HomeMy WebLinkAboutQuarterly Inspection - Edgewood - Certificate of Inspection - 12/9/2019 ..•t f., , TO WN OF NOR TH A N 0 VER MA SSA CH USE TTS
• i Fire Dopar ien
95 Chickering Road, North Andov i .1 A 0 1845
Telephone c -6 -9590 Fax 9 8-6 8- 59
Fire Inspection
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r� i��ee ��l� x�e Name, Address Date Inspection Type: Quarterly Annual El Follo� --Ul� mer El�
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F. C7P 191chemicals Properly Slored �eneral House Keeping
lfar•ke lC e r ll, I ec e
['wergenqy Faits E9111nnunciator Parcel
Clearl Operable
nsrrl& lerrr Inspected (IisleslHalls Cleor•
r rer• enc r Gel "ator'
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�o�age�o �rrs dear
[�J'Exfinguishers E,rrrergeng Lights Operable
.Inspec.................ted 'r� rly Located Exit Signs
KIWA& �isi elfflu rrinated
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DZE lectr•i al Room Clear
Sprinkler S gslerrr Inv cle [BlFireSuppression )stem
WGas ShutoffAccessible Inspected
El Kitchen Elrarrsl S s# rrr E911041ater ` rr •f ccessible a Fr'-e r•r•
C eane l 'a ge
6�vm ev i rHeafing S Wem Accessible
Census:Beds: Occupants:
Staffing: Is'Sltift:—__.l.............. I 2nd smff: I 3"d Sh ift:
Us comment section to identify violationsor list her perfin n information.
PTNIContact Name l IV f*-T Telephone � b
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Owner/,Representative Signature: Date:
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Fire Inspector 'ignatrrrle: Fire Curie,f Signature.-/.A )AeLAom�
In accorelanee with Chapter 148 of the Massachusetts General Laws and 527 Code of Massachusetts Fire Prevention Regulationsyou are herel�v
ordereel to correct or abate conditions enumerated above. Failure to correct wy v* latio s ingv result in civil and or eri�r�irw1 enaltres. otif
the North Andoster Fire Prevention Office when lister/violations have been corrected.North Andover Eire Department 7 - 8- . .