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STOCK. —.4 FIRE DEPARTMENT * FIRE PREVEN) %jN DIVISION <br />345 NORTH EL DORADO STREET * STOCKTON, CA 95202 - (209) 937-8271 <br />ANNUAL FIRE INSPECTION <br />BUSINESSNAME— <br />ADDRESS' <br />Ste# <br />STOCKTONBUS LIC: E]Yes []No Lic#. FIRE PERMIT CERTIFICATE: <br />E]Yes ONo ON/A <br />BUSINESS OWNER/ REP <br />PHONE; 7 <br />CELL PHONE: <br />DATE OF INSPECTION: .--- <br />2 "d Inspection Code Compliance____ <br />HAS INFORMATION CHANGED? OYes ONO <br />OCCUPANCY INFORMATION (Check Business Type) <br />0 A - Place of Assembly <br />0 B- Business/City Buildings <br />0 F -Fabrication <br />0 H - Hazardous Materials <br />I <br />Occupancy Load _ - <br />Storage area sq. ft,__ <br />C: Ext / Fire Protection System <br />0 M - Merchandise/Retail Sales <br />F_] R-1 HOTEL 0 R-2 RESIDENCE <br />0 High Piled Storage <br />0 S-1 -Repair Garage <br />D: Exiting <br />Number of Units -- <br />Storage Are <br />I <br />Number of Units Checked <br />E: General Houseke4ping <br />OTHER: <br />I <br />LIST OPERATIONAL FIRE PERMIT S <br />0 No Hazards Noted <br />0 Violation(s) Corrected <br />[I Violation(s) Corrected <br />Permit Type Required <br />Reinspection date: <br />Reinspection date: <br />Notify FPD date: <br />Permit T e Re uIred <br />Permit Type Required <br />NOTICE OF VIOLATION: <br />Number corresponds with vio ation(s) on back of this form: <br />2 3 4 <br />5 6 7 8 9 1 10 <br />1 11 <br />12 <br />13 <br />14 15 16 1 17 1 18 <br />A: Electrical <br />B: Special Hazards <br />C: Ext / Fire Protection System <br />D: Exiting <br />E: General Houseke4ping <br />I <br />CFC Sec. 105 Permit(s) Needed_ <br />Initial Inspection ...................... <br />Second Inspection .................. <br />Third Inspection ..................... <br />0 No Hazards Noted <br />0 Violation(s) Corrected <br />[I Violation(s) Corrected <br />[3 Violation(s) Noted <br />0 Violation(s) not Corrected: <br />El Violation(s) not Corrected: <br />Reinspection date: <br />Reinspection date: <br />Notify FPD date: <br />Inspector _ _ _ <br />Responsible Signature: <br />ID #— Unit Shift: <br />White Original- Fire Prevention Is Yellow Copy —„Po File <br />FD -18 Revised 06107110 <br />Contact Phone # <br />FPD Office Use <br />Database <br />Scan <br />SunPo <br />T I <br />