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Fire Department Inspection Report form

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Blank FDNY Bureau of Fire Prevention inspection report form for restaurant premises.

NYC-WTC_000166036–000166039
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NYC 9/11 Public Portal Document

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RANGEHOOD UNIT INSPECTION REPORT

Inspection Date: Account No. SIG S7 folder No. Restaurant Name: Premise Address: Boro: Zip: sssassssssasss: aaaaeaaaaaaaaaaaaaaaaaaaaaaaaaaaaa :aaaaaaaaBaaaaa8aaaaB

Name of System: Model No. /

No. of Cylinders: iGals^/Lbs. System Approved? □ Y®® 4 No P.D. Tag No. Type of Inspection: □ 106 Initial Reinspection With Plans: I.O.C.: Referral: V.O. No.: Installation Conforms to Tag/Plans? Q Yes ^•’No^:^ V.O.(s) Issued: RE Code:

aasssa 'ssssaas: aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa

Approved Filters? Q] Yes □ No Quarterly Cleaning?,,^ Yes Q No Semi Annual Service By Authorized Contractor? ^^Yes □ No Sketch / Cleaning & Operating Insructions? r?hYes □ No N.O.V.(s) Issued: No.(s) ________________________________________ 2__________________ ssaasasasaaaaaaaasasaaa'aaaaaaaaaassaasasaassaaaaaaaaaaaassaaaawaaasaBaai^aaa

Comments:

/

/^rint lnsi$e^or^ N^^v

/ Sign Inspecor ‘ s/Name ’ Cy / RHINSP (11/90)

NYC-WTC_000166039

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NYC-WTC_000166039Source: NYC Law Department, mirrored locally

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