HomeMy WebLinkAboutQuarterly Inspection - Inspection - 140 PRESCOTT STREET 12/4/2019 •..: t,r s:.:# TO TAN OF.FOR TH NVER, IMSSA CHUSE TTS
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• Fire Donartment
795 C sic er ing Road, Norlh,4ndover, AIM 0184,E
Telephone 9 5-6 -9. 90 (IX.9 5-6 -9 `94
Fire Inspection
usi�es�i ce� a�e a � Address
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Date AO'NLI Inspection Type: uarterl Annual ❑ Follow-u El Other❑
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fax# Tested 6N Supra Box/Keys Checked lusiiYess Phone# b ��I -7500��[21FACP FIChemicals ProperlyStoredneral Horse Keeping
A •kedlClear•lI rspe ted
1 "41/v 0--NY"LA 161 1 ERIE14mergency KvitsXAnnunciator Panel
'lear•l Operable
rrsrri System Inspected E41.4isleslHalhv Clem,
lj�fi�nergency Generator
DIStorage Rooms Clear
MIF�xflnguishers E91EmeigencyLights er- ble
n pecfedlPro erA y Located D'i'vit Signs
�'Ykvlzdv CONYUL6 Visiblelflhuninated
�ectri al Room Clear
Spi-inkler S ster IisPe t d
[I�lFire Suppression
ression System
1EJIGas Skita� ccessible Inspected Kitchen chen Exhaust System 21fflater•Shiit off ecessible L6Vt F1 D141'1�
Clean dlTa ed
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a, [�rlfeadng.System Accessible
Census:Beds.- Occupants:
.eta lnt : IS,Shift: 211d Shi : 3rd Shift:,
Usecomment section 4f identify violations or Ust other pe itiltent hifo #mationi
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PTNICorrfacf Name �
Telephone##
PT /Contact Name Telephone#
Owner I Representative Signature.- Date:
Signature: F ti F �a
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Eire Irrspeclor Fire C1rre�j`�Srgrratrrre.
In accordance with Chapter{148 of the Ala achusetfs General Laws and 527 Coyle of Massachusetts Fire Pr-eiperrlrojr Regulations you are her'ekv
ordered to correct or abate conditions enuinerated above.F'aflrtre to correct wkjk violations rftaj?result in civil andlor crirr inalpenalties.l oti�f�,
lire North Andover Fire Prevention O.f ce when listed Walatians have been corrected. North Andover Fire Department 78- 8- .Srd, ;