HomeMy WebLinkAboutQuarterly Inspection - Inspection - 12/10/2019 . TO WN OF NOR TH A ND 0 VER M.A SSA CH USE TTS
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795 C Ickering.load, . orth Andover, ABM 01845
Telephone 9 -6 -9. 90 Fax 9 - 88-9. 9
Fire mean
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Business/Occupancy Name Add ress
Datep Inspection Type: Quarterly Fr Annual El Follow-Up 11 Other El
� Box/Keys 116
ID
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to Supra a heed e(� Business Phone#
&< /Chemicals Properly tor•ed P30"G eneral House Keeping
• e l ' I-Yns C ed
VEEmergencj; Ex-its m u cralor•Panel
Clearl Operable
Ansul System Iiispected rseslas Clear
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Dug o;a e Rooms Clears
R<..-dinguishers Elmergen Lights Operable
InspectedlProper Located EvilSign
491:"' lIP0 Visi le lhrrrrinate
[�KEetr•ial Room Clears
S mile 4 m1em ors ected El Fire Suppression System
has, o f ccessie 'rpeee
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�. Healing System Accessible :.
Census;.beds; Occupants: L/
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Use comment section to identify violations or list other pertinent information.
Comments:
PTNIContact Name Telephone
PTNIContact Name A Telephone#
Owner Representative Signature.* Date;
Fire litspeclor*Sign ature:ttr, 'rr• C1tief ignature:
.fit accordance with Chapter 148 of the iWassachusefis General Laws and 527 Code of Alassacloresells Fire Prevention Regidationsyou tyre here v
on-lered to correct or(thate conditions enumerated above.Frrr'lrrre to correct rr y violations r ((v result in civil and l or errmirralpenallies. Notif
the North Andover Fire Prevention office whet listed Wohmons have been corrected. North Andover Pb-e Department978-688-9590.