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1998, 06-23 Fire InspectionWASHII GTOH STATE PATROL FIRE PROTECTION BUREAU STATEMENT OF D,EFFIICIIENCY & CORRECTIVE ACTION ACTION FIRE AND LI - SAFETY INSPECTION: STATEMENT FACILINAME TY (J l YP S C, D 6 ADDRESS �/ Git/ . �I i C� ? ` `� C ^pokoff-ti ZIP CQlpE7-(2INSPE OR s AGENCY WSP -STATE FIRE MARSHAL DAT- ./ PROVIDIERif ITEM N0. STATEMENT OF DEFICIENCY CODE OR WAC REFERENCE CORRECTIVE ACTION REQUIRED CORRECTION REQUIRED 6Y MATE) 0 0 ' /EX/ f; 0 rh, Lelia. 0/0,1,ist,),1-,,,__.. ?you c- - - J v ► a (- ' cJe- cs- o'r • a A !mow ke, t,-t-I. T lit 6 t-9 D a ° (-6v 7 idd / l La ca 1 -(- , CLG,,yy _ S 5. ii e ^ 1 4 r. p to I) el,ct, Vi .0" . c , 1 b 4A , )003 . )DI1 C'f:. ()oat v N.W. Coley-v. ? Y O01,0 Cam( S . . 11Ptic X,1tL gydu 'i.e. /-e „a o-F bl�)I (.., At. -1 1A..'4., (2-A--.. „).--,, (,t P-JG 5111 J k., ()Le 4 6 6 . 3o$: `1 THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN EXPLAINED TOA ME, AND 1 AGREE TO MAKE CORRECTIONS NOT LATER THAN THE DATES INDICATED. SIGNATURE OF FACILITY MANAGER REINSPECTION DATE RIGHT OF APPEAL PAGE / OF / PAGES A facility aggrieved by the corrective orders of the State Fire Marshal or authorized representative may appeal to the State Fire Marshal within five days of the order. If the State Fire Marshal confirms the order, it shall remain in force. 300o-460-470 12196 DISTRIBUTION: • White - State Fire Marshal • Yellow - License Agency • Pink - Facility • Gold - Inspector