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HomeMy WebLinkAbout031-040-028 CF Archiveb.10 1 jU2nd pa71.1OL1j11V .10 .12L1h10 XL11j_ Cl L1V171L1,qa)j_ � e (211 / - S111altill 10.) 111 )7.1101-1 til'. id.).)\.) 110113NIN111 SILII JO 1101PICIlu(), 118(111 (!01111)1-1(1:) IiM011t?.I.l(IO 111 1 " ,, 1 1? 1-l' �lll,),IIiII).�.I tiJ�.ltll�i?Illl.11?{N ,ILII ILII? S.)I)W )jgVMICILII? L111AN 1XIM.101uu.) ui p,1S.11 S!?,NN 1t1.)ltl(II111),) 111-? 1i?LIl 1)Ui? 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S2( u> aLlj LIO pa1Ol1 S312112121Pp SPLI LLIa1s S LUJI3111' 2.11`1 2L1.1_ 'SaIJL121;)1.1ap 111O11j1," (L?U0112U11J_ X11111 MMU Si LUajSA'S LL1.10,11? 2.11`1 :.ill id X.1 P.ttIulnS 0 sa,� (s�ualuuloa ui s.la.msum: oNI ult)-VIX-3) alq�:aciaaaE�un - .,ONi, stuaasSS to-mvi ' jo aaurmampil,\1 hur. &q a1 Iuolvadsuf � ; t :311OtIJ :tlrti1N15 I11.1 ti 1) :J{)O:) Inco l„I Ilk, J(� :.ill id :.iJilf„ c)i I 0 SOO/-, ci W' 81LbZS ftA(1 01-;J `91-;-) 6L6Z9t,# ,est".T] •1'.;� � IJ{1111,\i :.i,l.ltit.)I:Illlli:l.\, 9t-9LL(oo8) s9trz- I rz(ocs) 1(1(196 it-.') 4 ; t11P ,)M •jS r.tu��1.1c�S C0 i oilE] so 11q� . F-1 �lr)i'IS OM.J. -. � c�1()UIs 0l F� JIr.(1 3,) S ts1: 1101131HIS111 1K11111{ llnt.112(�Sllj I1.11l.lUt�' NOISIAIQ NNVI y 3Z31.1 �OuI 1014UOD ;MT. sirt.'Sz. 1 /✓ (1 .11ill,l. ,),ll,�.l.l� .I .111.(1 stuaasSS to-mvi ' jo aaurmampil,\1 hur. &q a1 Iuolvadsuf Inspection, Testing and Maintenance of Fire Alarm Systems Date Buildiri(i Name f tAe,�- �1 Ar l > , \ k 1 `l> > 40 at r 1 Yes - Tested correctly 'A" No - Did m t test cor Control t init Tests Power on visual indicator'.' / C 01111non vis11al truuhlc.• signal:' C'0nlmorl audible IruuhlC siU11111'' Trouhle signal silence switch'' Main supply lililtlre troubic S1,211:11'.1 Cir01,111 l It►ult tested on positive and negativc trouble signal N/A ,Vert siznal uherat on'' � r A larnl signal operas ion :' h�(%� ALI1u111�111C 1ransier Iron Alert signal to Aku-111 signal'? -��'- Acknowledge switch operation? �j//!. Alarm signal silence inhibit'? Alarm signal silence operation? Alarm signal silence visual indication? Alarm signal when silenced alttorllatiCally reinstate on subsequent alarm'' Alarm signal SilenCC aulonlatiC cut -0111 tinier`.' Input circuit ala►•ill 111d supervisory operation including visual Indicator Input CirCllil lruuhle 0per11tiun:' OLllpllt c Irl:llll alal'lll Oper;ll I�lll'' Outplll Cir•Cuit trouhle ollcratiml'! Vls11111 indicator test (lamp test)`' ( odecl siunal sequence operate not less 1111111 the required n11nlher ol'times and the correct ;llarlll signal lhcrealter. C()ded signal SecluenCes are not interrupted by, s11hsequent alarms'' Ir1pul Circuit to output circuit operation including ancilli,lry device, for correct nlrltrix uperatiorl Reset operation'? Main power to enlergencv power supply transfer'? D -Uta CUn1111Lill ICM lollS link (DCL) supervision c& operation Control unit interconnection to monitoring station? Control knit Inspection Input Circuit designations, correctly iderltilie(I in relation to Connected Held deviCCS (-)utput circuit desig11;I11011S CurreCtly idCntilied III relation J to Connected Held devices. I)esignaliuns lily Common control kinetions S-, indicators Cabillet, plu'ln COMM) ICHIs anti n10d111es seCurely in p1aCe I'lut"irl Cables securely in plaCC Record (1,110. re\ isiun and version ul• I:ir•Illware sol'tw11- _e'er.------_ - Cleanliness', I - uses in accordance with M I ( is sped l icatioll Control Unit lack runl wiring to Held devices secure Terminal loll points 1• r•ectly (Expini4 NO -umvers in comments) "NA" Not applicable Annunci,ltc►r• Inspection & 'bests Power on Indicator'' 111(lWiclu;l! alarm ;In(l supervisory lune indication:' t A 1114) Idl1al aliu'rll arld i0ne indication lahcls'' C'umnlon lrollhle si�n:ll? Visual Indicator test - Lanlp test'' Input wiring I•rom Control Unit is supervised'' Alarin signal silence visual indicator? Switches for ancillary I•unction operate as intended'' Other ancillary function visual indicators? Manual activation of'alarm signal and indication'? Power Supply Inspection ,� I -used with nlfgs marked rating oI• the system'? ��Adequate to nlcet the requirements ol'the system:' Remote "l"rouble Unit 'Nests and Inspection 014 Input Wiring 1•ronl control unit is supervised'' ViSll;ll lrollhle signal'' Audible tr'ol.ible signal'.' Audible tr•ollhle signcll silenCe? BattcrN' Tests and Inspection 13,11terY tv11e Sar...\ e-, 1...c* -el t- RC1 Battery Voltage : AC power on V(lc AC power on VIIC Battery Amp I lours: AC power on q S Ali AC power on_ All Inspected for physical damage? / Terminal cleaned and lubricated'? ,Ferminals clamped tightly'? Correct Electrolyte level? 1.�A Specific gravity within nifg specilications:' Electrolyte leaks'? Adequately ventilated'.' "00"` Within nlanutacturer's I-,I[C l lilC cl;lte code'? Disconnection causes trouble signal'' Gencratot, Power Supply Provides power to \C' Circuit serving the lire alarm', i •frouhlc condition at the enl gen shall result in an ;ILI(111)le coll1111Ur1 trouble signal and a visuU'll indiCatiorl at the r'edllired alllll111cialor? oC4 a Inspection, 'resting and A'laintenance of' hire Alarm Systems l Date 1` V -•- k\ -- - 13uiIding Nai»e (�i�i-4 )r- �-- \I I li� �) 140 L�\ "�" Yes - 'T'ested correctly "X" No - Did not test correctly (Explain NO answers in comments) "NA" Not applicable .sequential Display Inspection and Testing 111di 'ICIL1il1 alar'lll, SLII)t'i'Vltiory and lrouhle Inputs are clearly indicated and scparately designated'? Individual alarm( and supervisory input designation labels are properly idcrlti f led`? Alarm input overrides supervisory gild trouble input'' Supervisory input uver'rideS tl'ollble input'' L)isplay ran he 111a11L1alIV advi-mccd'.' First alarm is clearly identified each time it is displayed Alarrll ilntl supCl'\ isory input can he retrieved until systelll is rt'sct'? I'rinter Testing A4A Operation as intended'? done of each alarm initialing device: is correctly printed" Rated voltage is present'? !'rimers located in Propl•ictary Control C'elltel-s F�.vents and aeknuwlcclilcments are automatically printed'? 4A� IIIIC and date is recorded by the printer'.? ktleh even( is recorded aS they OCCLIr'? System records SMILIS ClI..Inhes with loss ol'data') Paper advances autorllatically SLIC11 that print record is visible`? Printer ()per'ates Llrlder loss of I11a111 power Supply*.' Printer is monitored I6r "low paper" and "paper out'"! Voice Communication Inspection/'Pests k3 Powcr Llll iii&C-1110r? Common Visual trOLINC signal'.) CoiTlrllun audihle troublC signal'? T1'01.1Eile signal silence: switch'.' All call voice paging including visual indicator'? (_)utput circuits for selective voice paging anal visual. Output Circuits 16r selective; voice paging trouble/visual MICI-c.)phOIIC including press to talk switch'' Opantioll of VC systems (lues interfere' with initial illhlhll t1111C ol'alert "Intl alarm slunal. All cull voice paging operates un erlle'rgcncy power'? Upon 111ilurc ol'one amplifier, system automatically transfers to backup amplifier. Circuits Im enlcrgenc_y telephone call in operation including audible and vlsua) indication Circuits I6r emergency telephone for operation, including two wily Voice Co111m11111catlon'? Circuits for emergency telephones tr'ouhlc and visual Ol)S. Inlergencv telephone verbal communication'' F."111ergcncy telephone operable Or 111-11se tone at handsel. I: Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: — �i Annual Inspection Page_1 of [3uilrlin ; Natne:VX- i t1 Address: .� - v,�1,� C¢,lLtr A. Correctly installed. ' U. Annunciator indication confirmed. R. Requires Service. Repairs, missing, or cleaning; E. Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testing) Yes - Alcentable "A" No — Hnni-vuni: hiv, ( \111nin %"0 ;111<\\'Pf'C Ill (`f11-111110 ntel ""Ivtt" 1ft►t -t it ii I;r-,thI A J Note: Confirmation of Nviring supervision to each individual device is only required during all initial in.1pec•tiott and tet or verification, acid is not required at the annual test. MID ■��l��.:��II SII �L7�� ArmC''�� 7 MVAMMM �ro i' ����Ea�� M -M ===Pam= - M_ MMOAV im)MY L MMPAMMMM MMMMMM MMMMMM MMM V gig, MMMMMM M==== M ___ UUM MMMM M J Note: Confirmation of Nviring supervision to each individual device is only required during all initial in.1pec•tiott and tet or verification, acid is not required at the annual test. I I nspectiun, Testinb and Maintenance of Fire Alarrn Systetlts Individual Device Record Date: \ — � 2- 11- Annual Inspection Buildin Name: (^.� �- �: �� i Address: L_a A. Correctly installed. l). Annunciator indication confirmed. 13. Requires Service, Repairs, missing, or cleaning E. Circuit number or address C. Alarm operation confirmed F. Supervisiun and ground fault detecti()n G. Smoke detector sensitivity testin(l Page % of ►� `t ni:`. •♦ Yes — ! vt-pntirhly "b X" Nn — I' 11 -,ad- I��`vnl-_1111 Nj I --iuk `wtidbe., ;a% r%i►oil 6111 1h#1.� '.*-i�I .#, 11 V,.♦ ......I:.._.1-.1._ Note: Confirmation of wiring; supervision to each individual device is onl�� retlutI tluI I an l/lltltll inspection and test or verification, and is not required at the annual test. �3n��71I�M�IMmmm �a�� MINE mr-Iff IMUMMM aims Note: Confirmation of wiring; supervision to each individual device is onl�� retlutI tluI I an l/lltltll inspection and test or verification, and is not required at the annual test. f Inspection, 'besting and Maintenance of hire Alarm Systems Individual Device Record Date: tannual Inspection Pae 3 of � Bu ilding Nan e: - \j ;address:C � w A. Correctly installed. 1.). Annunciator indication confirmed. B. Requires Service. Repairs, missing, or eleaning E. Circuit number or address C. Alain► operation confirmed I"'. Supervision and ground fault detection G. Smoke detector sensitivity testing I "�" Yes - At•centable "X" Nn — Unavventable (Vvi lain NO nivm arc in vtirmnpntc) "-NA" Nnt �innlir:�hl�� v Nate: Confirmation of Nviring supervision to each individual device is only required during an r.nifitil in-y'etion aiid fest or Verification, and is not required at the annual test. 1p v Nate: Confirmation of Nviring supervision to each individual device is only required during an r.nifitil in-y'etion aiid fest or Verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: D--A-linual Inspection -T Pa g C ILY of, y Buildino NaIIIC: — p -VI A Address: 1. (urr��rtl� iu�t;rllcd. D. Anrtum•krtor indication confirmed. 13. Requires Service, Repairs, rnissillg, or clearrillo F. Circuit number• or address L'.Alar-nr operation Conlir'nled F. Supervision and ground fault detection _ G. Smoke detector sensitivity testing `. Yes - Acceptable ".\" No - Unacce )table (EA pl,iin NO answers in cotnnmnts "NA" Not al > plicable Device Location A B C D r F G Remarks 4 i COO w 2..► Note: Confirmation of wiring supervision to each individual device is only required during an illitial l.tl,yeetlott and test or verification, and is not required at the annual test. Inspection, Testing and Maintenance of hire Alarm Systems Date 2 - Building Name T) �Sft A-fi'c..1., Device Testing — Legend and Notes Device Description Ty )e Model No. IVI NIanual Pull station HT Heat detector, non restorable (Note 9) IZH T' Heat detector, Restorable Note 9 S Sinoke detector (Note I, 2 & 9) RI Remote indicator unit DS Duct smoke detector Note 1, 3 & 9 PS Photo electric smoke detector SI� U -Supportingfield device monitor UOS Sprinkler flow switch (Note 4 SS Sprinkler supervisory device Note LA — Low air PS — Pressure switch 13 f -I Fault isolation module Bell Horn Visual signal appliance [is sill HSP A1) .I-loaf/Strobe C.one ty )e speaker 1-for•n type s )esker Ancillary device (Note 8 ET --- Emergency Telephone Other su )ervisory devices Notes 6 & 7 --- Other type of detector Note I. 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 sn'oke detector pressure differential should be confirmed and recorded ill the remarks column. Note 4. Time dchay setting of water flow switch should be recorded in the renrarl:s Column. Note 5. Sprinkler supervisory switches cause trouble condition to be annunciated but not an alarm con(lition. Note 6. Upper and lower pressure setting of sul)ervisory devices should be recorded in the remarks column. Note 7. Low temperature setting should be recorded in the remarks column. Note K. Identify the specific ancillary devices in the remarks column. Note 9. Identify date fire detector was changed. Caution: The tests reported ori this form do not Include the actual operational test of ancillary devices. 4 oF4 6,T 2008 Butte County Fire Alarm/Sprinkler Testing East Facility Tested: Fire alarm system including • 6 Pull Stations • 5 Horn/Strobes • 3 8 Smoke Detectors • 24 Heat Detectors • 1 Remote Annunciator • 13 Duct Detector 3 Duct detectors were unresponsive to testing 1 Smoke detector was unresponsive Several heat detectors are fixed temperature and are therefore non - testable. . — : _ '�� • ^i Q.? �,. ,11 . � -.1 .. IO f�.. e, .,�.i: r �. pot .•Y� n. 7�+. - _ - - - _. .• • V.,.h .J i c y it y r f^ Y '��. � ;t h' , .- •:r J• 1 : �/ � :! r •�� s e s;` t, r � �. � .r..�• a �.. H � it a-1 �{.• - ..�9�: ..+� 1 l � � p N1 't M •,� r • ~' ,• ��..�'e..•_f ` rte_ •� '7N � , r--, �j .�.. , . .'.l'.' j. � 1 , , ... �j ,! v u'" {.- i. t..( t� �. '; .�i w.� ht� .t twk..L �c i•4 -y .i`�i Y - �a�n• jx� ; �. ' ' .; ; - � —� - is - ' � ' �3► r • - ..r b :1 • •/' _ _.� � i. g ,ft. � ( . f z r> ? ' �� �-titi.f �. .rl• �� t � :� �.t ..� _,�• •r � •d � . � � t, / _ M1 .:5 r 8 1 �f s �,`� & �3 w + •r 3,� f Y � s _ .s� � � r -� + � ��' � .� �� 'j t�� � - - �-• � i � 'T •• f ; � � � '� Z � ��. �r It•• j� �:� I'.� �' �, � i •` ti i. j� tir t .: -.; : t r. �L„�-�. ..�,. . [/ -. � � _ _ r - r. .' _ • '+' � � .:�, � •�,!” : i` �r l�rs �t .vyY'•_1�' *' r +� .� � x � r:;ti �T •jj - r :, t.•f� t ! rr (iti 1 F � �- a i �-�a.,�,r � u -y; ...rte • - '' s n Inspection, Testing and Maintenance of Fire Alarm Systems Wl*lgus Fire Control,Inc. Date of Service 5, Time 5,,� � 7 s FIRE ALARM DIVISICIN Annual Inspe tion Mfial Inspection Last Service Date 0 1:1�i O 1703 Sonoma St Sia a Stage � Two Stage g —8— Offsi eMonitoring? ❑ [gno Redding, Ca 96001 19 - I El yes (530)241-2465 (800)776-3046 Manufacturer: Model # Ca. license #462979 C-16, C-10 UL # S24291 e 4. ' Building Name: �,Ae Cnou2n� Contact Persona IPhone: t ' `� Le Fax: Address: (-t-� CXWL& owner: S12AA rz cou W -A Centmi Station: Phone: Fax: Phone. City: Post$l Code: 5� Dro%A 9 S "Yes"- Acceptable "No" - Unacceptable (Explain No answers in comments Yes I No Summa ❑ ru The Fire alarms stem is now fully functional without deficiencies. ❑ The Fire alarm system has deficiencies noted on the pages attached. �] ❑ The Fire Alarm System is tested in accordance with NFPA 72 Comments of ODeration confirmed and tested. Technicians After -test Checklist Reconnect time limit cutouts? Reconnect ancfunctions? Reconnect ancillary functions off site connections)? Fj. Reconnect signal ower? Advise fire department the testing is completed? Ensure that the alarm stem is functional? zi wA rte ,Ab-NIE 114", I state that the information on this form is correct at the time and place of my inspection, and that all equipment was tested in conformance with applicable codes and the Manufacturers requirements'' t e was left in operational condition upon completion of this inspection except as noted in comments. 0 Tec cian Si nature Dke Time Owner or Authorized Agent 1 of 4 Inspection, Testing and Maintenance of Fire Alarm Systems Date Building Name Pas+ Yes - Tested correctly "X" No - Did not test correctly (Explain NO answers in comments) "NA" Not applicable Control Unit Tests Annunciator Inspection & Tests Power on visual indicator? Power on indicator? 41ndividual Common visual trouble signal? 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? 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? Power Supply Inspection Z Alarm signal silence operation? Fused with mfgs marked rating of the system? Alarm signal silence visual indication? Adequate to meet the requirements of the system? Alarm signal when silenced automatically reinstate on kewote Trouble Unit Tests and Inspection / V subsequent alarm? _ Alarm signal silence automatic cut-out timer. Input ' 'ng from control unit is supervised? Visual trou nal? Input circuit alarm and supervisory operation including Audible trouble sig visual indicator? Audible trouble signal silo Input circuit trouble operation? Output circuit alarm operation? Battery Tests and Inspection Battery type V- Output circuit trouble operation? Battery Voltage . V Visual indicator test (lamp test)? AC power on Vdc 13* Coded signal sequence operate not less than the required AC power on Vdc number of times and the correct alarm signal thereafter. Coded signal sequences are not interrupted by subsequent alarms? Input circuit to output circuit operation including 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? Control Unit Inspection Input circuit designations, correctly identified in relation to connected field devices 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 Plugin cables securely in place Record date, revision and version of Firmware & software Date: Rev: a . Ver: Cleanliness? Fuses in accordance with MFGs specification Control Unit lock ti Termination points from wiring to field devices secure Battery Amp Hours: AC power on Ah AC power on 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? nerator Power Supply Pro des power to AC circuit serving the fire alarm? Troub ondition at the em gen shall result in an audible common a signal and a visual indication at the required annunci 2 of 4 Inspection, Testing and Maintenance of Fire Alarm Systems Date Buildiniz Name "4"Yes - Tested correctly "X" No - Did not test correctly (Explain NO answers in comments) "NA" Not applicable Field Devices Field Devices continued Each device is free of damage, foreign substance & ter Flow Detection devices mechanically supported independent of wiring? a) tes appropriate water flow means Each device tested while connected to control unit? b) time delay orded Manual Pull stations tested? isory Devices Two stage pullstations tested and functions confirmed? Shut off v s tested and result in trouble signal? Heat detectors tested Low pressure su .sory device inspected and tested? Smoke detectors Low water supervisor to Inspected for cleanliness? Low temperature supervisor devic ed t ; Sensitivity tested? Each power loss (eg fire pump and air comp or) tested? Tested for Operation? ' ed Type ExtinSystems Remote indicator units inspected and tested? Verify operatio ut contacts initiates the Status change confirmation inspection and tested? specified function at the FA co Air Duct smoke detectors tested? Supervisory Devices Other Types IYAr Beam type smoke detectors for actuation & sensitivity?A Inspected and tested as per manufacturer requirements? trA Flame detectors inspected and tested? Signal Appliances Combination detectors inspected and tested? Shall be inspected and tested for operability Automatic detectors — other types inspected & tested Proper installation and tightness, tampering & obstruction? a) alarm initiation tii C 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 oice Communication Inspection/Tests Individual alarm, supervisory and trouble inputs are P er on indicator? clearly indicated and separately designated? Co mon visual trouble signal? Individual alarm and supervisory input designation Co on audible trouble signal? labels are properly identified? Trou a signal silence switch? Alarm input overrides supervisory and trouble input? All cal voice paging including visual indicator? Supervisory input overrides trouble input? Output 'rcuits for selective voice paging and visual. Display can be manually advanced? Output ci uits for selective voice paging trouble/visual First alarm is clearly identified each time it is displayed Micropho including press to talk switch? Alarm and supervisory input can be retrieved until system Operation VC systems does interfere with initial is reset? inhibit time f alert and alarm signal. ' ter Testing All call voice ging operates on emergency power? Ope as intended? Upon failure o one amplifier, system automatically Zone of eac initiating device is correctly printed? transfers to bac up amplifier. Rated voltage is pre ? Circuits for eme ency telephone call in operation including audible d visual indication ers located in Proprietary Control Centers Circuits for emerg cy telephone for operation, including Events acknowledgements are automatically printed? two way voice corn unication? Time and da is recorded by the printer? Circuits for emergenc telephones trouble and visual ops. Each event is rec ed as they occur? Emergency telephone rbal communication? System records status ges with loss of data? Emergency telephone o rable or in -use tone at handset. Paper advances automatic uch that print record is Emergency telephone c in lamp? visible? Emergency telephone call- audible signal? Printer operates under loss of main pow upply? All telephone zone select sw ches individually tested? Printer is monitored for "low paper" and "pa ut"? Individual telephone zone sele indicators? Operating instruction clearly visa le? Lockable release mechanism is in t? Ancillary Device Testing _ Circuit Circuit Circuit 3 of 4 Inspection, Testing and Maintenance of Fire Alarm Svstems Device Testing — Legend and Notes Device Description Type Model No. M Manual Pull station HT Heat detector, non restorable(Note 9 RHI Heat detector, Restorable(Note 9 S Smoke detector(Note 1, 2 & 9 RI Remote indicator unit DS Duct smoke detector Wote 1, 3 & 9 PS Photo electric smoke detector SFD Supporting field device monitor FS Sprinkler flow switch(Note 4 SS Sprinkler supervisory device(Note 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 type speaker AD Ancillag device(Note 8 ET Emergency Telephone --- Other supervisory devices(Notes 6 & --- Other qTe of detector Note I. 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: El Annual ]Inspection Pae of -77; Building Name: eAgr f-Weafirr Address: Cr twtV C6I e16n � Olio Y I"+ co., A. Correctly installed. D. Annunciator indication confirmed. B. Requires Service, Repairs, missing, or cleaning K Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testing "4" VPq - Areantnhlp "Y" No — Unserpntahlp Mynlain Nil sincwpre in rnmmantel «NA" Nnt aimv%lis-ahl" NSA ����I.•'l��� rim CSI' • - ��/l���I��i i : . RIM Note: Confirmation of wiring supervision to each individual device 'is only required during an inifial tits ,pection and test or verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date:Annual Inspection Pae of 73> BuildingName:F—*<1161ZYAddress: G o Gb*MV 04. 6PAP0146- A. Correctly installed. D. Annunciator indication confirmed. B. Requires Service, Repairs, missing, or cleaning K Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitivity testing "4" Yes - Acceptable "X" No — Unacceptable (EXDlain NO answers in commentsl ;INA" Not nnnlicnhip Note: Confirmation of wiring supervision to each individual device is only required during an inilfial inspection and test or verification, and is not required at the annual test. oo�0000 'T 3WA= Wo Note: Confirmation of wiring supervision to each individual device is only required during an inilfial inspection and test or verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Date: El Annual Inspection Pae of 7> Building Name: — / t, Ire Address: 3,1e'vrvY;' c&L&* p 2 RO vl Z!64 ca., A. Correctly installed. D. Annunciator indication confirmed. B. Requires Service, Repairs, missing, or cleaning E. Circuit number or address C. Alarm operation confirmed F. Supervision and ground fault detection G. Smoke detector sensitive testing: "4" Yes - Accentahle "X" Nn -- Unaccentahle Mynlain NO answers in commenttl "NA" Not anniic_9hle 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. 0000000: ffi! tii��fll�l������■f9�i 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.