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Get Emergency Lighting Inspection Form

G Inspection Report Business Name: Address: City Telephone: Fax nspected By Title Inspection Date Time Start Location Make/ Model Exit Sign Emergency Light Combo Unit Zip Code Time Stop Pass / Fail 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Fire Prevention through Education and Enforcement Comments City of Middletown Bureau of Fire Prevention 16 James Street Middletown, New York 10940 Office: (845)346-4111 Fax: (845)343-4014 E-Mail: amccarey middletown-ny.com.

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