Title Page
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Site conducted
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Homeowner Address
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Homeowner Name
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Homeowner Email
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Date of Report
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PCFPD Pre-Fire Program Participant Agreement and Waiver Signed?
PRE-FIRE PLAN CRITERIA
Road Hazards & Fire Apparatus Access
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1. Access roads to all structures on property allow for effective emergency vehicle access
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2. Emergency vehicle access impeded/reduced/not accessible
Locked Gates
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1. There is a locked gate that includes access code box, or keys on file and kept current with fire department
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2. There is a locked gate lacking an access code box, or box is missing correct keys
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3. No locked gate present on property
Bridge Weight Rating
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1. Any bridges required to be crossed by emergency vehicles responding to this property are labeled with weight rating placard
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2. Bridges present lack weight rating placards
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3. Bridge weight rating is low, and will limit some emergency vehicle passage (Note what size vehicles can cross bridge)
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3. No bridges are required to be crossed to access this property
Propane Location
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1. Note location of above-ground, permanent fuel tanks (add photo if applicable)
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2. Note location of buried, below-ground fuel tank access (add photo if applicable)
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3. No permanent fuel tanks present on this property
Electrical Power Disconnect
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1. Note location of electrical power disconnect (Add photo if applicable)
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2. Note location of main shutoff for solar panel system (Add photo if applicable)
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3. No obvious electrical power disconnect outside home
Septic Tank / Field Location
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1. Note location of septic tank or field (Add photo if applicable)
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2. No obvious septic tank/field on this property, or unable to locate
Water Supply for Fire Suppression
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1. Note location and type of water supply for fire suppression (Add photo if applicable)
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2. No obvious water supply for fire suppression
Additional Comments and Information on This Property
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Waiver: The attached PCFPD Pre-Fire Program Participant Agreement & Waiver MUST be Signed
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