| COLOR | RED FIRST SIDE INSCRIPTION |
| COLOR | RED SECOND SIDE INSCRIPTION |
| COLOR | WHITE FIRST SIDE INSCRIPTION BACKGROUND |
| COLOR | WHITE SECOND SIDE INSCRIPTION BACKGROUND |
| FEATURES PROVIDED | EYELET |
| INSCRIPTION | MONTHLY INSPECTION RECORD FIRST SIDE |
| INSCRIPTION | SERIAL NUMBER OF EXTINGUISHER SECOND SIDE |
| LENGTH | 5.50 INCHES NOMINAL |
| MARKING DESIGNATION | LEGEND BOTH SIDES |
| MATERIAL | PAPER |
| SPECIAL FEATURES | HEAVY CARDSTOCK; REINFORCED EYELET; NOTCHED CORNERS ON TOP |
| WIDTH | 3.0 INCHES NOMINAL |