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Nov 30 04 12�36p Pu�lio Relaticns 81�-7�9�6108 p.6 <br /> SITE L�tFORMATION FOR FIREWORKS DISPLAY <br /> Organfzation sponsori.ng event Florida Hosnital Ze�hyrhills, 7050 Gall Blvd. , <br /> Zephyrhills, FL 33541 — Brenda Welcher — 813.783.6192 <br /> I3at� rind time ofpxoduction 12�4 / 1 1 (d annrox _ 7: OOPM <br /> Locationofproduction Florida Hosnital Zenhyrhills 5e�ur-h A4r�K� —SAme. /�-S /-�St <br /> y � a-vz.. <br /> Nam�o£malnoperator: Charles Flana�an - 813.312.3391 CELL <br /> N'umt►er and ages ofall asslstants: <br /> Cont'irmation ofLic�nse held by opar�ior. see attached <br /> Evide�ce ofp�rnutze's insurance �earier See attached <br /> Numhez and typ�s of pyrotechnic devices and materials to be <br /> ��" See atta�ed <br /> �4iSUSfOrps+rotec�sttsed: See attached <br /> Extingttishers qn site (pressurizoed wat�r — at Ieast �): 2 <br /> D�agsatu of wl�re pxodttetion to be condueted (ta include point a� fui�ag fall out radius, <br /> � aUdit�riCe �.oCF1tTOn�: S P a ached <br /> Firin�; sa�'egu�rds in pl�ca: <br /> • circuzt tcstcrs no morc than 25 mA <br /> s pow�r £or firing sources be restricted tA batteriea or isolated power sugplies <br /> • firi�g systems et�sures against accident�l P�ring (2-steg int�rlock) <br /> • not to be left unattended <br /> • smoking probibued within 25' of the firing/handlitlg area <br /> � appropriate distance from audicncc (not less tban twice the faIlout radius} <br /> • aIl access poi�ts ar� blocked off into f�ringJF.andlin.p area <br />