Electric Fire Pump Monthly Report California Code of Regulations Title 19 Inspection, Testing, and Maintenance Property Information 1 of 3 Contractor or Licensed Owner Information Building Name Name Address Address City Contact Person City 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Property Information' section. Enter the building name, address, city, and contact person details accurately.
3. Proceed to the 'Contractor or Licensed Owner Information' section. Input the contractor's name and license number along with their contact information.
4. In the 'Pump and Driver Information' section, provide details such as pump manufacturer, model, serial number, and rated capacity. Ensure all psi values are filled correctly.
5. Complete the inspection items listed under 'Fire Pump Start/Stop Pressures' and 'Pump House'. Mark each item as Pass (P), Fail (F), or Not Applicable (N/A) based on your findings.
6. Finally, review all entries for accuracy before signing off at the bottom of the form. Ensure that any deficiencies are noted in the comments section.

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