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Home My WebLink About031-161-066 CF ArchiveInspection, Testing and Maintenance of Fire Alarm Systems • us Fire Control,Inc. FIRE ALARM DIVISION 1)atc ofScr-vicc ��hinlc1 Ud A, .AWil I Annual 1 �sl )ectlon .. lnl[Ial Ins ec(ion I 1:1 Last Date last Service Date (�nknown 1 703 Sonoma S t. Redding, Ca 96001 Singe Stag e 121 Two Stage I - 1 1:1 Offsitc Mimitoring? ;A yes ❑no (530)241-2465 (800)776-3046 Ca. license #462979 C-16, C-10 U L # S24718lone&2 nufarturcr•: Contact Persull: --Iv A T� Nludcl # Phone: Fax: Building Name: j Address: ZvC,.,k e, c_ v Owner: Coap.- Phone: Fa x: City:Postal Code: U I , I Central Station: f— � I e, /5 Phunc: SY6%f� �•�i.___11 a - �-_lit.. ♦�Ai•.11 1 (......,.,...*..1.1.. tI: v.�l.■i■� Mr, .■■hr".vnrc ;Bk "fir'uhn-1 Intel Yes Nu Suininar ' ❑ ❑ ❑ +SreqUellCe 001 - The Fire alarms stem is now fully functional without deficiencies. oc�r�'/1 C The Fire alarm system has deficiencies noted oil the pagies attached. Date The lire Alarm S`'stelll Is tested iii accordance with NFPA 72 Owner or Authorized Ai. -1 oI.O oration confirmed and tested. Technicians Atter-test Checklist El JL&connect time limit cutouts? connect ancillary functions? Reconnect ancillary functions off site connections)? [� Rey,ennect signal ower? 20"Advise fire department the testing is cons leted? Ensure that the alarm system is functional? Comments5C A I z� /a C_ n r 6a I' C t/cl� ��c•,,� V (� � f /"�U/1 ��1-bYG�Y. c f oc�r�'/1 C c rats �c 6Y Date I state that the inlOt-enation on ois form i> correct at the time and place of my Inspection, and that all egUipment Nils tested in conformance with applicable codes and the Nlanulactul-erS rNduiremeftts and Ut this time was left in operational condition upon completion of this inspection except as noted in comments. - "hechntctan Sl mature Date Time Owner or Authorized Ai. -1 I of 4 lisp ection Testing and Maintenance of Fire Alarm Systems Date \ f Building Name ow Yes - "Tested correctly "X" No - Did not test correctly (Explain NO answers in comments) "NA" Not applicable Annunciator Inspection &Tests Control Unit Tests I'owc.'I' fill V ISllal indicator? 1' ter on indicator'? ' 1diVldUal alarin and Supervisory zone indlcatloll? ' til'11a1'? L.L)Illllloll VISllal trouble Illdlvldllal alarm alld 5LII)erVlSUr}' LUlle li1dle;atlOIl labels • � signal? C0111111011 aUdiblc. trouble signs .oninioll trouble signal'? t roublC Signal Silence S\Vltcll,? 1kalll Power SLlpply falllll'C tl'clublc.' Signal? 11'ullble SIlL11a1 sisal 111dlcalor test - I.ami) test? Input WII'ing It'cllll colltl'lll unit IS SLII)Ci'VISCd? tested oil positive and negative (al'Ulllld Paull It . le j -- __ Alarm signal silence visual Indicator`? -li'l't signal l)I)eralloll? ' Switches for ancillary runction operate illi Illlellded'' ' " ill'? A larin signal ope.l alt le ' " llsler Il'l)m f�ll'rt sll;IlC1 lu f�Ial-in signal? Automatic ti �l � lel' allclllal'Y Illllcllllll VlSllal iI1dlCat(li's'� signal and indication'.' .• ,, switch operation'? �. Acknowledge s w ltc OPe' Manual activatlon of alar•nl I'uwcr Supply Inspection Alarnl signal silence inhibit? / FLISCCl \vitll 1111gs marked rating of the systc]"? • , • •,• 1•) t Alarm signal silence ope latlul Adequate l0 illeel illi', regUlrenlelllti of file tiyslClll'� 1' slhlla) s1lClle'e VlsUal Indle:alloll'� fVAlanil'll s1lCllced illlto111i111CalIy I'elllstille oil IZctltole •hrllllble (.�rlll "i`l'S[1 iillll Itlsj)Cl'llon ' � when sign lllpllt wiring fr0111 Control Ulllt 1S Supervised,? SllbseClllelll alarlll? signal nal silence automatic CUt-oUt hiller? including �DC Visual trouble signal? Audible trouble signal'? Input circuit alarnl and supervisory operation indicator'? Audible trouble signal silence`? visual Input circuit trouble operation'? )ection Tests anti Inspection attc ry Tc.s 5 i J ,q , Lrl - �Uutput circuit alarm operation? Battery type5e�•� eo� �.e.�d utpllt circuit trouble operation'? BatteryVolta be : �� AL: power on Vdc Visual indicator test (lamp test)'.' AC. )clover on t 2 Vdc Codcd Signal sequence• operate nut c5s t it,,, le I nulllber of• times and tilecorrect alarnl Signal ther•eal-ter. coded signal sequences are not interrupted by subsequent alarms? /10'0" Input circuit to Ullt{)tll CII'cL.11t uperalloll inClUdIng ancilliary device, 161- correct matrix operation Cset operation? _ Main power to elllcrgency power supply translcr" ala co1111111II11Cattoils link (I)CI.) SuIWI-ViSioll K' Operation Collll'ol Llllit Interconnection to I11011itorlllg stallon? 'ontrol Unit Inspection ' design-ations correctly identified in relation _ input circuit dc,slg � y /,1.) connected field devices latpUt circuit de51gi1c1t10i1S correctly ' ctl identified in relation to connected field devices. Designations fur common control functions & indicators /e`�Cabin�.t •, plu ionents and modules securely in place gn cons p —% Nlugin cables securely in place Record date, revision and version uf' F irnlware software (pate:----- /Icanliness'' I: tlscs in accordance with M I:G s spec i t (cat inn roI Unit luck crminatiun points Irom ��-(ring to field devices secure Battery Amp I lours: /1� 6 . Ah AC power on AC power oil : �� - Ah nspec:ted for physical dalna.W'' erniinal cleaned and lubricated? i•ernmials clamped tightly' Correct Electrolyte level'' Specific gravity within nlfg specifications'? -lectrolyte leaks'? A equately ventilated? Itlllll 111allUlacturer's rated lift date code'? Disconnection causes trouble signal? nn Generator Power Supply �r Provides power to AC circuit Scrvilig the firs: alarm? 'I'ruubIc condition at tilt enl gen shell result in an audible Celllllll011 tl'ULlbIC Signal and a VISual illdlcatIOIl at the required allnurlciator. 2 of'4 �s ection Testis and Maintenance or Fire Alartil systcn S Inspection, � � Date \ \,-� - \\ 13ui1(lin Name e- �-'v"`r` �'�� ► � � t test correctly (Explain NO answers in comments) "NA" Not applicable Yes -Tested correctly 66x"No -Did no Y Field Devices continued Field Devices /F.ach % !ter Flow I)etcctiun devices device; is free or damage, foreign substance &,�! � ry appropriate water lluw nlcanS ilechanically Supported independent of wiring? C tested by ' I p p .. l.ei ;ach device tested while; connected to control unit'? b) time delay recorded M,-Inual PUII SUItions tested`:' Supervisory Devices • s estcd and t•L Ions ce)ntil•lllccl'? _►� Shut -oft' valves tested and result in trouble signal'.' I -wk) stage pullstation, t ow pressure supervisory device Inspected and tested''I teat detectors tested AA- / ,�rlioke detectors - .A I_.ow water Supervisor test :nspected for cleanliness" L.uw temperature supervisor device tested . ,, Each power loss (eg lire pump and air compressor) tested'' ��nsltivlt� tested . Other Fixctl 'hype Extinguishing Systems 1•ested tui Uperalion'?. . l� )ecled and tested? A/01 Verily operatioll of tI1C oUlpU1 contacts Initiates the 'lllotc Indicator Unit.ti Inspected -� Iti chill �e troll t II"Illal ll)!1 Illtipel;l IUI1 and tested' Spec l l it'd function al till' I' A•e;Orllrol Ullll. SMII . �, f\ir Duct Smoke delec:torS tested'? Supervisory Devices Other "1'•ypes .. ,) �VA- Inspected and tested as per Manufacturer requirements'? Beals type smoke detectors fur actuation & ScnSItIVIty : _�/' I . _ HaIlle detectors inspected Mild tested'? null Appliances Combination detectorsInspected and tested? all be inspected and tested for operability < < Iing &obstruction'? ,i Autonlatic detectors — other types inspected & tested Proper installation and tightness, tamper initiation Intelligibility of* voice; messages'? a alarm initiation b) detector is oriented so as to detect hazard'? ./Q Au ibility of• alert, alarm and voice messages/ al signal appliance inspected and tested'? c) sensivity tested'? Combination devices tested'. Sequential Display Inspection and 'resting and trouble inputs are voice Communication Inspectlorl/Tests NA Power on indicator'? r v� Individual alarm, supervisory . , , .. , .• , �� clearly indicated and separately designated. Coniston visual trouble: Signal'? I11dIVldll�ll alarlll and S111)el'VISoI'y Illl)lll dt',SILIlIIIIUII Collllllotl audible trouble signal'? � 'rouble IabelS are properly idcntiticd'? Alarm in )ill UVerl'ldes SLll)CI'VISor'y alld tl•ollI) II11)lll? I I signal Silence Switch'.' All call voice paging Inl:Illdlllg Vl�Ual I11dll;atol'? tiu )ervisury Input overrides tr•�)uble input'? I - I �_ Output circuits for Selective voice paging and visual. tui ,cicctivc: voice p�.lging trouble/visual Output ' )i ' )la c�ln he nlanuall�r advanced'? . til y irSt !tarsi is clearly identified each tittle It IS displayedMicrophone Al_ clrcultS Including press to Milk switch? it Sti Stent Alarm and stll)el'Vlsol'y Illplll Carl be retrievedlull ,'.� Operation of VC systems does intertere with Initial Iti I'esel? Printer Testing � inhibit time of alert and alarm signal. All call voice paging operates on emergency power'? NA Operation illi In[ellded'? Upon failure ozone -amplifier, system alllorllatiCally Tolle of each alarm Initiating device is correctly printed'? transfers to backup amplifier. Circuits for emergency telephone call In operation Rated Voltage is present'? including audible and visual indication I'rlrlter•s located in I'ruprietary Control Centers Circuits ror emergency telephone for operation, including NA Events and acknowledgements are automatically printed'? � two way voice comrnunlcatlon'? Circuits for emergency telephones trouble and Visual ops. Timand date is recorded by the printer'? Each event is recorded as they occur'? '- Emergency telephone verbal communication'? Svstem records status changes with loss of dill!'? Emergency telephone operable or in -use tone; at handset. _ r Paper advances alr[olllatiCally Such that print record is Q_ g Y telephone call-in (arllp? E:nler enc 1".nlergency telephone call-in audible signal'? /[' Visible'? Printer operates Milder loss of main power supply'? I ^� t�`--� All lelephotle zone select swill hl'ti It1dlVldllallV ll'SICCf'� '� •• .• • "'� Ir Intel, Iti monitored Ior "low paps -:r and p!lpel Out"'! /�� lI1dIVIdUaI telephone Ll)Ilt tie'Il;t;l IrldlCillUrS'? 1 /V,4 Operating instl'llCtloll clearly visible') Lockable release mcchallis111 is Intact'? Ancillary Device Testing _ Circuit__ _ —�.- - Circuit 3 of 4 InspectionInspection9 Testing, and Maintenance of Fire Alarm Systems 6? Building Name ' • �— �: f' �5 Date. \ i Device Testing — Legend and Notes Note I. Smoke detector detector sensitivit y 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 Clow switch should be recorded in the remarks column. Note 5. Sprinkler supervisory �ervisory switches cause trouble conc.lition to be annunciated but not an alarm condition. Nutt. 6. Upper and lower• pressure setting ol'supervisory devices should be recorded in the remarks column. Note 7. Low temperature setting should be recorded in the remarks column. Note K. Identifj, the specific ancillary devices in the remarks column. Note 9. Identity date fire detector was changed. Caution: The tests reported on this form do not include the actual operational test of ancillary devices. 4 o t• 4 inspection, � Testin j and Maintenance of Fire Alarm Systems p Individual Device Record Annual lns pection Date:Bididinu Nanw: Addl-eSS:_2, VI (I A. Correctly installed. 1). Anuuuciatur indication ct�nfinned. B. Requires Service, Repairs, missing, or cleaniu4; 1�;. Circuit nunrlrrr• ur address C. Alarm opef.100n runlir111ed I.' Supervision alld W -01111d fault detection (;. Smoke detector- sensitivit)' testing; On 1'afIc 1 _u1' " • f• Lwin supervision to each individual device is only required during an initial Note. Confirmation o g p inspection and test or verification, and is not required at the annual test. Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record Annual Ins pection Page 'L of care• � � � U Building N,in�c: Address: C7 :�. Correctly installed. t). flnnunciat()r indication co►nlirnned. I;. Retluires Service, Repairs, nnissing. or cleaning V. (circuit number or address C. ;�larni operation cuiiiirn1�.d !Supen,isiun and round vault detertiun C,. Smoke detector sensitivity tcstin > Nota. C.onti� inat�un of wiring • supervision to each individua► device is only required during an initial 11'1.1pet~•ti�)n aid test or verification, and is not required at the annual test. Date: BuildinL) Name: Inspection, Testing and Maintenance of Fire Alarm Systems Individual Device Record �] Annual Inspection Acltlress: 1 A. Correctly inst;lllell. U. ��nntlnciator Indication Colllll•llled. I;. Requires 'Service, Repairs, missing, oi- cleaninh F.. (circuit nuIIII)Cr• or address F. Supervision and ground vault detection C. Alarm operation confirmed � e4 G. 'Smoke detector sensitivity testing I' -'we 5 of Note: CUtlfll I11dt1Un of wiring su supervision to each Individual device is only required during an initial 1 inspection and test or verification, and is not required at the annual test. - > IT -G AND MAINrfI.NANCI OF WA'I'[ IZ-ERASED DIRE PROTECTION SYSTEMS 25-78 INSI I -C, I�l0N, 'IT- -STING, , Inspection, Testing, and Maintenance Cover Sheet Inspection, NFPA 25 as amended by CCR, Title 19 FPropertyormation: h C s �of_.r._at�,� �� ; `� ��o ccupancy /Use: [ ce �,� o� Name: 'PLO'(6 0 5 Address: Construction Type: e, No. Stories:' ----�► . City. - RE Q' �s Year Constructed ZIP: Contact: Todi Telephone: r Number of System Risers Contractor Information: Name: Wilgus Fire Control, Inc. Copy sent to: Address: 1703 Sonoma St o Owner Date Redding City. 9 o Fire AHJ Date State. California o Contractor Date Telephone- (530)241-2465 p NOTES: 1) For specific inspection, testing, and CA License# 462979 C-16 C-10 C-7 maintenance requirements and information, see NFPA 25, 2002 Edition as amended by California Code of Regulations, Title 19, §901 Job # to §906. Performed by: ��-�-- �� (Print) Z) Inspection Items may be performed by the Owner in accordance with California Code of Note. Contractor information may be pre-printed Regulations Title 19 904.1 a • Forms included with this repo � NFPA 25 Number of Forms NIA FAIL* PASS Chapter is S rinkler S ❑ Automat stem p y 5 J El Standpipe and Hose Systems 6 0 Private Water Supply System 7 ❑ Fire Pump 8 Water Storage Tank 9 ❑ Water Spray System 10 l-1 Foam Water Sprinkler System 11 *See "Deficiencies and Comments" section at end of each respective form. March 21, 2006 State Fire Marshal AES 1 ANNEX B 25-79 Inspection, Testing, and Maintenance Fire Sprinkler System Page 1 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Date of Inspection, Testing, Maintenance LLL System Riser ID: Property Information: Type of System: ��% a-4.�0 Name: C�`►��'�e, �A� � L e�s � Wet Pipe ❑ Dry Pipe } Address: El ❑Deluge 'c'��•-__� EM City: Main Drain Test Results: Abbreviation Key: I = Inspection Initial Static Pressure: ,.s� (psi) T = Test M = Maintenance Pressure: (psi) A-0 = After Operation Residual MI = Per Manufacturer's Instructions Restored Static Pressure: 5-5 (psi) Item Activity Frequency Description NFPA 25 Fail NIA Pass Reference Daily Preaction/Deluge Valves — Enclosure 12.4.3.1 1.1 I Weekly tem erature Daily Dry Pipe Valves — Enclosure 12.4.4.1.1 .-- 1.2 I Weekl tem erature Gauges (Dry, Preaction, Deluge 5.2.4.2 -- 1.3 t Quarterly Systems) 5.2.4.3 1.4 I Quarterly Control Valves 12.3.2.1 1.5 I Quarterly I rm Devices A a 5.2.6 1.6 I Quarterly Gauges (Wet Pipe Systems) 5.2.4.1 1.7 I Quarterly Hydraulic nameplate 5.2.7 1.8 I Quarterly Pipe and Fittings 5.2.2 1.9 I Quarterly Sprinklers 5.2.1 !" 1.10 I Quarterly Spare Sprinklers 5.2.1.3 1.11 I Quarterly Fire Department Connections 12.7.1 1.12 I Quarter) Y Alarm Valves — Exterior Inspection 12.4.1.1 Preaction/Deluge Valves -- Exterior 12.4.3.1.6 1.13 I Quarterly Inspection 1.14 I Quarter) Y Pressure Reducing Valves 12.5.1.1 f' 1.15 I Quarterly Dry Pipe Valves — Exterior Inspection 12.4.4.1.4 ' 1.16 I Quarterly rl Backflow Preventers 12.6.1 1.17I Annually Buildings 5.2.5 = State Fire Marshal AES 2 March 21, 2006 � -- -- .. ,INv, AND M AINTENANCE OF WATER-BASED FIRE PROTECTION SYSTEMS 25-80 INSf ESCTION, l ESTING, March 21, 2006 State Fire Marshal AES 2 Inspection, Testing, and Maintenance Fire Sprinkler System Page 2 of 4 NFPA 25, Cha ter 5 as amended b CCR, Title 19 , System Riser ID: l Date of Inspection, Testing, Maintenance : Property Information: Type of System: Yp Y aF �Ak o� � � � 1 v' ��-s Wet Pipe C. � v � fel� �. Name.co �. ❑ Dry Pipe Address: �VVh ❑ Preaction `► tr ❑ Deluge `-- 0�- V City: Item Activity Frequency NFPA 25 Description Reference Fail NIA Pass 1.18 I Annually Hangers 5.2.3 1.19 I Annually Seismic Braces 5.2.3 1.20 I 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 Seismic Braces (Accessible concealed 5.2.3.3 % 1.21 I 5 Years spaces) Pipe and Fittings (Accessible concealed 5.2.2.3 1.22 I 5 Years spaces) 5 Years Sprinklers Accessible concealed spaces) 5.2.1.1.4 p 1.23 1 1.24 I 5 Years Alarm Valves – Interior Inspection 12.4.1.2 1.25 i 5 Years Alarm Valves - Strainers, filters, orifices 12.4.1.2 ,= " 1.26 1 5 Years Check Valves – Interior Inspection 12.4.2.1 Preaction/Deluge Valves – Interior 12.4.3.1.7 1.27 I 5 Years Inspection Preaction/Deluge Valves - Strainers, 12.4.3.1.8 . 1 28 i 5 Years filters, orifices 1.29 I 5 Years Dry Pipe Valves – Interior Inspection 12.4.4.1.5 1.30 I 5 Years Pi e Valves - Strainers, filters, orifices 12.4.4.1.6 Dry Pipe 5.3.3 , 2.1 T Annually Alarm Devices (90 Sec)122.7 r' 12.2.6 2.2 T Annually Y Main Drain Test (Enter data on Page 1) 12.2.6.1 12.3.3.4 2.3 T AnnuallyAntifreeze Test 5.3.4 .i 2.4 T AnnuallyControl Valve - Position 12.3.3.1 2.5 T Annually Control Valve – Operation 12.3.3.1 2.6 T Annually Supervisory 12.3.3.5 r=" 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 March 21, 2006 State Fire Marshal AES 2 March 21, 2006 State Fire Marshal AES 2 ANNEX B 25-81 Inspection, Sprinkler System Testing, and Maintenance Fire Sprin Page 3 of 4 CR, Title 19 NFPA 25, Cha ter 5 as amend7System . � Riser ID: � '' Date of Inspection, Testing, Maintenance: � �a�/ �. Property Information: 1 Type of System: ` o �� — � o Name:�'� u k L t �-� `r� L5 Wet Pipe r ❑ Dry Pipe e.L� ❑ Preaction Address- 0 Deluge -- ----� ^'RE Mp` v X11 � City. �► Item Activity Frequency NFPA 25 Description Reference Fail NIA Pass 2.10 T Annually Dry Pipe Valve — Priming Water 12.4.4.2.1 _ Dry Pipe Valve —Low Air Pressure P 12.4.4.2.6 � 2.11 T Annually Alarm Dry Pipe Valve — Quick -Opening 12.4.4.2.4 f 2.12 T Annually Device 2.13 T Annually Dry Pipe Valve — Trip Test 12.4.4.2.2 _ ' 2.14 T AnnuallyBackflow Preventer Assemblies 12.6.2 2.15 T 3 Years Dry Pipe Valve — Full Flow Trip Test 12.4.4.2.2.2"r 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 r' Sprinklers — Corrosive environment or 5.3.1.1.2 f 2.20 T 5 Years corrosive water 2.21 T 10 Years Sprinklers - Dry 2.22 T 20 Years Sprinklers - Fast Response 5.3.1.1.1.2 :2.:2:3 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 P .' Sprinklers manufactured prior to 1920 5.3.1.1.1.1 2.25 T — Re lace 3.1 M AnnuallyControl Valves 12.3.4 3.2 M AnnuallyPreaction/Deluge Valves 12.4.3.3.2 Dry Pipe Valves/Quick-Opening 12.4.4.3.2 % 3.3 M Annually Devices 3.4 M Annually Dry Pipe Valve — Low Point Drains 12.4.4.3.3 r" 3.5 M 5 Years Chapter 13 Obstruction Investigation Cha P March 21, 2006 State Fire Marshal AES 2 I "MING AND MAINTENANCE OI= WATER-BASED FIDE PROTECTION SYSTEMS 25-52 INSPECTION, l ES 1 , Inspection, Testing,and Maintenance Fire Sprinkler System Page 4 of 4 NFPA 25, Chapter 5 as amended py CCR, Title 19 Date of Inspection, Testing, Maintenance- N_ System Riser ID: Property Information: T Ype of System: �0� Name:- �� L��`� .�-�1c.Q5 Wet Pipe CODry Pipe Address: Q Preaction X%%If D Deluge City: State Fire Marshal AES 2 March 21, 2006 rsutte County Fire Department 0 .lr. C California Department of Forestry and Fire Protection `� Fire Prevention Bureau Ca.y 176 Nelson Avenue, Oroville, CA 95965 ��x� 530-538-7888/530-538-2105(fax) :rnt� Fire Safety Inspection��_�� n. Business Address:d Business Name: 10. Owner/Manager: Bus: Other: Other Contact: Bus: Other: Building Owner: Bus: -� c�''� Other: Address: -,57 - Occ. Class: AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING: 1. Fire extinguishers: required, service due 10. Exit(s): obstructed, inadequate 2. Extension cords: Excessive use, defective 11. Exit sign(s): required, illumination, photo luminescent 3. Excessive rubbish, trash, debris 12. Exit sign lights: obstructed, defective 4. Fire alarms stem defective 13. Exit lighting: required, defective 5. Sprinkler system: service required, defective 14. Heating system: defective appliance, flue combustibles 6. Kitchen hood ext. system: service due 15. Wiring: exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Address posted and visible from road 8. Smoke detectors: required, defective 17. Other 9. Fire drill log checked Yes u No ❑ 18. Other type of inspection - State below (DETAILED EXPLANATION AND CORRECTIONS: CORRECTED: ate: / -7 / / Discussed with, oi