School Inspection Form - Utah Page 3

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SCHOOL INSPECTION FORM
Utah State Fire Marshal
Facility__________________________________
5272 So. College Drive, Suite 302
Address__________________________________
Murray, Utah 84123-2611
City_____________________________________
Phone: 801-284-6350
School District_____________________________
DATE OF INSPECTION OR RE-INSPECTION
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NEEDED CORRECTIONS:
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Inspector
Principal or Responsible Party
Signing this form acknowledges receiving a copy of this report.
Rev. 8-3-2005 page 3 of 3

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