The URL can be used to link to this page

Home My WebLink AboutB19-3244 CF Inspection FM1,S19-32,VY G p 57P w6t>R- . ver Sheet Me -. y. ... CCR, Title 19 Name: Helena chemicals Occupancy/Use: Warehouse Address: 1566 Nelson Rd Construction Type: Steel OF CAL/ ,�� O City: Durham No. Stories: 1 �� ZIP: 95965 Year Construct 2014 9 P Contact: Nick Bryant COUNT' �i�llgE I 1 1Allp`r` Telephone: (530) 566-9672 way 421119 oc\ ,32 DE�ORENT Contractor Information: STFof System Risers Name: Foothill Fire Protection, Inc. Copy sent to: Address: 170 Erma Ct ✓❑ Owner Date: 09/09/19 City: Chico ❑ Fire AHJ Date: State: CA ❑ Contractor Date: Telephone: (530) 826-3013 NOTES: 1) For specific inspection, testing, and maintenance 783132 requirements and information, see NFPA 25, 2011 CA License#: edition as amended by California Code of Regulations, Title 19, §901 to §906. Job #: 1566NEL Stephen Rampenthal 2) Inspection items may be performed by the owner in Performed by: accordance with California Code of Regulations, Title 19, §904.1(a) Check box for each system inspected and enter the number of forms used for inspection. C4, IncludedForms with this Report d system at end of inspection. ® Automatic Sprinkler System Chapter 5 4 ❑ 1-1 IZI ❑ Standpipe and Hose System 6 0 0 ❑ Private Water Supply System 7 0 21 ❑ 11 ® Fire Pump 8 0 0 ® Water Storage Tank 9 0 21 ❑ Water Spray System 10 0 ❑ Foam Water Sprinkler System 11 0 ❑ ❑ Water Mist System 12 0 ❑ Concerns that are Not Deficiencies (i.e. Non-Sprinklered Areas) ❑ Yes ® No *See "Deficiencies and Comments" section at end of each respective form. AES 1 September 3, 2013 Quarterly Inspections = Inspection T = Test M = Maintenance P = Pass F = Fail N/A = Not Applicable Item Description NFPA 25 CA ed. Reference09/09/19 er Information X. Iser _., Location No. Diameter Din Drain Main Dr ain Test (Annual) I Press urec Residual Flnal Static Pressure Press-Ure_, P,F,N/A 1 Office Eastside exterior 2 1.25 148 P 2 Northwest of warehouse 6 2 140 P P __ 1.2 1 Control Valves — Inspection 13.3.2 P This building has more than 5 risers. See additional AES 2.9 form attached. Number of AES 2.9 forms attached Quarterly Inspections = Inspection T = Test M = Maintenance P = Pass F = Fail N/A = Not Applicable Item Description NFPA 25 CA ed. Reference09/09/19 Date Dae Date D 1.1 1 Control Valves — Identification Sign 13.3.1 P __ 1.2 1 Control Valves — Inspection 13.3.2 P 1.3 I Waterflow Alarm Devices 5.2.5 P 1.4 1 Supervisory Devices 5.2.5 P 1.5 1 Gauges (Wet Pipe Systems) 5.2.4.1 P 1.6 1 Enter Water Supply Pressure Below RiserCheck 5.2.4.1 psi psi psi psi 1.7 1 Enter Water Supply Pressure Above Riser Check 5.2.4.1 psi psi psi psi 1.8 1 Pressure Readings Acceptable 5.2.4.1 P 1.9 1 Hydraulic Design Information Sign For Hydraulically Designed Systems) 5.2.6 P 1.10 1 General Information Sign (Not Required for System prior to 2007 Edition of NFPA 13) 5.2,8 N/A 1.11 1 Heat Tape 5.2.7 N/A 1.12 1 Spare Sprinklers 5.2.1.4 P 1.13 1 Fire Department Connections 13.7 P 1.14 1 Alarm Valves — Exterior Inspection 13.4.1 P 1.15 I Pressure Reducing Valves 13.5.1.1 P 1.16 1 Backflow Preventers 13.6.1 P 1.17 1 Small Hose Connections - Hose Valve* 5.1.6, 13.5.2 13.5.5.1 N/A 1.18 1 PRV — Fire Sprinkler Systems 13.5.1.1 N/A * Small standpipe hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class 1, 11, or III systems. Form AES 2.1 Sept. 3, 2013 Wet Pipe California Code of Regulations - Title 19 Q . uarterly and Fire Sprinkler System Inspection, Testing, and Maintenance Annual Report 2of3 Property Information OF CALZX,0 Contractor or Licensed Owner Information co Building Name Helena Chemicals n Name Foothill Fire Protection, Inc. Address 1566 Nelson Road Q lJob # 1566NEL City 7 Durham Mp ANNUAL INSPECTION, TESTING, AND MAINTENANCE Include ALL Quarterly Inspections I =Inspection T = Test M = Maintenance P = Pass F! = Fail NIA = Not Applicable -19 11.19 1 Sprinklers 5.2.1 1.20 1 Buildings (Freeze Protection) 4.1.1.1 Owner's Responsibility 1.21 1 Pipe and Fittings 5.2.2 1.22 1 Hangers 5.2.3 1.23 1 Seismic Braces 5.2.3 2.1 T Field Service Test Required 5.3.1 If REQUIRED, Enter'Puntil N/ - A - (Send Report to Fire Code Official) results are returned from Lab 2.2 T Recalled Sprinklers Title 19 If not present = Pass; If present = Fail 904.1 (c) 2.3 T lWater Flow Alarm Devices 5.3.3 90 sec. maximum - (Enter Time 13.2.6 sec. 2.4 T Main Drain Test 13.2.5 (Enter Data on Page I of this Form) 13.3.3.4 2.5 T Control Valve - Position 13.3.3.2 2.6 T Control Valve — Operation 13.3.3.1 2.7 T Supervisory Devices 13.3.3.5 2.8 T Backflow Preventer Assemblies 13.6.2 2.9 T Small Hose Connections* 13.5.2.3 w1PR V Hose Valves —Partial Flow Test 13.5.3.3 2.10 T PRV — Fire Sprinkler Systems 13.5.1.3 3.1 M Control Valves 13.3.4 3.2 M Small Hose Connections* 13.5.6.3 Obstruction Investigation required 'Yes", ❑Yes 3.3 M (If see Deficiencies and Comments Section 14.3 No for Results.) 3.4 M I System Returned to Service 4.5.3 i OYes �nNo Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class 1, 11, or 11-1 standpipe systems. D = Deficiency C = Comment (indicate Wpe) rl F� 1:j r Owner maintains system Performed CA NFPA 25 Inspection per Chapter 5. Form AES 2.1 Sept. 3, 2013 Deficiency Item Date Riser D C Deficiencies and Comments (cont.) Indicate all equipment, devices and parts that were repaired or replaced ___■.MINE ___■. ___■. ___■■ INEEMINEME ___.. _-_ ■. NEEIN _MENI_. ■ ___ME ON ___ON ___ME -WIN MINI ___.. ___MM ___.. ___.. ___■E ___-- MENEIN I hereby certify that the fire protection equipment listed above has been fully inspected, tested, and maintained on this date by the company indicated above, in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable except as noted In the "Deficiencies and Comments" section of this form. Check box if Annual Inspection, Testing & Maintenance Items are Completed in the Indicated Quarter Quarter 1st - ❑ Annual 2nd - ❑ Annual ani - p Annual 4th- ❑Annual Date 09/09/19 Print Name Stephen Rampenthal -- _. Signature Form AES 2.1 Sept. 3, 2013 Wet Pipe California Code Sprinkler System Inspection, Testing, and Maintenance ReportFire Annual Property Information Of CA`0 Contractor or Licensed Owner Information h Z Building Name Helena Chemicals Name Foothill Fire Protection, Inc. Address 1566 Nelson Road9, P Job # 1566NEL City Durham SAE MP Deficiency Item Date Riser D C Deficiencies and Comments (cont.) Indicate all equipment, devices and parts that were repaired or replaced ___■.MINE ___■. ___■. ___■■ INEEMINEME ___.. _-_ ■. NEEIN _MENI_. ■ ___ME ON ___ON ___ME -WIN MINI ___.. ___MM ___.. ___.. ___■E ___-- MENEIN I hereby certify that the fire protection equipment listed above has been fully inspected, tested, and maintained on this date by the company indicated above, in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable except as noted In the "Deficiencies and Comments" section of this form. Check box if Annual Inspection, Testing & Maintenance Items are Completed in the Indicated Quarter Quarter 1st - ❑ Annual 2nd - ❑ Annual ani - p Annual 4th- ❑Annual Date 09/09/19 Print Name Stephen Rampenthal -- _. Signature Form AES 2.1 Sept. 3, 2013 Testing, NFPA26 and Maintenance Cover Sheet amendedInspection, as by CCR, Title 19 Property Information: Name: Helena Chemical Occupancy/Use: Warehouse Address: 1566 Nelson Rd. Construction Type: Steel OF CAL/,p 09 City: Durham No. Stories: 1 c ZIP: 95938 Year Constructed: Contact: Nick Bryant 1A Telephone: (530) 566-9672 Contractor information: Number of System Risers Name: Foothill Fire Protection, Inc. Copy sent to: Address: 170 Erma Ct ❑Owner Date: 06/11/19 City: Chico FZI Fire AHJ Date: 06/11/19 State: CA ❑ Contractor Date: (530) 826-3013 Telephone: NOTES: 1) For specific inspection, testing, and maintenance 783132 requirements and information, see NFPA 25, 2011 CA License#: edition as amended by California Code of Regulations, Title 19, §901 to §906. Job #: 1566NEL 2) Inspection items may be performed by the owner in Performed by: Stephen Rampenthal accordance with California Code of Regulations, Title 19, §904.1(a) Check box for each system inspected and enter the number of forms used for inspection. Check boxes (Fail or Pass) to indicate status of inspected system at end of inspection. ReportForms Included with this Chapter ® Automatic Sprinkler System 5 4 ❑ Standpipe and Hose System 6 0 ❑✓ Ej ❑ ❑ Private Water Supply System 7 0 2✓ ❑ El ❑ Fire Pump 8 0 ❑✓ El ❑ ❑ Water Storage Tank 9 0 ❑ ❑ ❑ Water Spray System 10 0 ❑ Foam Water Sprinkler System 11 0 El El ❑ Water Mist System 12 0 El ❑ ❑ Concerns that are Not Deficiencies (i.e. Non-Sprinklered Areas) ❑ Yes ® No *See "Deficiencies and Comments" section at end of each respective form. AES 1 September 3, 2013 Wet Sprinkler Pipe California System Inspection, Property Information Code Description Testing, and Maintenance A 'Of C 09 Z a PAddress MP Contractor ReportFire or Licensed Owner Information Building Name Helena Chemical Name Foothill Fire Protection, Inc. 1 N.E Exterior Office 170 Erma Ct Address 1566 Nelson Rd. City Chico St. CA Zip 95928 145 P License # 783132 Phone (530) 826-3013 City Durham ❑ SFM Job # 1566NEL Contact Person Nick Bryant ® CSLB C-16 Misc. 145 Riser No. Riser Information Location Description NFPA 25 CA ed. Reference Date Comments Only P, F, NIA Main Drain Test (AN U Riser Main Drain Initial Static Residual Final Static Diameter Diameter Pressure Pressure Pressure P, F, N/A 1 N.E Exterior Office 2 1 155 105 145 P 2 N.W Interior Warehouse 6 2 155 108 140 P 3 Pump House 2 1 145 105 145 P P 1.5 1 Gauges (Wet Pipe Systems) 5.2.4.1 06/11/19 P 1.6 1 Hydraulic Design Information Sign (For Hydraulically Designed Systems) 5.2.6 06/11/19 P ❑ This building has more than 5 risers. See additional AES 2.9 form attached. Number of AES 2.9 forms attached: Enter Water Supply Pressure Below Riser Check I = Inspection T= Test M = Maintenance P=Pass F=Fail NIA =Not Applicable Item Description NFPA 25 CA ed. Reference Date Comments Only P, F, NIA 1.1 1 Control Valves — Identification Sign 13.3.1 06/11/19 P 1.2 1 Control Valves — Inspection 13.3.2 06/11/19 P 1.3 1 Waterflow Alarm Devices 5.2.5 06/11/19 P 1.4 1 Supervisory Devices 5.2.5 06/11/19 P 1.5 1 Gauges (Wet Pipe Systems) 5.2.4.1 06/11/19 P 1.6 1 Hydraulic Design Information Sign (For Hydraulically Designed Systems) 5.2.6 06/11/19 P 1.7 1 Enter Water Supply Pressure Below Riser Check 5.2.4.1 06/11/19 psi P 1.8 1 Enter Water Supply Pressure Above Riser Check 5.2.4.1 06/11/19 psi P 1.9 1 Pressure Readings Acceptable 5.2.4.1 06/11/19 P 1.10 1 General Information Sign (Not Required for System Prior to 2007 Edition NFPA 13) 5.2.8 06/11/19 NA 1.11 1 Heat Tape 5.2.7 06/11/19 NA 1.12 1 Spare Sprinklers 5.2.1.4 06/11/19 P 1.13 1 Fire Department Connections 13.7 06/11/19 P 1.14 1 Alarm Valves — Exterior Inspection 13.4.1 06/11/19 P 1.15 1 Pressure Reducing Valves 13.5.1.1 06/11/19 P 1.16 1 Backflow Preventers 13.6.1 06/11/19 P Form AES 2.2 Sept. 3, 2013 Wet Pipe California Code ReportFire Sprinkler System Inspection, Testing, and Maintenance Property Information Of CALF Contractor or Licensed Owner Information �0 z Building Name Helena Chemical v Name Foothill Fire Protection, Inc. Address 1566 Nelson Rd. y� Q Job # 1566NEL City Durham ARE Mp ANNUAL JINSPECTION, TESTING, AND MAINTENANCE I =Ins ection T =Test M = Maintenance P = Pass F = Fail N/A = Not Applicable Item Description NFPA 25 CA ed. Reference Date Comments Only P,F,N/A 1.17 1 Small Hose Connections - Hose Valve* 5.1.6, 13.5.2 6/11/2019 N/A 13.5.5.1 1.18 1 PRV — Fire Sprinkler Systems 13.5.1.1 6/11/2019 N/A 1.19 1 Buildings (Freeze Protection) 4.1.1.1 6/11/2019 Owner's Responsibility P 1.20 1 Sprinklers 5.2.1 6/11/2019 P 1.21 1 Sprinklers - Accessible Concealed Space 5.2.1.1.6 6/11/2019 P 1.22 1 Pipe and Fittings 5.2.2 6/11/2019 P 1.23 I Pipe and Fittings - Accessible Concealed Space 5.2.2.3 6/11/2019 P 1.24 1 Hangers 5.2.3 6/11/2019 P 1.25 1 Hangers - Accessible Concealed Space 5.2.3.3 6/11/2019 P 1.26 1 Seismic Braces 5.2.3 6/11/2019 P 1.27 I Seismic Braces - Accessible Concealed Space 5.2.3.3 6/11/2019 P 1.28 I Unsprinklered Areas CFC 901.4 6/11/2019 ®Yes ®No 2.1 T Field Service Test Required 5.3.1 6/11 /2019 If REQUIRED, Enter'F' until N/A Send Report to Fire Code Official results are returned from Lab 2.2 T Recalled Sprinklers Title 19 6/11/2019 P N not present = Pass; if present = Fail 904.1(c) 2.3 T water Flow Alarm Devices 5.3.3 6/11/2019 Office 53, Warehouse 55, sec. P 90 secs max. Enter time 13.2.6 2.4 T Main Drain Test 13.2.5 6/11/2019 P (Enter data on Page 1 of this form) 13.3.3.4 2.5 T Control Valve - Position 13.3.3.2 6/11/2019 P 2.6 T Control Valve — Operation 13.3.3.1 6/11/2019 P 2.7 T Supervisory Devices 13.3.3.5 6/11/2019 P 2.8 T Backflow Preventer Assemblies 13.6.2 6/11/2019 P 2.9 T I Small Hose Connections* 13.5.2.3 6/11/2019 N/A w/PRV Hose Valves — Partial Flow Test 13.5.3.3 2.10 1 T PRV — Fire Sprinkler Systems 13.5.1.3 6/11/2019 N/A T Pressure Gauges - Calibration 5.3.2 6/11/2019, P d2.11 2.12 T Small Hose Connections* 13.5.6.2.2 6/11/2019 N/A * Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I, II, or III standpipe systems. F rm AES 2.2 Sept. 3, 2013 Wet Pipe California Code Fire Sprinkler System Inspection, Testing, and Maintenance Report 3of3 Property Information of CA4i Contractor or Licensed Owner Information hQ� X09 Building Name Helena Chemical v Name Foothill Fire Protection, Inc. Address 1566 Nelson Rd. P Job # 1566NEL City Durham MP MiUAL KSPECTION, IncludeQuarterly I = Inspection T = Test M = Maintenance P = Pass F = Fail N/A = Not Applicable Rem Description NFPA 25 CA ed. Reference Date Comments On IY P,F,N/A 3.1 M Check Valves - Internal inspection 13.4.2 06/11/19 P 3.2 M Control Valves 13.3.4 06/11/19 P 3.3 M FDC - Backflush 14.3.2.3 06/11/19 P 14.3.2.4 3.4 M Internal Pipe Inspection - See Deficiencies and 14.2 06/11 /19 Nos N/A Comments Section for Results. 3.5 M Obstruction Investigation Required. If "Yes", See 14.3 06/11/19 N/A Deficiencies and Comments Section for Results 3.6 M System Returned to Service 4.5.3 06/11/19 Yes P No D = De clency C = Comment (Indicate e) Item Date Riser D C Deficiencies and Comments Indicate all equipment, devices and parts that were repaired or replaced X Owner maintains system, item 3.4 & 3.5 excluded. X Performed Five year Inspection in Accordance with CA NFPA 25 2.7 18-23-20191 X CORRECTED 8/23: P.I.V sensor on warehouse did not respond Check here if additional Deficiencies and Comments are listed on Form AES 9. Number attached: I See Correction Form AES 10 for corrected deficiencies. Number attached: I hereby certify that the fire protection equipment listed above has been fully inspected, tested, and maintained on this date by the company indicated above, in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable except as noted in the "Deficiencies and Comments" section of this form. Print Name Stephen Rampenthal 11 ignature v�tyo,%n Date 06/11/19 F I orm AES 2.2 Sept. 3, 2013 Foothill Fire Protection, Inc. rPOOTHaLpm 4000 Allis Ct, Rocklin, Ca 95677 916-663-3562 t[RF, PUMP fl3�.K r`W Vi41� wf P''��9/ ill l��tf �tl 1j �rF Buissm Name HelmsCbemicai _ Date of Test 6/111/19Site / Location Pump Hoose 1564 Pum PASS/FAIL PASS Address 1566 Nelson Rd Type of Flow Test Atokmipbere Durban State ICA Zjp Coft 195939 Pitot Devices Used Pitot Nozzles Owner Rt tine: Jockey Pump Cut in / Start PSI 120 Suction Soarce / PSI Tanks 7 PSI Jockey Pump Cut Out / Stop PSI 140 Ca ckv 230,200 Gmlloas Tested Performed : Fire Pump Start PSI 110 Tank Interior laspected NO RECORD Jay Barley Fire Piano Stop PSI 120 Tank H Yt 1,9 ft. est VAtaened Automatic Starts d Stops Verified YES Suction Pipe Size s in. Manual St. rts&stop, Verified YES Dbcb&rrt Pipe Shoe 8 in. Pan N I pump Desienation S riakler S •stems PUMP DRIVER CONTROLLER Pump jr1pe Hori¢ lit Case Driver Type Electric Controller TiVe Across the Line Pump Manufacture Aurora Driver Manufacture US Motors Controller Manufacture Eaton Pump Model Number 6-481-18B Drh er Model Number 40STS Controller Model Namber FD30-125-D-LI Pu 1 Number 13-2363769 Driver Serial Number FF123E2CS Controller Serial Number 16BV079E Pump Approved/[Med YES Driver ApprovirdALhoe YES Controber.ApprovedAlord YES Pump Rated GPM 1500 Driver Horse Power 125 Controller Horse Power 125 Pump Rated PSI 100 Driver RPM 1780 Controller Volts 480 Pump Rated RPM 1770 Driver Rated Voks 460 Controller Phase 3 Pump Madman PSI 120.5 Driver Rated Amps 140 Comtroder Grouaded YES PSI tat 150% 72.2 1 Driver Phase 3 Automatic Stop Enabled YES Pump Impeller Size 15.875 Driver Service Factor 1.15 Clear a Faults/ Errors YES A Gear Ratio NIA I Cosplinp In ed YES Transfer Switch N/A Pump Stares 1 I Run Timer Setting 10 min FIRE PIIMfPT7ST DATA Speed Suction RPM PSI Discharge NET Pressure PSI Net Head PSI Number FlowStreams Size Phot PSI Flow y. of rated ,pMa fbwed jr Volts Amps 1795 7 128 121 121 1 1.75 0 0 CHURN 0`/• 481 62 1785 4 110 106 106 2 1.75 21,21.21 1509 RATED 100% 473 138 1783 1 1 83 82 82 3 1.75 26,26,27,27 2258 PEAK 150% 1 470 156 4 5 6 Pu mp Maximu m PS I 200 181, 160 leo .?I i 120 170.5 00 x0 60 -0 7L f. Percent Rated Capacity Pump Rite d P51 106 100 -j--Actual --fated Capacity PSI 150% &2 722 Comments- Annual performance flow test performed, results were satisfactory.