HomeMy WebLinkAboutFAI15-0001 060-060-012 AES 10 Correction Notice - 7491 - Golden Empire Council (06-26-2024) Corrective Action California Code of Regulations-Title 19 1 of 1
and Repairs Performed Inspection, Testing, and Maintenance
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Property Information �� O�F Contractor or Licensed Owner Information
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Building Name Camp Lassen + I a (Name Wilgus Fire Control Inc.
Address 21359 Scout Rd +F'1�k Qom, (Address 4544 Mountain Lakes Blvd.
�t.'.F PA-- (City Redding St. CA Zip 96003
(City BUTTE MEADOWS (License# 462979 (Phone (530)241-2465
'Contact Person I ❑ SFM (Job# 4976062624
'Phone 873-4961 I IN CSLB 'Misc.
Item A Date Date Deficiencies and Comments
For • Found Corrected Indicate all equipment,devices and parts that were repaired or replaced
20 5/22/24 Electrical Shut off for Tilt Skillet is still deficient
20 5/22/24 /22/241 Reran gas valve conduit and cable to make automatic gas shut off function
20 5/22/24 5✓/22/241 Replaced duct and plenum protection to properly protect plenum
20 5/22/24 6/25/24 Modified appliance protection nozzles per manufacturer's specifications
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I hereby certify that the fire protection equipment listed above has been corrected in accordance
with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable.
Building Representative I Technician
JOSHUA GOODRICH
Signature I Date I Signature I Date
6/26/2024 I �� I 6/26/2024
Form AES 10 Sept.3,2013