Information
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Document No.
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Conducted on
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Prepared by
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Business Name
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Location (click locate to obtain GPS coordinates)
Occupancy Information
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Physical address
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Nearest cross street
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Mailing address same as physical address?
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Mailing address
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Phone number
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Phone number
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Fax number
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Fax number
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Occupancy Type:
- Assembly
- Merchantile
- Special Structure
- Corrections
- Industrial
- Residential - Multi-family
- Educational
- Storage
- Mixed Occupancy
- Health Care
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Normal Hours of Occupancy
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Primary Contact Name, After-hours Phone and Email
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Secondary Contact Name, After-hours Phone and Email
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Third Contact Name, After-hours Phone and Email
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Primary Water Source
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Primary Source, Distance and GPM
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Secondary Source, Distance and GPM
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Approximate Sq Footage
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Height in Stories
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Occupancy Class Code
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Construction Class Code
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Roof Type
Building Features
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Natural Gas
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Shut Off Location
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Electricity<br>
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Inservice Location
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Water
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Shut Off Location
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Local Alarm System
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Control Panel Location
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Monitored Alarm Service
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Monitoring Company Name
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Monitoring Company Phone Number
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Basement
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Elevator
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Elevator Control Room
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Fire Sprinkler System
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System Type (Dry - Wet - Combo)
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Riser Room Location
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FDC Location
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Standpipe System
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Hose Station Locations
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Standpipe FDC
Exposure and Hazard Information
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Exposure Information
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Target Hazards
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Construction Hazards
Additional Information
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Additional Comments
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Business representative
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Spanish Fort Fire Rescue Department Representative
