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A. NAME OR ORGANIZATION FIRE MARSHALL Print or Type 6. b. SIGNATURE DA FORM 5381-R DEC 96 EDITION OF SEP 92 IS OBSOLETE USAPPC V1. U.S. DOD Form dod-da-5381-r BUILDING - FIRE RISK MANAGEMENT SURVEY USE REVERSE SIDE FOR REMARKS For use of this form see AR 420-90 the proponent agency is ACSIM BUILDING NUMBER OR AREA ORGANIZATION DATE SECTION A - INSPECTION CHECK LIST Common and or Special Fire Hazards A.

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