Laserfiche WebLink
Nov 30 04 12i381* Public Relations 813- /ea -si09 p.6 <br /> SITE INFORMATION FOR FIREWORKS DISPLAY <br /> Organization sponsoring event: Florida Hospital Zephyrhills, 7050 Gall Blvd. , <br /> Zephyrhills, FL 33541 - Pjte.1A3 Wei —e...11 <br /> Date Etnd time of production: 12/5/10- approx. 6 : 30PM <br /> Location of production: Florida Hospital Zephyrhills <br /> Name of mainoperator: Chris Reitano <br /> Number and ages of all assistants: <br /> Confirmation of License held by operator: See attached <br /> Evidence ofpermitee's insurance carrier: See attached <br /> Number and types of pyrotechnic devices and materials to be <br /> used: See attadled <br /> MSDS for pyrotechnics used: See attached <br /> Extinguishers on site (pressurized water — at least 2): , 2 <br /> Diagram of where production to be conducted (to include point or firing, fall out radius, <br /> and audience location): See attached <br /> Firing safeguards in place: <br /> • circuit testers no more than 25 mA <br /> A power for firing sources be restricted to batteries or isolated power supplies <br /> • firing systems ensures against accidental firing (2 -step interlock) <br /> • not to be left unattended <br /> • smoking prohibited within 25' of the firing/handling area <br /> • appropriate distance from audience (not less than twice the fallout radius) <br /> • all access points are blocked off into firing/handling area <br />