HomeMy WebLinkAbout031-040-023 CF Archiveb 0�\ C, Ltj 16,�Y KC-Ar'5\,�,tA 03
2008 Butte County
Fire
Alarm/Sprinkler
Testing
Old Juvenile Hall Report
Tested:
Fire sprinkler system in Gym
Fire alarm system including
• 6 Pull Stations
• 6 Horns
• 6 Smoke Detectors
• 1 Remote Indicating Unit
• 1 Duct Detector
• 1 Flow Switch
• 1 Supervisory Switch
Battery disconnect does not cause trouble.
Remote indicating unit does not work.
Inspection, Testing and Maintenance of Fire Alarm Systems
e
s Fire Control,Inc.
Date of Service �OqTime
1.7
1O3�iTil
1 --.-Yes
❑
]
[7
[�.
.. .
Date
Fire alarms stem is now My functional without deficiencies.
Annual Inspection
Initial Inspection
p
Last Seice
FIRE ALARM DlV1SION
0
❑
'Y7 7
1703 Sonoma St
Single Stage
Two Stage
Off ite Monitoring?
Redding, Ca 96001
El
❑
❑ yes [:]no
(530)241-2465 (800)776-3046
Manufacturer: I
�L
Model #
y
Ca. Ike ns a #462979 C-16, C-10 UL # S24291
he4 1)
Building Name:t
(�
Contact Person:
Q
Phone:
�X 7 u 1
Fag:
Address:
Or__
Owner: 6Phone:
A e- &O�U ljaU
Fag:
City: Postal Code:
Central Station:
Phone:
"Vec"- Arcentahle "Nn" - Unacceptable (Ezulain No answers in comments)
Technicians After -test Checklist
Reconnect time limit cutouts?
Reconnect ancillary functions?
Reconnect ancillary functions off site connections)?
Reconnect signal ower?
Advise fire de ent the tesfing is completed?
Ensure that the alarm astem is functional?
Comments 1�,�..� 11 s r,v,,,,, e_e� Av
I state that the information on this fo is correct at the time and place of my inspection, and that all equipment was tested in conformance with applicable codes and the
No
Summa
1 --.-Yes
❑
]
[7
[�.
(The
VU
❑
❑
El
Fire alarms stem is now My functional without deficiencies.
I
The Fire alarm system has deficiencies noted on the pages attached.
The Fire Alarm System is tested in accordance with NFPA 72
Da
Sequence of Operation confirmed and tested.
Technicians After -test Checklist
Reconnect time limit cutouts?
Reconnect ancillary functions?
Reconnect ancillary functions off site connections)?
Reconnect signal ower?
Advise fire de ent the tesfing is completed?
Ensure that the alarm astem is functional?
Comments 1�,�..� 11 s r,v,,,,, e_e� Av
I state that the information on this fo is correct at the time and place of my inspection, and that all equipment was tested in conformance with applicable codes and the
1�
Manufacturers r 9#uvments and 's as 1 in operational condition upon completion of this inspection except as noted in comments.
�01
Te C66" Si nature
Da
Time
Owner or Authorized Agent
1 of 4
Inspection, Testing and Maintenance of Fire Alarm Systems
Date Building Name - ' ,
"4" Yes -Tested correctly "X" No -Did not test correctly (Explain NO answers in comments) "NA" Not applicable
Alarm signal silence inhibit?
Alarm signal silence operation?
Alarm signal silence visual indication?
Alarm signal when silenced automatically reinstate on
subsequent alarm?
br Alarm signal silence automatic cut-out timer?
Input circuit alarm and supervisory operation including
visual indicator?
Input circuit trouble operation?
Output circuit alarm operation?
Output circuit trouble operation?
` Visual indicator test (lamp test)?
N h Coded signal sequence operate not less than the required
� number of times and the correct alarm signal thereafter.
PIN Coded signal sequences are not interrupted by
subsequent alarms?
Input circuit to output circuit operation including
P tP Pe g
ancilliary device, for correct matrix operation
Reset operation?
Main power to emergency power supply transfer?
Data communications link (DCL) supervision & operation
Control unit interconnection to monitoring station?
I/ Control Unit Inspection
Input circuit designations, correctly identified in relation
to connected field devices
0 Output circuit designations correctly identified in relation
to connected field devices.
Designations for common control functions & indicators
Cabinet, plugin components and modules securely in place
4/ Plu in cables securely n iPlace
g
Record date, revision and version of Firmware & software
Date: Rev: Ver:
Cleanliness?
Fuses in accordance with MFGs specification
Control Unit lock
Termination points from wiring to field devices secure
V,
Power Supply Inspection
Fused with mfgs marked rating of the system?
Adequate to meet the requirements of the system?
R ote Trouble Unit Tests and Inspection
Input ' ng from control unit is supervised?
Visual trou signal?
Audible trouble si ?
Audible trouble signal si ce?
Battery Tests and Inspection k,"
Battery type S03,eA- L k.
Battery Voltage :
AC power on
AC power on
Battery Amp Hours:
AC power on
AC power on
/3/1 vas
13 vdo
/7 Ah
6.7 Ah
Inspected for physical damage?
Terminal cleaned and lubricated?
Terminals clamped tightly?
Correct Electrolyte level?
Specific gravity within mfg specifications?
Electrolyte leaks?
Adequately ventilated?
Within manufacturer's rated life date code?
Disconnection causes trouble signal?
erator Power Supply
Provi power to AC circuit serving the fire alarm?
Trouble c dition at the em gen shall result in an audible
common trou signal and a visual indication at the
required annunci r?
2 of 4
Control Unit Tests
Power on visual indicator?
Annunciator Inspection & Tests
Power on indicator?
Common visual trouble signal?
- Individual alarm and supervisory zone indication?
Common audible trouble signal?_
Individual alarm and supervisory zone indication labels?
Trouble signal silence switch?
�_ Common trouble signal?
Main Power supply failure trouble signal?
_y Visual indicator test - Lamp test?
_
Ground fault tested on positive and negative trouble signal_
Input wiring from control unit is supervised?
Alert signal operation?
Alarm signal silence visual indicator?
Alarm signal operation?
Switches for ancillary function operate as intended?
Automatic transfer from Alert signal to Alarm signal?
Other ancillary function visual indicators?
Acknowledge switch operation?
Manual activation of alarm signal and indication?
Alarm signal silence inhibit?
Alarm signal silence operation?
Alarm signal silence visual indication?
Alarm signal when silenced automatically reinstate on
subsequent alarm?
br Alarm signal silence automatic cut-out timer?
Input circuit alarm and supervisory operation including
visual indicator?
Input circuit trouble operation?
Output circuit alarm operation?
Output circuit trouble operation?
` Visual indicator test (lamp test)?
N h Coded signal sequence operate not less than the required
� number of times and the correct alarm signal thereafter.
PIN Coded signal sequences are not interrupted by
subsequent alarms?
Input circuit to output circuit operation including
P tP Pe g
ancilliary device, for correct matrix operation
Reset operation?
Main power to emergency power supply transfer?
Data communications link (DCL) supervision & operation
Control unit interconnection to monitoring station?
I/ Control Unit Inspection
Input circuit designations, correctly identified in relation
to connected field devices
0 Output circuit designations correctly identified in relation
to connected field devices.
Designations for common control functions & indicators
Cabinet, plugin components and modules securely in place
4/ Plu in cables securely n iPlace
g
Record date, revision and version of Firmware & software
Date: Rev: Ver:
Cleanliness?
Fuses in accordance with MFGs specification
Control Unit lock
Termination points from wiring to field devices secure
V,
Power Supply Inspection
Fused with mfgs marked rating of the system?
Adequate to meet the requirements of the system?
R ote Trouble Unit Tests and Inspection
Input ' ng from control unit is supervised?
Visual trou signal?
Audible trouble si ?
Audible trouble signal si ce?
Battery Tests and Inspection k,"
Battery type S03,eA- L k.
Battery Voltage :
AC power on
AC power on
Battery Amp Hours:
AC power on
AC power on
/3/1 vas
13 vdo
/7 Ah
6.7 Ah
Inspected for physical damage?
Terminal cleaned and lubricated?
Terminals clamped tightly?
Correct Electrolyte level?
Specific gravity within mfg specifications?
Electrolyte leaks?
Adequately ventilated?
Within manufacturer's rated life date code?
Disconnection causes trouble signal?
erator Power Supply
Provi power to AC circuit serving the fire alarm?
Trouble c dition at the em gen shall result in an audible
common trou signal and a visual indication at the
required annunci r?
2 of 4
Inspection, Testing and Maintenance of Fire Alarm Systems
Date Building Name V� , e.
"4"Yes -Tested correctly "X" No -Did not test correctly (Explain NO answers in comments) "NA" Not applicable
Sequential Display Inspection and Testing
Individual alarm, supervisory and trouble inputs are
clearly indicated and separately designated?
Individual alarm and supervisory input designation
labels are properly identified?
Alarm input overrides supervisory and trouble input?
Supervisory input overrides trouble input?
Display can be manually advanced?
First alarm is clearly identified each time it is displayed
Alarm and supervisory input can be retrieved until system
is reset?
ter Testing
Operate intended?
Zone of each a initiating device is correctly printed?
Rated voltage is pre t?
s located in Proprietary Control Centers
Events an owledgements are automatically printed?
Time and date is orded by the printer?
Each event is recorde they occur?
System records status chap with loss of data?
Paper advances automatically su that print record is
visible?
Printer operates under loss of main power su ?
Printer is monitored for "low paper=' and "paper o '?
Noice Communication Inspection/Tests
P\call
ndicator?
Cisual trouble signal?
Cudible trouble signal?
Tnal silence switch?
Ace paging including visual indicator?
Ouits for selective voice paging and visual.
Output circ its for selective voice paging trouble/visual
Microphone cluding press to talk switch?
w
Operation of systems does interfere with initial
inhibit time of rt and alarm signal.
All call voice pax g operates on emergency power?
Upon failure of on amplifier, system automatically
transfers to backup plifier.
Circuits for emergenc telephone call in operation
including audible and ' ual indication
Circuits for emergency ephone for operation, including
two way voice communic on?
Circuits for emergency tele hones trouble and visual ops.
Emergency telephone verbal ommunication?
Emergency telephone operabl or in -use tone at handset.
Emergency telephone call-in la p?
Emergency telephone call-in au .ble signal?
All telephone zone select si the individually tested?
Individual telephone zone select i icators?
Operating instruction clearly visible
Lockable release mechanism is intac
illary Device Testing
Circus
Circuit
Circuit
3 of 4
Field Devices
Field Devices continued
Each device is free of damage, foreign substance &
Water Flow Detection devices
mechanically supported independent of wiring?
a) tested by appropriate water flow means
device tested while connected to control unit?
b) time delay recorded
tEach
Manual Pull stations tested?
Supervisory Devices
P r3'
VIIN
Two stage pullstations tested and functions confirmed?
Shut-off valves tested and result in trouble signal?
Heat detectors tested
I
Low pressure supervisory device inspected and tested?
Smoke detectors
—�—
Low water supervisor test?
Inspected for cleanliness?
sp
pe pe
Low temperature supervisor device tested
Sensitivity tested?
Each power loss (eg fire pump and air compressor) tested?
Tested for Operation?
Other Fixed Type Extinguishing Systems
Remote indicator units inspected and tested?
V)
Verify operation of the output contacts initiates the
Status change confirmation inspection and tested?
specified function at the FA control unit.
Air Duct smoke detectors tested?
Supervisory Devices Other Types
Beam type smoke detectors for actuation & sensitivity?t�
Inspected and tested as per manufacturer requirements?
Flame detectors inspected and tested?
Z
Signal Appliances
Combination detectors inspected and tested?
i
Shall be inspected and tested for operability
Automatic detectors – other types inspected & tested
Proper installation and tightness, tampering & obstruction?
a) alarm initiation
Intelligibility of voice messages?
b) detector is oriented so as to detect hazard?
Audibility of alert; alarm and voice messages/
c) sensivity tested?
Visual signal appliance inspected and tested?
Combination devices tested?
Sequential Display Inspection and Testing
Individual alarm, supervisory and trouble inputs are
clearly indicated and separately designated?
Individual alarm and supervisory input designation
labels are properly identified?
Alarm input overrides supervisory and trouble input?
Supervisory input overrides trouble input?
Display can be manually advanced?
First alarm is clearly identified each time it is displayed
Alarm and supervisory input can be retrieved until system
is reset?
ter Testing
Operate intended?
Zone of each a initiating device is correctly printed?
Rated voltage is pre t?
s located in Proprietary Control Centers
Events an owledgements are automatically printed?
Time and date is orded by the printer?
Each event is recorde they occur?
System records status chap with loss of data?
Paper advances automatically su that print record is
visible?
Printer operates under loss of main power su ?
Printer is monitored for "low paper=' and "paper o '?
Noice Communication Inspection/Tests
P\call
ndicator?
Cisual trouble signal?
Cudible trouble signal?
Tnal silence switch?
Ace paging including visual indicator?
Ouits for selective voice paging and visual.
Output circ its for selective voice paging trouble/visual
Microphone cluding press to talk switch?
w
Operation of systems does interfere with initial
inhibit time of rt and alarm signal.
All call voice pax g operates on emergency power?
Upon failure of on amplifier, system automatically
transfers to backup plifier.
Circuits for emergenc telephone call in operation
including audible and ' ual indication
Circuits for emergency ephone for operation, including
two way voice communic on?
Circuits for emergency tele hones trouble and visual ops.
Emergency telephone verbal ommunication?
Emergency telephone operabl or in -use tone at handset.
Emergency telephone call-in la p?
Emergency telephone call-in au .ble signal?
All telephone zone select si the individually tested?
Individual telephone zone select i icators?
Operating instruction clearly visible
Lockable release mechanism is intac
illary Device Testing
Circus
Circuit
Circuit
3 of 4
Inspection, Testing and Maintenance of Fire Alarm Systems
Date Building Name 00 eer' A e_ A -r -AN I
Device Testing — Legend and Notes
Device
Description Type Model No.
M
Manual Pull station
HT
Heat detector, non restorable(Note 9
RHT
Heat detector, Restorable(Note 9
S
Smoke detector(Note 1, 2 & 9
RI
Remote indicator unit
DS
Duct smoke detector(Note 1, 3 & 9
PS
Photo electric smoke detector
SFD
Supporting field device monitor
FS
Sprinkler flow switch(Note 4
SS
Sprinkler supervisory device(Note 5
LA — Low air
PS —Pressure switch
EM
Fault isolation module
B
Bell
H
Horn
V
Visual signal appliance
HS
Horn/Strobe
SP
Cone type speaker
HSP
Horn e speaker
AD
Ancillary device(Note 8
ET
Emergency Telephone
---
other supervisory devices otes 6 &
---
Other type of detector
Note 1. Smoke detector sensitivity measurement and cleaning date should be recorded in the remarks column.
Note 2. Status change, including time delay, should be recorded in the remarks column.
Note 3. Duct smoke detector pressure differential should be confirmed and recorded in the remarks column.
Note 4. Time delay setting of water flow switch should be recorded in the remarks column.
Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an alarm condition.
Note 6. Upper and lower pressure setting of supervisory devices should be recorded in the remarks column.
Note 7. Low temperature setting should be recorded in the remarks column.
Note 8. Identify the specific ancillary devices in the remarks column.
Note 9. Identify date fire detector was changed.
Caution: The tests reported on this form do not include the actual operational test of ancillary devices.
4 of 4
Inspection, Testing and Maintenance of Fire Alarm Systems
Individual Device Record
Date: Annual Inspection I Pae of
Building Name: OLP �;7gtlWeC-L L COW Address: S/ Loco-vZY cowrft Oj«t..*6, .
A. Correctly installed. D. Annunciator indication confirmed.
R Requires Service, Repairs, missing, or cleaning K Circuit number or address
C. Alarm operation confirmed F. Supervision and ground fault detection
G. Smoke detector sensitive testis
"'4" vee - Aerpntahlp "X" Nn _,. Unna-rartka111a Mwim1n117 Nil nnevuA1sc i*. "M A " AT-,& ......�:....i.l..
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
. ,
000n000�
id
PIZ
Um
Iv7V���A�
sA��l i
nz
UMMW
AM==
Note: Confirmation of wiring supervision to each individual device is only required during an initial
inspection and test or verification, and is not required at the annual test.
25-78 INSPECTION, TESTING, AND MAINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Cover Sheet
NFPA 25 as amended by CCR. Title 19
Property Information:
Name: ( Address: V C6 0 nLil Ce,'AILAr
City: v e
ZIP:
Contact
Telephone:
Contractor Information:
Name: vulgus Fire Control, Inc.
Address: 1703 Sonoma St
City: Redding
State: California
Telephone: (530)241-2465
CA License## 462979 C-16 C-10 C-7
Job #
Occupancy /Use:
Construction Type: C&A Ce�--e.
No. Stories: .a
Year Constructed:
Performed by: (Print)
Note: Contractor information may be pre-arinted
Number of System Risers
Copy sent to:
❑ Owner Date
o Fire AHJ Date
o Contractor Date
NOTES:
1) For specific inspection, testing, and
maintenance requirements and information,
see NFPA 25, 2002 Edition as amended by
California Code of Regulations, Title 19, §901
to §906.
2) Inspection Items may be performed by the
Owner in accordance with California Code of
Reaulations Title 19 4904.1(a)
Forms included with this report
NFPA 25
Chapter
Number of Forms
N/A
FAIL*
PASS
I� Automatic Sprinkler System
5
1
❑Standpipe and Hose Systems
6
D Private Water Supply System
7
O Fire Pump
8
❑ Water Storage Tank
9
❑ Water Spray System
10
❑Foam Water Sprinkler System
11
*See "Deficiencies and Comments" section at end of each respective form.
State Fire Marshal AES 1 March 21, 2006
25-79
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Chapter 5 as amended by CCR, Title 19
Page 1 of 4
• g
Date of Inspection, Testing, Maintenance. S � �
System Riser ID:
Frequency
Property Information:
Type System:
�� oa�i�r
I �1
Name: �� � � � ',�� ��
. - a-
of
[A Wet Pipe
ti
� o
,wr
Address: `.�L)UKV44.
❑Dry Pipe
❑ Preaction
`� �
12.4.3.1
❑ Deluges,
City: 0-r- oy,�
1.2
1
Main Drain Test Results:
�.-
Initial Static Pressure: _ , ,+ (psi)
Residual Pressure: Si
(I�)
Restored Static Pressure:(psi)
Abbreviation Key:
I = Inspection
T = Test
M = Maintenance
A -O = After Operation
P
MI = Per Manufacturer's Instructions
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.1
I
Daily
Weeklytemperature
PreactioNDeluge Valves —Enclosure
12.4.3.1
1.2
1
Daily
Weekly
Dry Pipe Valves — Enclosure
temperature
12.4.4.1.1
1.3
1
Quarterly
Gauges (Dry, Preaction, Deluge
Systems)
5.2.4.2
5.2.4.3
7�
1.4
1
Quarterly
Control Valves
12.3.2.1
1.5
1
Quarterly
Alarm Devices
5.2.6
1.6
1
Quarterly
Gauges (Wet Pipe Systems)
5.2.4.1
1.7
1
Quarterly
Hydraulic nameplate
5.2.7
>C
1.8
1
Quarterly
Pipe and Fittings
5.2.2
�(
1.9
1
Quarterly
Sprinklers
5.2.1
�(
1.10
1
Quarterly
Spare Sprinklers
5.2.1.3
�(
1.11
1
Quarterly
Fire Department Connections
12.7.1
1.12
1
Quarterly
Alarm Valves — Exterior Inspection
12.4.1.1
1.13
1
Quarterly
Preaction/Deluge Valves — Exterior
Inspection
12.4.3.1.6
1.14
1
Quarterly
Pressure Reducing Valves
12.5.1.1
1.15
1
Quarterly
'Dry Pipe Valves — Exterior Inspection
12.4.4.1.4
X
1.16
1
Quarterly
Backflow Preventers
12.6.1
1.17
1
Annually
Buildings
5.2.5
State Fire Marshal AES 2 March 21, 2006
25-80 INSPECTION, TESTING, AND MAINTENANCE OF NATER -BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4
NEPA 25, Chapter 5 as amended by CCR, Title 19
Date of Inspection, Testing,Maintenance:
System Riser ID:
Property Information:
��
Type of System: �o ,CA��,�
o
Name: 1_4 rQ 1 w �� ,�
�.
V) Wet Pipe
Address.. s Cou V� �
-�
O Dry Pipe � n
0 Preaction
1
0 Deluge,,_
City: Ora U .11 e
5.2.3
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
1.18
1
Annually
Hangers
5.2.3
�(
1.19
1
Annually
Seismic Braces
5.2.3
1.20
1
5 Years
Hangers (Accessible concealed spaces)
5.2.3.3
X'
1.21
1
5 Years
Seismic Braces (Accessible concealed
s aces
5.2.3.3
1.22
1
5 Years
Pipe and Fittings (Accessible concealed
spaces)
5.2.2.3
1.23
1
5 Years
Sprinlders (Accessible concealed spaces)
5.2.1.1.4
1.24
1
5 Years
Alarm Valves — Interior Inspection
12.4.1.2
1.25
1
5 Years
Alarm Valves - Strainers, finers, orifices
12.4.1.2
1.26
1
5 Years
Check Valves — Interior Inspection
12.4.2.1
1.27
1
5 Years
Preaction/Deluge Valves — Interior
ins ction
12.4.3.1.7
1.28
1
5 Years
Preaction/Deluge Valves - Strainers,
filters, orifices
12.4.3.1.8
1.29
1
5 Years
Dry Pipe Valves -- Interior Inspection
12.4.4.1.5
1.30
1
5 Years
Dry Pipe Valves - Strainers, filters, orifices
12.4.4.1.6
2.1
T
Annually
Alarm Devices (90 Sec)
5.3.3
12.2.7
2.2
T
Annually
Main Drain Test (Enterdata on Page 1)
12.2.6
12.2.6.1
12.3.3.4
`
2.3
T
Annually
Antifreeze Test
5.3.4'
2.4
T
Annually
Control Valve - Posifion
12.3.3.1
j
2.5
T
Annually
Control Valve — Operation
12.3.3.1
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Preaction Valve — Priming Water
12.4.3.2.1
2.8
T
Annually
Preaction Valve — Low Air Pressure Alarm
12.4.3.2.10
2.9
T
Annually
Preaction Valve — Full Flow Trip Test
12.4.3.2.2
x
State Fire Marshal AES 2 March 21, 2006
ANNEX B
25-81
Inspection, Testing, and Maintenance Fire Sprinkler System
NFPA 25, Cha ter 5 as amended b CCR, Title 19
Page 3 of 4
-"�
Date of inspection, Testing, Maintenance: .5
System Riser I D:
NFPA 25
Reference
Fail
N/A
Pass
Property Information:
r
a
Type of System:
of ca���
0�
Name: U%j e� e_ �_
Wet Pie
} �.
Address. ��c,h-- e.�
-
❑ Dry Pipe
❑ Preaction
C*a
T
❑ Deluge`�,,�
E N1P►
City: -)\3Ale.
Y• r
�
Item
Activity
Frequency
Description
NFPA 25
Reference
Fail
N/A
Pass
2.10
T
Annually
Dry Pipe Valve —Priming Water
12.4.4.2.1
�(
2.11
T
Annually
DryAlaValve —Low Air Pressure
12.4.4.2.6
�
2.12
T
Annually
Dry Device Pipe Valve —Quick -Opening
12.4.4.2.4
�
2.13
T
Annually
Dry Pipe Valve —Trip Test
12.4.4.2.2
2.14
T
Annually
Backflow Preventer Assemblies
12.6.2
�
2.15
T
3 Years
Dry Pim Valve —Full Flow Trip Test
12.4.4.2.2.2
�(
2.16
T
5 Years
Gauges
5.3.2
�
2.17
T
5 Years
Pressure Reducing Valve
12.5.1.2
2.18
T
5 Years
Fire Department Connection Backflush
12.7.4
2.19
T
5 Years
Sprinklers —Extra High Temperature
5.3.1.1.1.3
�
2.20
T
5 Years
Sprinklers —Corrosive environment or
corrosive water
5.3.1.1.2
�.
2.21
T
10 Years
Sprinklers -Dry
5.3.1.1.1.5
2.22
T
20 Years
Sprinklers -Fast Response
5.3.1.1.1.2
2.23
T
50 Years
Sprinklers
5.3.1.1.1
�
2.24
T
75 Years
Sprinklers 75 years in service
5.3.1.1.1.4
2.25
T
Sprinklers manufactured prior to 1920
— Replace
5.3.1.1.1.1
�
3.1
M
Annually
Control Valves
12.3.4
3.2
M
Annually
PreactioNDeluge Valves
12.4.3.3.2
3.3
M
Annually
Dry Pipe Devices Valves/Quick-Opening
12.4.4.3.2
X
3.4
M
Annually
Dry Pipe Valve —Low Point Drains
12.4.4.3.3
3.5
M
5 Years
Obstruction Investigation
Chapter 13
State Fire Marshal AES 2 March 21, 2006
25-82 INSPECTION, TESTING, AND MAINTENANCE OF NATER -BASED FIRE PROTECTION SYSTEMS
Inspection, Testing, and Maintenance Fire Sprinkler System
NEPA 25, Chapter 5 as amended by CCR, Title 19
Page 4 of 4
Date of Inspection, Testing, Maintenance:
System Riser ID:
Property Information:
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Name: Q
Type of System:
01F CA���
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:Q Wet Pipe
Address: sjCam
D Dry Pipe
0 Preaction
0 Deluge..,_
E M�
City: Oro
Item
Deficiencies and Comments:
Deficiencies and Comments Item number must correspond to the Item number
of the Activity listed above:
0 See Continuation Page(s) (Indicate_theqlU o onti ation pages)
PASS
0 FAIL
Si atureDa e
State Fire Marshal AES 2 March 21, 2006