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UC Irvine Environmental Health and Safety Fire and Life Safety Field Meetings, Inspections, and Facilities Closeout

t Program

Appendix A Request for Inspection Form INSPECTION REQUEST DATE: PROJECT: PROJECT NO: ATTENTION DATE REQUESTED FOR INSPECTION: TIME REQUESTED FOR INSPECTION: TYPE OF INSPECTION REQUESTED: SPECIFICATION SECTION: LOCATION OF INSPECTION: All work requested for inspection has been reviewed for compliance with the construction Documents by prior to this request for inspection. SIGNATURE: UCI USE ONLY DATE OF INSPECTION: INSPECTOR: COMMENTS: TIME: DATE: AM/ PM REQUEST NO.: JOB NO.: CONTRACTOR :

INSPECTION REPORT ATTACHED

YES

NO

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