HomeMy WebLinkAboutFAI15-0097 079-230-017 CF Alt Ext II 2015 c t o
y
SimplexGrinnell
SEMI ANNUAL GAS EQUIPMENT TEST REPORT
FEATHER FALLS CASINO BUSSING CLOSET
3 ALVERDA DR.
OROVILLE, CA. 95966
9/15/2015
SimplexGrinnell
4650 Beloit Drive
Sacramento, CA 95838
916-283-0300
tqsrn
SimplexGrinnell
4650 Beloit Drive, Sacramento CA 95838 - (916) 283-0300 Fax- (916) 920-2241
GAS EQUIPMENT TEST REPORT
Technician #1 CHRIS James Technician #2
Cell Phone# 530-207-7582 Cell Phone#
September 15, 2015
Customer Name: Property address: (if different)
FEATHER FALLS CASINO BUSSING
3 ALVERDA DR. 3 ALVERDA DR.
OROVILLE, CA. 95966 OROVILLE, CA. 95966
Contact Information: Monitoring Information:
Name: MIKE Central Station: Certified
Phone: 530-533-3885 Acct#: 0
Fax: 530-533-4860 Phone: 0
Time of Test 0:00
Operator#& Name: 0
GAS SYSTEM:
Control Panel Status Before Test: CLEAR
Panel Type: SIEMANS Model: FS-250
Yes No #of Sys Notes:
Halon X
CO2 X
FM200 HFC-227 X
Intergen X
Stamped Tank Weight: 61.7 Acutal Tank Weight 64 LBS
#of Nozzels: 2
Disconnect Switch X
Is Power Light On? X
Does the Panel Indicate Normal Condition? X
Is the panel in a Trouble Condition? X
Are all Indicating Lamp Bulbs in Operating Order? X
does the Silence Switch Operate? X
Do the Batteries indicate they are Properly Charged? X
Type Pass Fail Amp/VIt Date
Battery#1 X 8AH 12V Sep-15
Battery#2 X 8AH 12V Sep-15
September 15, 2015
Device Floor Zone Alarm Trouble Device Location Note:
ABORT 2 4 NA PASS BUSSING CLOSET
SMOKE 2 2 PASS NA BUSSING CLOSET
PULL 2 3 PASS NA BUSSING CLOSET
SMOKE 2 1 PASS NA BUSSING CLOSET
SUP 2 NA NA PASS STORAGE BY BUSSING CLOSET
tLJID
SimplexGrinnell
4650 Beloit Drive, Sacramento CA 95838 — (916) 283-0300 — (916) 920-2241
Deficiency Report
Date: 9/15/2015
Customer: FEATHER FALLS CASINO BUSSING CLOSET
Address 3 ALVERDA DR.
City, State OROVILLE, CA. 95966
SR # 32996908
Were Do Repairs
Repairs need to be
Made Quoted
Yes/No Yes/No
PANEL DOES NOT REPORT ALARMS/TROUBLES TO MAIN FACP
PANEL WILL NOT SILENCE AV
ROOM IS NOT AIR TIGHT
Maintenance replaced batteries in panel.
tqcci
SimplexGrinnell
4650 Beloit Drive, Sacramento CA 95838 — (916) 283-0300 — (916) 920-2241
FEATHER FALLS CASINO BUSSING CLOSET SR# 32996908
3 ALVERDA DR. IS THERE A DEFICIENCY?
OROVILLE, CA. 95966 YES X NO
MIKE
Equipment Test Report
Yes No Qty Notes:
NA
If"No" answer, explain under comr
Were Tested Detectors Sensitivity Tested? II NA I
If"No"answer, explain under comments
Did test of Duct Dectors shut down air handling units: NA
Did the monitoring center receive signals? NOTE 1
Central Station, Fire Department, Lease Line?
Is system reset for normal conditions? X
Is system restored to operational service? X
Operator and Time system put back on line? Operator: Time:
Have proper authorities been notified system is back in service? X
Indicate % of Equipment tested this report 25 50 75 100
Indicate % of equipment tested YTD 25 50 75 100
Comments for any"No" answers or explanations:
Did you receive a copy of your inspection report? YES X NO
If no how would you perfer to receive your report:
Email: troydonnelson@featherfallscasino.com FAX 530-533-4860
We appreciate your business. Thank you!
Customer Date
CYw'OJa4- 9/15/15
Inspector Date
IF YOU HAVE ANY QUESTIONS REGARDING THIS INSPECTION AND/OR REPORT PLEASE CONTACT:
Our office at 916-283-0300