HomeMy WebLinkAboutFAI15-0110 FIRE ANNUAL INSPECTION 2015FIRE
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Butte County Fire Department
California Department of Forestry and Fire Protection
Fire Prevention Bureau
176 Nelson Avenue, Oroville, CA 95965
530-538-7888/530-538-2105(fax)
Fire Safety Inspection
T -A 115 0110
(3 Z4- 2ZO -G36
Business Address: IG6 600 79 af,
Business Name: ,I a
C' 1-40r
Owner/Manager:
Bus:
Other:
Other Contact: roCCGr
Bus:
Other:
Building Owner:
Bus:
Other:
Address:
Fire alarms stem defective
Occ. Class:
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
1.
Fire extin uishers: required, service due
1 10.
Exit(s): obstructed, inadequate
2.
Extension cords: Excessive use, defective
11.
Exit sign(s): required, illumination, photo luminescent
3.
Excessive rubbish, trash, debris
12.
Exit sign lights: obstructed, defective
4.
Fire alarms stem defective
13.
Exit lighting: required, defective
5.
Sprinkler system: service required, defective14.
Heating system: defective appliance, flue combustibles
6.
Kitchen hood ext. system: service due
15.
Wiring: exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Address osted and visible from road
8.
Smoke detectors: required, defective
17.
Other
9.
Fire drill to checked Yes 11No L11tj
18.
Other type of inspection — State below
Date:/
iscused with,^ f �,QV
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Sign
(Print)L
If I
Inspecting Officer:
Battalion 1 2 3 4 5 6
Station: P
0
By order of the Fire Chief: V You are hereby notified to cbrrect all vitjptons immediatelle6r s ow cause why you should not be
required to do so. A re -inspection will be conducted on . Willful failure to comply with this notice is a
misdemeanor. Violations that are not corrected immediately and/or remain after the re -inspection may be processed as a criminal
offense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H & S sec. 13112)
White Copy — Station File Yellow Copy — Re-inspect/business Pink Copy— Business D Check when sent to prevention