HomeMy WebLinkAbout033-320-026 CF Archive (2)ire Prevention Bureau
76 Nelson Avenue
)roville, CA 95965
telephone 530-538-7888
ax 530-538-2105
Address:
Assistant Manager:
Building Owner.
Address:
Jutte County Fire Rescue
California Department of Forestry
and Fire Protection
Facility Inspection Report
Business Name:
Bus: Hm:
Bus: Hm:
Bus: Hm:
White Copy - Business
Yellow Copy — Occupancy File
Pink Copy — Station File
Occ. Class.
Fax:
AN INRPFCTION OF VOITR FACILITY REVEALED THE FOLLOWING:
1.
Fire Extinguishers: Required, service due
10.
Exit(s) obstructed, inadequate
2.
Extension cords: Excess use, defective
11.
Exit sign(s) required, illumination
3.
Excessive rubbish, trash, debris
12.
Exit sign lights need replacing
4.
Fire alarm system defective
13.
Exit lighting: Required, defective
5.
Sprinkler system: Service required, defective
14.
Smoke detectors: Required, defective
6.
Kitchen hood extinguishing system service due
15.
Wiring: Exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Heating system: Defective appliance, flue combustibles
8.
Knox Box keys
17.
Address posted and visible from road
9.
Fire Drill Witnessed Yes ❑ No ❑
18.
Other
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
Date:
Discussed with:
Signed:
(Print)
Inspecting Officer:
Battalion 1 2 3 4 5 6 7
Station: FPB
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: '
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ire Prevention Bureau Jutte County Fire Rescue White Copy - Business
76 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File
roville, CA 95965 and Fire Protection Pink Copy — Station File
Telephone 530-538-7888 Facility Inspection Report Occ. Class.
ax 530-538-2105
Address: Business Name:
Qwner/Mmger: Bus: Hm: Fax:
sistant Manager: Bus: Hm:
wilding Owner: Bus: Hm:
ddress:
AN iNSPF,CTION OF YOUR FACILITY REVEALED TAE FOLLOWING:
1.
Fire Extinguishers: Required, service due
10.
Exit(s) obstructed, inadequate
2.
Extension cords: Excess use, defective
11.
Exit sign(s) required, illumination
3.
Excessive rubbish, trash, debris
12.
Exit sign lights need replacing
4.
Fire alarm system defective
13.
Exit lighting: Required, defective
5.
Sprinkler system: Service required, defective
14.
Smoke detectors: Required, defective
6.
Kitchen hood extinguishing system service due
15.
Wiring: Exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Heating system: Defective appliance, flue combustibles
8.
Knox Box keys
17.
Address posted and visible from road
9.
Fire Drill Witnessed Yes ❑ No ❑
18.
Other
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
FA
ate:
Discussed with:
Signed:
(Print)
Inspecting Officer:
attalion 1 2 3 4 5 6 7
Station: FPB
PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
1ECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: