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Quarterly Inspection Report 7/9/19 and 9/4/19 - Inspection - 10/2/2019
` TOWN OF NORTH ANDOVER, .MASSACHUSETTS a Fire Department 795 Chickering,Road, North Andover„ AIIA 01845 Telephone 978-088-9590 Fax 978-688-9594 ` Fire InMection Business/occupancy Name 0 A 5 V1 vq V"'' ` Address ,�,o 6 )L V 0,1 AJ6 Date 119 Inspection Type: Quarterly F.", Annual ❑ hollow-Up❑ El Box# �r Tested'Y Supra Box/keys Checked [ � Business Phone# Ilk, bbs, t 50 d FACP RGlnemicals Properly Stored General House Keeping Marked/Clear Inspected k 11 Q Emergency Exits MlAimuncicitor Panel Clear l Operable Ansu1 System Inspected [ lAisleslHalls Clear L�Vdj 'J Emer ency Generator 1 Kf t� D36orage Rooms Clear Extinguishers �rrnergcrncy Lights Operable 15, ' I - Signs ectedll ro-erl Located a � � Nisi le/Ildtnrrirncttecl -- BILIlecirical Roam Clear Sprinkler yslern Inspected EBIFire Suppression System E�lGasSlrattoffAccessible Inspected Kitchen Exhaust System IDtiIIater Shutoff Accessible BlLas Fi*V I rill �7eel iejll7agg (I. , / _. �� . {Y+ Heating System Accessible Census:Seals: Occupants: � Staffing: 1st Shift: V 2nr1 Sllift 3rd Sltift: Use comment section to identify> violations or list other pertinent illformatioll. Comments: ]r PTN/Contact Name x��+ A) A)t Telephone# PTN/Contact Name Telephone# Owner/RepresentativeSignature: Date: ! �� s a Fire Inspector Signature:br Fire Chief Signature. ���r ����� �'�a, LP Irr accordance with Chapter 148 of the Massachusetts General Laws and 527 Code of Massachusetts Fire Prevention Regulations you are hereGv ordered to correct or abate conditions enumerated above.C'adure to correct any violations ma,result in civil and l or crindnal penalties.Notify the North Andover Fire Prevention affrce when listed violations have been corrected! North Andover Fire Department 978-688-9590. TOWN OF NO?TTI AND0VER, AIM SSA G'H USE TTS Fire Department Z 795 Chickening Road, North Andover, MA 01845Ilk Telephone 978-688-9590 Fax 978-688-9594 Fire Ins Lvctzan Business/Occupancy iVanre Address Date_ tit 0 Inspection`Type: Quarter•1y p_._,_ Annual El Follow-Up❑ Other❑ Box# Tested Y� Supra Box/Keys Checked le Business Phone FACP EP"Chernicals Properly Stared [°'General House Keeping 7 Clear/Inspected E96mergenej,Exits gAimunciator•Panel C'lecrr/©parable Ans rl Syst err I is ected ['Aisles/Halls Clear ,'Imei encj} Generator. 41 l fl 1') U?�Itorage Rooms Clear ❑Extinguishers + Imergency Lights Operable Inspe tecl/'roperly Located EYEMI Signs 'EVlr Visvble/Illuminaled �lectr•ical Roour C"lead S kler•LS'ystem Inspected �re,5iippressiori,5j«stern ----- ..._�.-�-.....1..............._..._ Gas ShrrtoffAccessible Inspected Kitchen Exhaust Systerrr ' TVater Shutoff Accessible L ist Fpre Drill Cleaned/1'a==ed I- t cl e !►� �.► 14 Heating Systerrr Accessible TT-- ,������� lye&f l Census:Beds: ' & Occupants: e) I Staffing: l st Shift: '3 0 2„dt Shift: 15: 3""Shift: Use comment section to identify violations or list other pertinent infornttation. Comments: +h/L'1 '� 6� � d✓ djF A, 4A h✓ �i, ,[G l0 't �� f PTNIConlact Name � � W i l.-S o " Telephone# CU-3 [tl s PIN/Contact Name _ Telephone# lhvner/Representolir,e,5ignolure: ,�' M Date: -7 /�h r Fire Inspector Signature: Fire Chief Signalure: In accordance with Chapter 148 of the Massachusetts General Laws and 527 Code of Massachusetts Fire Prevention Regulations.vou are herebv ordered to correct or abate conditions enumerated above.Failure to correct airy violations roar result in civil and l or criminal penahies.Notify the North Andover Fire Prevention Office when fisted violations have been corrected. North Andover Fire Department 978-688-9590.