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<br />, <br /> <br />ELK RIVER FIRE DEPARTMENT <br />FIRE MARSHAL INSPECTION REPORT <br /> <br /> <br />T,me <br /> <br />Property Address <br /> <br />Phone <br /> <br />Re.lnspec::t Dale <br /> <br />Bu,lCl,nglProperly Name <br /> <br />Correspondence To <br /> <br />Occ. Class ConSt. Type <br /> <br /> <br />Sq. Ft. Floor <br /> <br />InspeClor <br /> <br />Owner Name <br /> <br />AdClress <br /> <br />City <br /> <br />Slate!Zip <br /> <br />Phone <br /> <br />Property Mgml. <br /> <br />Address <br /> <br />City <br /> <br />Slale'Zip <br /> <br />Phone <br /> <br />V-Does Not Mee.t Requirements NV-Appears To Meet Requirements NA-Not Applicable (See Additional Instructions On Back) <br /> <br />V NV NA 1. Exterior v NV NA 4. Storage/Housekeeping v NV NA 9. Fire Alarm Equipment <br />000 a. Fire Lanes marked/unobstructed 000 d. No combustible storage under 000 a. Detectors (smoke heat) <br />ODD b. Address visible unprotected stairways or in properly installed <br />000 c. Fire hydrant(s) accessible stairwells 000 b. Pull stations properly installed <br />000 d. Combustible accumulation(s) 000 e. Storage maintained 2' below 000 c. Detectors needed <br /> acceptable ceiling (unsprinkJered) 000 d. Properly serviced/maintained <br />000 e. Storage neat and orderly 000 f. Storage maintained 18" below 000 e. Date serviced <br />000 f. F.D. lock box present sprinkler heads 000 f. Tests.'drills conducted <br />000 g. F.D. connections visible/good ODD g. Aisles maintained properly 000 g. Name. address and phone <br /> condition 000 h. Rubbish. oily rags. waste number of alarm service <br />000 h. Meter protection material properly stored company <br />000 i. Site plan <br /> 5. Flammable/Comb. Liquids 000 h. Clear access to equipment and <br /> 2. Exit Features 000 a. Proper quantities valves <br />000 a. Adequate number of exits 000 b. Proper storage/dispensing <br />000 b. Exits. aisles and corriders free 000 c. No sources of ignition 10. Other Fire Protection Equip. <br /> of obstructions 000 d. Adequate ventilation 000 a. Standpipe:hose in good condo <br />'DO c. Proper locking hardware 000 e. Proper electrical equipment 000 b. Adequate coverage <br /> 00 d. Exit hardware present and 000 f. Proper warning labels/signs 000 c. Date serviced <br /> operational 000 g. MSDS/lnventory 000 d. Hood system-fuel shutoff <br />000 e. Exit signs present present <br />000 f. Exit illumination adequate 6. Utility. Mechanical, HVAC 000 e. Properly serviced/maintained <br />000 g. Emergency lighting present 000 a. Shut off valve/relief valves 000 l. Date serviced <br /> and operational present on gas appliances <br />000 h. Occupant load posted and 000 b. Proper venting present and in 11. Electrical <br /> maintained good condition 000 a. Appliances/fixtures in good <br />000 i. Stairway 10 present 000 c. Adequate clearances between condition <br /> combustibles and appliances 000 b. Overcurrent protection present <br /> 3. Construction Features 000 c. Extension cords not ussed in <br />000 a. Fire separations present and 7. Fire Extinguishers place of fixed wiring <br /> maintained 000 a. Readily accessible 000 d. Proper Llse of wiring and <br />000 b. Openings in fire walls sealed 000 b. Proper number and type equipment <br />000 c. Rated fire doors present and 000 c. Suitable location 000 e. 30' clear access to panels <br /> operational (closing/latching) 000 d. Properly serviced/maintained provided <br />000 d. Rated furnace room provided 000 e. Date serviced 000 1. Boxes. fixtures and equipment <br /> where necessary (over 400,000) properly enclosed <br /> BTUH) 8. Sprinkler S)'stems <br /> 000 a. Adequate coverage 12. Miscellaneous <br /> 4. Storage/Housekeeping 000 b. Controls readily accessible 000 a. Proper storage of compressed <br />000 a.. Storage neat and orderly 000 c. Valves locked open or gases <br />000 b. No combustible storage in boiler supervised 000 b. Interior decorations acceptable <br /> or mechanical rooms 000 d. Heads in good condition or flame retardant <br />000 c. No combustible storage in 000 e. Wrench/spare heads present 000 c. No smoking provisions <br /> unprotected anics/bar joists ODD f. Date serviced enforced <br /> 000 d. LPG-stored outside/secured <br /> 000 e. Certificate of occupancy <br />Comments: <br />. <br /> <br />(OVER) <br />