RES 89269 - Laserfiche WebLink

IMPORTANTIN PLEASE READ BEFORE CONDUCTING INSPECTION WORESltE,~ 1. Owner, manager or person in highest authority on the premises should conduct the inspection and sign the form. 2. Print (or correct) your name and address in the blanks provided at the top of page 1. 3. Read all the instructions on the top of the worksheet. 4. With work sheet in hand, walk through your business and answer each question. Fill in all applicable blanks. 5. After you have answered all questions AND MADE ALL NECESSARY CORRECTIONS, read the statement in bold type at the end of the worksheet on page three (3). Sign and print your name and enter the date on the appropriate lines. 6. MAKE ALL NECESSARY CORRECTIONS PRIOR TO RETURNING THE FORM. Forms must be returned no later than thirty (30) days from the issue - date (see top of page one). 7. If you require any assistance or have any questions, call (415) 484-8114 prior to the 30-day deadline. BUSINESS AND EMERGENCY RECORD 1. This information is valuable to the fire department in the event of an after- business hours emergency should entrance to your business be required or we need to contact you for such an emergency. FIRE EXTINGUISHERS 1. A minimum of one 2A-IOBC portable fire extinguisher is required in every occupancy. Check the label on your extinguisher to determine correct size (a 1A-IOBC extinguisher is not acceptable to fill the requirement). 2. Fire extinguishers are required to be inspected or serviced annually by a company licensed by the State Fire Marshal. If yours has not been serviced within the last year, call a licensed company (in the yellow pages under "FIRE'~) and have it serviced PRIOR to completing question # 17. The date and name of the company performing the service must be filled in an question #17. P~ge 2