LAFD Fire Protection Equipment Performance Report F-340R Instructions 02-04-2014
Coversheet (continued) NOTIFICATION TO RESPONSIBLE FIRE STATION OR INSPECTION UNIT: Select the Fire Station OR Fire Prevention Unit responsible for fire prevention enforcement at the test site. Print a persons name or Fire Station, or Fire Prevention Bureau (FPB) Unit email address where notification was made and the date of notification. Note: Accurate inspection responsibility must be verified to be correct to enter an e-mail address or when leaving a “voice message” instead of a name. Note: Notification is required a minimum of two full working days prior to the day of the test. (The day of notification and the day of the is not counted as a full day) REPORT SUBMITTAL INFORMATION: Send all reports directly to the Fire Station or Fire Prevention Unit. Select the type of delivery used to submit the report. Option 1: U.S. Mail: Reports submitted by U.S. Mail, enter the building address of the Fire Station or Fire Prevention Unit and the date the report was sent. Option 2: E-mail: Reports submitted by e-mail enter the e-mail address of the Fire Station or Fire Prevention Unit and the date the report was sent. Note: Building addresses for the fire stations or fire prevention units may be obtained online from the LAFD Fire Prevention website http://www.lafd.org. For Email addresses of Fire Prevention Units select the Chief’s Regulation No. 4 Tab on the left of the page. (At this time some Fire station have email addresses you may inquires at each station when verifying correct Fire Station fire inspection responsibilities) I HAVE REVIEWED AND DISCUSSED THIS REPORT WITH: The Fire Department Member who has the inspection responsibility for the Test Site shall discuss the results of the test with the owner/owner‘s representative and shall enter the name of the person and the date of the conversation. LAFD MEMBER’S NAME: The Fire Department Member who discussed the results of the test with the owner/owner’s representative shall print his/her name and the date the discussion occurred. LAFD MEMBER’S SIGNATURE: The Fire Department Member who discussed the results of the test with the owner/owner’s representative shall sign his/her name. LAFD MEMBER’S WORK ASSIGNMENT AND TELEPHONE NUMBER: The Fire Department Member who discussed the results of the test with the owner/owner’s representative shall print his/her work assignment and telephone number where he/she is assigned. FIRE/LIFE SAFETY NOTICE TO CORRECT DEFECTS ISSUED: Indicate if a Notice of Violation (N.O.V.) was written to correct all defects of original test by selecting “Yes” or “No”. NOTICE NUMBER: Input the number shown on the upper right hand corner of the “Notice of Violation.” DATE OF NOTICE: If a Fire/Life Safety Notice was written, input the date the notice was written.
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