP,
2 - Will Correct 3 V.N. Disposition S m.. 1 - Corrected Issued. Call Back Necessary 4 - Citation Issued/ 5 - Referred:
BUILDING APPROVED DISP. REMARKS:
YES NA NO SYM
1. Exia Doors- Hardware Exit Signs- Lighted 1
2. Exit Corridors 2 ".'
3. Aisle Spacing- Seating ... _ . 3 26—hn .&- A_
4. Occupant Load Signs 4 -
5. Vertical Openings 5
COMMON HAZARDS'"
6. Electrical` _
7. Furnace /Boiler Rooms - Heating Equipment y 7
8. Cooking Equipment $
9. Decorations- Curtains - Drapes 1 1 9
10. g-
Housekee in Trash -Weeds 10
p
FIRE PROTECTION EQUIPMENT
11. Fire Extinguishers 1 1
12. Automatic Extinguishing Systems
13. Wet-Dry Standpipes 13
14. Alarm System 14
15. Fire Assemblies -Fire Walls 15
16. Fire Sprinkler Records I NX 1 116
OTHER HAZARDS
17. Grease Hoods & Ducts 17
18. Warning Signs ! .1$...;...
19. Compressed Gas . 19 w
20. Other` (see Remarks) 20
`HAZARDOUS MATERIALS
21. Training Records 21
22. MSDS'S Available 22.,,.,
23. Chem ical.Inven
tory - 23
A
MISCELLANEOUS (PREVENTION 24
24. Labeling
( ON ONLY)
25. Fire Clearance Denied. Failure to remit
fire "inspection fee. Call (661) 391 77080 25
26. Fire Clearance Denied. Failure to remit
fire inspection fee. Referred to Accounts 26
Receivable. Call' {661) 391 -7080;
OWNER / MANAGER
F
INSPECTOR/ K #
SHIFT
t5A-fE' s
MONTH
A = ANNUAL
O = ODD YEAR
INSPECTION DUE
E = EVEN YEAR
X - PREPLAN UPDATED
IT