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B22-1932 042-060-074 CF SOIU 2
YES NO 16. Will you manufacture more than 1 gallon of organic coating per day? [ ] [ 17. Will you operate an industrial baking or drying oven? I I I8�1 18. Will you operate a place of assembly(Drinking, Dining, Gathering)for more than 50 people? [ ] 19. Will you store or handle radioactive materials? [ ] [ ] 20. Will you have a refrigeration system with>220 lbs. Group Al or>30 pounds of any other refrigerant? [ ] [4 21. Will you operate a repair garage for servicing or repairing automobiles? [ ] I>. 22. Will you be conducting hot work? (welding,cutting or use flame producing devices or torches) [ ] X] 23. Will you apply flammable or combustible liquids?(Spray booth, Dip tank, Powder Coating, Rolling) [ ] j>Q 24. Will you store over 1000 cubic feet of tires in an outside area? I ] 25. Will you store, lumber. wood chips, hogged material or plywood in excess of 200 cubic feet? [ ] P.< 26. Is your building equipped with automatic fire sprinklers? If YES then: I ] E J] a) Calculated sprinkler system GPM/SqFt Design Area (i.e. .3/3000) (Density and certification information can usually be found labels on the main sprinkler system riser for each system) b) Pipe Schedule(non-calculated)sprinkler system, Date system installed c) Early Suppression Fast-Response(ESFR)sprinkler system PSI d) Other type Sprinkler System—list type and location: e) Date of last sprinkler system 5 year certification(Title 19 CCR): f) Fire sprinkler alarm monitoring company: 27. Is your building equipped with automatic fire detection?(smoke detector, heat detector,manual pull) [ ] 6.4 a) Date of last alarm system certification: b) Alarm monitoring company: 28. Number of employees: 29. Hours of operations: To 30. In a few brief sentences describe how the building will be used and what processes or operations will take place inside (i.e. Storage of chemicals with some filling of containers for use, moderate to heavy welding with assembling and fabrication of metal parts, powder coating and painting,etc.) .L rL c am- I Ia l l'©nJ (9 4 02_ �i-t ovkar ICI-/ 11-Yu c �C 9�c 42�C o v� -e-S ��vinot,r R /ti N�O`r e d o^P✓s g S. V9-) - e r/2 r c• - - 3 of 3