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Home My WebLink AboutFAI15-0097 CF Alarm Test 2020 post 72-48 NATIONALFIREALARM AND SIGNALING CODE Sem; ' Ann441 • SYSTEM RECORD OF INSPECTION AND TESTING This form is to be completed by the system inspection and testing contractor at the time of a system test. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A In all unused lines. Attach additional sheets,data, or calculations as necessary to provide a complete record. Inspection/Test Start Date/Time:7-7-2020 1115 Inspection/Test Completion Date/Time: 7-7-2020 1215 Supplemental Form(s)Attached: (yes/no) 1. PROPERTY INFORMATION Name ofproperty: Mooretown Rancheria-Gym Address: 2 Alvera Drive Description ofproperty: Name of property representative: Ronald Address: Phone:530-680-3163 Fax: E-mail: 2. TESTING AND MONITORING INFORMATION Testing organization: Eagle Security Systems a vyanet operating group company Address: 3268 Esplanade; Chico, CA 95973 Phone:530-345-6395 Fax: E-mail: Monitoring organization: TMS-Total monitoring services Address: phone:888-610-4377 Fax: E-mail: Account number:221-1453 Phone line 1:530-533-4292 Phone line 2: 530-533-4293 Means oftransmission: POTS Entity to which alarms are retransmitted: Phone: 3. DOCUMENTATION Onsite location of the required record documents and site-specific software: 4. DESCRIPTION OF SYSTEM OR SERVICE 4.1 Control Unit Manufacturer:Bosch Model number:7024 4.2 Software Firmware Firmware revision number: 4.3 System Power 4.3.1 Primary(Main)Power Nominal voltage: 120 Amps: 20 Location: Electrical Room/A Overcurrent protection type: Breaker Amps: 20 Disconnecting means location: #26 m 2012 National Fire Protection Association NFPA72(p.1 of 4) FIGURE 7.8.2(g) System Record of Inspection and Testing.(SIG-TMS) 0 2013 Edition DOCUMENTATION 72-49 SYSTEM RECORD OF INSPECTION AND TESTING (continued) 4. DESCRIPTION OF SYSTEM OR SERVICE(continued) 4.3.2 Secondary Power Type:Battery Location: Panel ' Battery type(if applicable): SLA 12v 8AH (2) i Calculated capacity of batteries to drive the system: In standby mode(hours): In alarm mode(minutes): 5. NOTIFICATIONS MADE PRIOR TO TESTING Monitoring organization Contact:TMS-Total monitoring services Time: 1115 Building management Contact:On-Site Time: 1115 Building occupants Contact:On-Site Time: 1115 Authority having jurisdiction Contact: Time: Other,if required Contact: Time: 6. TESTING RESULTS 6.1 Control Unit and Related Equipment Visual Functional Description Inspec 'on Tes Comments Control unit Lamps/LEDs/LCDs Fuses / Trouble signals y Disconnect switches ❑ ❑ N/A Ground-fault monitoring 0 o' N/A Supervision/ �V Local annunciator Remote annunciators Remote power panels ❑ ❑ N/A ❑ ❑ 6.2 Secondary Power Visual Functional Description Inspec ion Tes Comments Battery condition Load voltage 11 Y1 Discharge test / E Charger test Remote panel batteries ❑ ❑ N/A m 2012 National Fire Protection Association NFPA 72(p.2 of 4) FIGURE 7.8.2(g) Continued 2013 Edition i;.7 72-50 NATIONALFIREALARM AND SIGNALING CODE it SYSTEM RECORD OF INSPECTION AND TESTING (continued) 6. TESTING RESULTS (continued) 6.3 Alarm and Supervisory Alarm Initiating Device Attach supplementary device test sheets for all initiating devices. 6.4 Notification Appliances Attach supplementary appliance test sheets for all notification appliances. 6.5 Interface Equipment Attach supplementary interface component test sheets for all interface components. Circuit Interface/Signaling Line Circuit Interface/Fire Alarm Control Interface 6.6 Supervising Station Monitoring Description Ye No Time Comments Alarm signal 0 1133 Alarm restoration Y 0 1133 Trouble signal )1.1i 0 1123 Trouble restoration 0 1133 Supervisory signal 0 0 I . Supervisory restoration 0 0 6.7 Public Emergency Alarm Reporting System Description Yes No Time Comments Alarm signal 0 • 0 Alarm restoration 0 0 Trouble signal 0 0 Trouble restoration 0 0 Supervisory signal 0 0 Supervisory restoration 0 • 0 C 2012 National Fire Protection Association NFPA 72(p.3 of 4) FIGURE 7.8.2(g) Continued W2013 Edition DOCUMENTATION 72-51 SYSTEM RECORD OF INSPECTION AND TESTING (continued) 7. NOTIFICATIONS THAT TESTING IS COMPLETE Monitoring organization Contact: TMS-Total monitoring services Time: 1215 Buildingmanagement Contact: On-Site Time: 1215 Buildingoccupants Contact: On-Site Time: 1215 Authority havingjurisdiction Contact: Time: • i Other,ifrequired Contact: Time: 8. SYSTEM RESTORED TO NORMAL OPERATION Date:7-7-2020 Time: 1215 9. CERTIFICATION This system as specified .erein has been inspected and tested according to NFPA 72,2013 edition,Chapter 14. 1 Ale Signed _.dw'r �"� Printed name: Connor Dalton Date: 7-7-2020 Organization: _ _ Title: Technician Phone: 530-345-6395 Qualifications(refer to 10.5.3): NICET 1-152852 10. DEFECTS OR MALFUNCTIONS NOT CORRECTED AT CONCLUSION OF SYSTEM INSPECTION, TESTING, OR MAINTENANCE 10.1 Acceptance by Owner or Owner's Representative: The and ned acceptedo9the t t report for the system as specifiedpherein:rQ Signed1�/t�M ) Printed name: (L.CN>41[J� a1�� Date: 7-7-2020 Organization:AO0i-CtewiaIl0.r9G YI`title: _"1-- Phone: t7 -9/0$5°-÷ ID 2012 National Fire Protection Association NFPA 72(p.4 of 4) FIGURE 7.8.2(g) Continued 2013 Edition I gel 72-52 NATIONALFIREALARMANDSIGNALINGCODE NOTIFICATION APPLIANCE SUPPLEMENTARY RECORD OF INSPECTION AND TESTING This form is a supplement to the System Record of Inspection and Testing. It includes a notification appliance test record. • This form is to be completed by the system inspection and testing contractor at the time of the inspection and/or test. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Inspection/Test Start Date/Time:7-7-2020 1115 Inspection/Test Completion Date/Time: • 7-7-2020 1215 Number of Supplemental Pages Attached: 1. PROPERTY INFORMATION Name ofproperty: Mooretown Rancheria-Gym Address: 2 Alvera Drive, Oroville, CA 95966 2. NOTIFICATION APPLIANCE TEST RESULTS Appliance Type Location/Identifier Test Results Bell Riser Exterior Pass Horn Strobe Lobby Horn Strobe Gym Horn Strobe Gym Horn Strobe Gym Horn Strobe Gym Strobe Mens Restroom Strobe Womens Restroom C 2012 National Fire Protection Association NFPA 72(p.1 of 2) FIGURE7.8.2(h)Notif icati on Appliance Supplementary Record of Inspection and Testing.(SIG-TMS) 0 2013 Edition 72-54 NATIONALFI REALARM AND SIGNALING CODE INITIATING DEVICE SUPPLEMENTARY RECORD OF INSPECTION AND TESTING This form is a supplement to the System Record of Inspection and Testing. It includes an initiating device test record. This form is to be completed by the system inspection and testing contractor at the time of the inspection and/or test. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Inspection/Test Start Date/Time:7-7- 1115 InspectionfTest Completion Date/Time: 7-7-2020 1215 Number of Supplemental Pages Attached: 1. PROPERTY INFORMATION Name ofproperty: Mooretown Rancheria-Gym Address: 2 Alvera Drive, Oroville, CA 95966 2. INITIATING DEVICE TEST RESULTS Device Type AddressLocat on i Test Results es SD 1 FACU WF 3 SW Office Closet ITV 5 Secs-Pass Pull 4 Lobby Pull 4 Gym East Wall Pull 4 Gym Stage North Pull 4 Gym Stage South Pull 4 Gym Front m 2012 National Fire Protection Association NFPA 72(p.1 of 2) FIGURE7.8.2(i)InitiatingDeviceSupplementaryRecordoflnspectionandTesting.(SIG-TMS) • 2013 Edition •