Laserfiche WebLink
XFS <br />Form Information <br />plontoFolin Name: <br />.Site check <br />Formspa.e wtame: <br />Field Operations <br />Submitter Name; <br />8dctnity Supervisar F+gC <br />submission Date: <br />jut 23, 2DIZ 6.MS3 PM POT, <br />Reference Nurnber: <br />�41�07�9-1tl.".55°7@«ei <br />1,0e3tivn: <br />61116 Main St, <br />AA 23, 2pt: 6tZ6,AR PM PDT [ Vi2w BAp I <br />Ate(—'ar <br />kegiare Maarcal <br />FOC Name <br />Silo Name GaIre Sttlp <br />Weather Good t Clear <br />Guard! on PnSt <br />Pw,tvj-O from a distance _ <br />Guard Name <br />Guard Card No. <br />I Card 4Jn. <br />979BiH3 <br />Facial Hair <br />Good <br />Body Odat <br />No Odor <br />Alertneaa <br />Fully Ault <br />Attitude <br />Excolient <br />Hat <br />No head wear <br />Shirt <br />alk 5DU <br />Shirt Pit <br />Gaud FA <br />Panto <br />Elk BDU <br />Panto Fit <br />Gaad Fit <br />Star Badge <br />RrmO on At <br />Duty Belt <br />Yts <br />socks <br />Not vistbte <br />Shoes <br />Blk E6aiitary,mutt <br />umft -rm Cntrdiban <br />Clean <br />Guard Pic <br />dA.. "s-'e._'�i <br />Post <br />Standing Rost <br />Irdools <br />Time Sheet Avai€aWe <br />no <br />OAR*s Avwlabla <br />No <br />Detex lnatailed <br />its <br />Qetex Downloaded <br />No <br />Restroom Accescibit <br />W. <br />Other InfG mabon <br />Infcermed Me Suarcl of hm g02141va <br />rebie,Na from She 0ant, AaRrd hil. tp <br />mitt"". Providing the 9in1C. ii v&t of <br />CxGefi@ilt ffiervi�e. <br />ttate:Needa vt v Madge holder, 6unei)l <br />badge fielder tics a r1p In his plea€ic <br />Cttstbfiviar __...._._.......,...._,_-_.--.__-� <br />_'_.___..._......_.,_.._...__...... -,..... ......... <br />rresert. <br />__...._.__.._.........._._._.._,.,.......,._-.__�_......_......__. <br />Onwte <br />NO <br />Able to meet <br />No <br />SAMPLE FIE1.0 INSPECTION REPORT <br />T:888-315-3319 www,insuren€•otective.cam <br />F; 885-776-4463 info@ insureprote dive. com <br />