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Inspection, Testing, and Maintenance Cover Sheet

inspection , testing , and Maintenance Cover SheetNFPA25 as amended by CCR, Title 19 Property Information: Name: Occupancy/Use: Address: Construction Type: City: No. Stories: ZIP: Year Constructed: Contact: Telephone: Contractor Information: Number of System Risers Name: Copy sent to: Address:OwnerDate: City: fire AHJ Date: State: Contractor Date: Telephone: NOTES: 1) For specific inspection , testing , and maintenancerequirements and information, see NFPA 25, 2011 edition as amended by california Code of Regulations, Title 19, 901 to ) inspection items may be performed by the owner inaccordance with california Code of Regulations, Title 19, (a) CA License#: Job #: Performed by.

City: Fire AHJ Date: State: Contractor Date: Telephone: NOTES: 1) For specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2011 edition as amended by California Code of Regulations, Title 19, §901 to …

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