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The document is a request form for inspections from UC Irvine's Environmental Health and Safety department. It requests key details like the date, time, type of inspection, specification section, and location. The requester must sign that they have reviewed the work for compliance with construction documents before the inspection occurs. The inspector and their comments are included in a section for UC Irvine's use.

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0% found this document useful (0 votes)
105 views1 page

d7854 PDF

The document is a request form for inspections from UC Irvine's Environmental Health and Safety department. It requests key details like the date, time, type of inspection, specification section, and location. The requester must sign that they have reviewed the work for compliance with construction documents before the inspection occurs. The inspector and their comments are included in a section for UC Irvine's use.

Uploaded by

learnafren
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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UC Irvine – Environmental Health and Safety

Fire and Life Safety Field Meetings, Inspections, and Facilities Closeout Program

Appendix A – Request for Inspection Form


INSPECTION REQUEST
DATE: REQUEST NO.:
PROJECT: JOB NO.:
PROJECT CONTRACTOR
NO: :

ATTENTION

DATE REQUESTED FOR


INSPECTION:
TIME REQUESTED FOR † AM/ † PM
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: DATE:

UCI USE ONLY


DATE OF INSPECTION: TIME:

INSPECTOR:

COMMENTS:

INSPECTION REPORT YES NO


ATTACHED

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