Superior TWP Fire Department Inspection Form

Business Name: Passmore’s True Value Business Phone:906.248.3413 Business Address: 6891 S. M-221 City, State, Zip: Brimley,Mi 49715 Fax: Email Address: Property Owner: Harold Passmore

Please enter any additional contact information in the space provided below:

Emergency Contact after hours: Carol Lothrop 248.3038, Tom Passmore 248.3744

Exterior Inspection

The address is placed in a position on the building that is plainly visible from the street. Yes No (If No, Explain) Yes The gas meter and piping is protected from possible damage. Yes No (If No, Explain) Yes

Fire Protection Equipment One fire extinguisher present every 75 feet of travel. Yes No (If No, Explain) Yes How far is closest Fire Hydrant? In feet approx. On North & South side of property The Fire Extinguishing Hood system is inspected and tagged every 6 months by a fire protection service. Yes No (If No, Explain) N/A Does your business have a working smoke detector? Yes No (If No, Explain) YES Interior Inspection

Any specific areas that cannot have H20 to extinguish fires, where c0 will work better?. Yes No (If No, Explain) _None Combustible materials have a 30” clearance from any heat producing appliance. Yes No (If No, Explain) YES Compressed gas cylinders are adequately secured from falling and labeled with the contents. Yes No (If No, Explain) NA Any Fire suppression systems in place?. Yes No (If No, Explain) NO Exits

Exits are free from any obstructions, and are not locked during normal business hours. Yes No (If No, Explain) YES Upstairs Fire escapes?. Yes No (If No, Explain) NA Exit signs and emergency lighting are in place and functional. Yes No (If No, Explain)YES Electrical Equipment and Wiring

Is your business free from extension cords? (extension cords cannot be used as permanent wiring) Yes No (If No, Explain) YES All electrical switches and receptacles have cover plates. Yes No (If No, Explain) YES The electrical panel is not obstructed and has a minimum of 30” clearance. Yes No (If No, Explain) YES Name of person submitting this form: Ron Mills #109 Floor Plan Available? NO