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AIL FIRE DEPARTMENT
REPORT
INSTNUGTIONS
1. ALL VIOLATIONS MUST BE SPECIFIED AS TO LOCATION AND BUILDING.
2. AABREVIATIONS FOR TYPES OF EXTINGUISHERS USE: A, B, C, O, OR COMBINATION
3. N/A STANDS FOF NOT APPLICABLE
4. ANY NO ANSWER SHALL BE SPECIFIEO.
NAME OF BUSINESS
OCCUPANCY
AODRESS
NAME OF INSURANC€ COMPANY
CONSTRUC.
NAME OF OWNER/MANAGER
FRAME tr CONCFETE B
1. ROOF OPENINGS
2 EXITS PROVIDED ANO IN ORDER
3, STAINWAYS PROVIDED AND IN ORDER
4 EXTINGUISHERS IN ORDER
5. LOCAL ALAFM
6 KITCHEN HOOO AND DUCTS
7. FIRE EXCAPES PROVIDEO ANO IN OROER
9. SPRINKLER SYSTEM
IO. SMOKE OR HEAT DETECTORS
1'I. FIRE DEPARTMENT CONNECTIONS
12. ALERT DEVICE $./ORKING
13. OTHER
14. OTHER
1. PROPER WIRING
2. PROPER EXTENSION CORDS
3. PROPER LOADS
1. GOOD HOUSEKEEPING
2. ADEOUATE RUBAISH CONTAINERS
3. PROPER STORAGE OF ASHES
4. PROPER STORAGE OF OILY RAGS
5. PROPER STORAGE OF PAINTS
6. PROPER STORAGE OF PACKING MATERIAL
7. PROPEF STORAGE OF RUBBISH
8. PROP€R STORAGE OF ACIOS
9, PROPER STORAGE OF HMARDOUS LIQUIDS OR GASES
HEATING
1. PROPER PIPING
PROPER VENTING
PROPER CLEARANCE
2. HOT WATEF TANK
ACCESSIALE
PROPER VENTING
3. COf,AUSTtOt{ ArR SOURCE
UTILITY SHUTOFFS
l ELECTRICAL
2. GAS
3 WATER
REMARKS
NUMBER
REMARKS
REIIIARKS
NUMAER OF EACH
LOCATION
LOCATION
LOCATION
I. THE UNDERSIGNED. AM IN RECEIPT OF A COPY OF THIS INSPECTION NOTICE AND AM AWARE OF THE
PENALTIES FOR NON-COMPLIANCE OF ANY ORDERS LISTED HEREON.
X
X
HAZARD NOTICE
ISSUED BY
-
NO
-
DATE
BE REFERFED TO THE
PINK- FIRE PREV.
DATE
:i?1"':::* *"')
ALL STRUCTUFAL
vFD-77
INSPECTION tr
RE-INSPECTION D OATE
WIBING SANITATION AND HEALTH CONDITIONS SHOULD ALWAYS
WHITE-BUILDING TENANT CANARY- FIRE DEPT.
FIRE PFEVENTION EUREAU
BUREAU
Vail Fire Department
lun
P. O. Box 100
vArL, coLoRADO 81657
476-2200
476-5613
Ext223
Date served:
CORRECTION NOTICE
Date ot original inspeclion:
Building address:
Time served:
Building name:
Building owner:
THIS SUPPLEMENTAL REPORT COVERS THE FOLLOWING:
tr uNlFoBM F|RE CODE (U.F.C.) VIOLATIONS tr
tr NATTONAL ELECTRTC CODE (N.E.C.) VIOLATIONS tr
O OTHER
SAFETY VIOLATIONS
UNSAFE PRACTICES
DESCRIPTION OF VIOLATION:
ACTION REQUIRED TO CORRECT VIOLATIONS:
CITED CORRECTIONS SHALL
FAILURE TO COMPLY WILL
BE COMPLETED BY:A.M. / P.M. Date:
RESULT IN FURTHER ACTION UNDER THE PROVISONS OF THE U.F.C. 1973 EDITION
COPY TO:tr
o
tr
tr
VAIL BLDG, DEPT.
WATER & SAN. DEPT.
VAIL POLICE DEPT.
PUBLIC SERVICE
tr PUBLIC WORKS tr HEALTH INSP.
BUILDING OWNER/MANAGER:
FIRE DEPARTMENT OFFICER:
(Stgnatute)
lSignaturc)(Til]e )
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