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Form #22 : EMERGENCY INFORMATION

 

Required entries are indicated by blue icons or *

 

EMERGENCY NUMBERS

Fire/Police/Emergency: Dial 911

 
Owner/Agent Emergency Number:
 
Police:  
Sheriff: 
State Police: 
Building Security: 
Water Department: 
Sewer: 
Electric Company: 
Gas Company: 
 

EMERGENCY SHUT-OFFS

 
 
 
 
(Shut off on TOP of each tank)
 
 
(Most plumbing fixtures have both Cold and Hot Water Shut Offs at the BASE of the fixture)
 
 
 
 
 
 
 
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