Fire Safety Field Inspection Checklist - Los Angeles County Fire Page 4

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Failure to comply with the requirements identified within this document may result in the
revocation of permit and/or cancellation of film production.
Should Los Angeles County Fire Department Inspectors need further information regarding the
completion of this form, please contact:
County of Los Angeles Fire Department Public Safety and Film Unit (PSFU) at
(818) 364-8240.
Name
Title
Phone Number
Name
Title
Phone Number
Los Angeles County Fire Department PSFU Inspector
Signature
Date
Page 4 of 4
11/8/2010

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