Title Page
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Date
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Prepared by
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Location
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Check charge, ensure pin is in place, clean the extinguisher, ensure that the fire extinguisher is not t blocked or not functionable. All extinguishers have been numbered on the sign off card.
LOCATION
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Office - By West Service Door to Production
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Office - North Side of Main Office
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QA Lab South Wall
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East Wall in R&D/QA Lab
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North Wall in R&D/QA office area
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West Wall by Entrance door to Lunchroom
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North Wall in Men's Locker Room
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On Post across from the Lunchroom
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Retain Room West Wall
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On Post Between Material Racks by East Wall
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South entrance door to Production
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T1 First Floor by the Vacuum Pump
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Tower 1 West of Main Entrance on First Floor
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T1 West Wall in Silo Room
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Boiler Parts/Tool Room South Wall Flame Cabinets
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West Emergency Service Door in Boiler Room
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East Wall by Service door in Wastewater Building
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CAT Forklift #2035
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CAT Forklift #0730
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Shipping Service Door - By docks
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Service Door by Air Compressor
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T2/3 Hallway
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North of New R&D Lab by Emergency Exit
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By the front door of New R & D lab
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T2 Level 2 North Wall
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T3 Level 2 South Wall
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T2 Level 3 North Wall
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T3 Level 3 South Wall
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T2 Level 4 North Wall
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T3 Level 4 South Wall
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Northeast Chemical Storage by Emergency Exit
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Server Room
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Laundry Room
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Tower 1 Level 4
COMPLETION
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Additional Comments
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I have completed the check on each of the listed fire extinguishers.
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Signature of employee conducting checks
