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Home My WebLink AboutFAI15-0073 CF FA Durham Intermediate 2.28.22 ALARM AND DETECTION REPORT Page 1 of 4 VOLTAGE' SPEcIAusTs 530-624-4514 C101C16 License#880862 www.VoltageSpecialists.com Inspection # 1-276 ALARM & DETECTION EQUIPMENT TEST REPORT Type of Inspection:ANNUAL Date: 2/28/22 Customer DURHAM USD Site: DURHAM INTERMEDIATE SCHOOL Street: 5416 PUTNEY DRIVE Contact: Eric City/State: DURHAM, CA Phone#: 530-519-4604 Fax#: 1. Before Test Notify Proper Authorities: Name Phone # A. Owner or Owner's Rep Eric 530-519-4604 B. Fire Department CAL FIRE 530-891-2788 C. Central Station NA D. Central Station Acct# NA 2. Control Panel Status Yes No Note # A. Is the system monitored by Central Station? I X On Test Time: 6:00 Return to Service Time: 9:00 B. Is the Power Light on? X C. Does the Panel indicate Normal conditions? X D. Are all indicating Lamp Bulbs in Operator order? X E. Does the Trouble Light operate? X F. Does the Silence Switch Operate? X G. Battery A.H.08/30/16 Date Batteries Installed: 7/23/20 H. Does the Panel have Non-Operational Zones? X I. Does the Panel have Battery Backup? X J. Do the batteries indicate they are Properly Charged? X • Condition of Batteries: Good Note# Battery Voltage with AC Power: 28.01 Battery Voltage without AC Power: 27.65 K. List any trouble conditions on panel before test: Note# Note# Comments: Note# Note# 3. FACP Manufacturer: SIMPLEX Model# 4020 System Type: ADDRESSAB Location of Annunciators: MAIN OFFICE Location of Primary Power Source:BREAK ROOM Panel# F Breaker 14 Comments: Note# Note# FCPS: Manufacturer: SIMPLEX Model# 4009 Panel/Breaker# Location:BREAK ROOM F-14 Battery Voltage with A/C Power: 28.00 w/o A/C Power 27.84 Date: 7/23/20 FCPS: Manufacturer: SIMPLEX Model# 4009 Panel/Breaker# Location:BREAK ROOM F-14 7/23/20 Battery Voltage with A/C Power: 27.69 w/o A/C Power 27.04 Date: FCPS: Manufacturer: Model# Panel/Breaker# Location: Battery Voltage with A/C Power: w/o A/C Power Date: Owner/Rep: Phone#: Date: Inspector: Mat Machado Phone#: 530-362-2609 Date:2/28/22 Owners Rep Sign: Date: Inspector Inspector Sign: ALARM AND DETECTION REPORT Page 2 of 4 Property Site: DURHAM INTERMEDIATE SCHOOL Operational #Tested This Equipment Total# Report Yes N/A Note# 4. Remote Annunciators 1 1 X 5. Zones 6. Manual Stations (Pull) Hardwire Addressable 22 22 X 7. Detectors Photoelectric 1 1 X Ionization Heats/Fixed or R of R Flame Duct(See#15) 8. Horn/Strobe 19 19 X Strobe Only 9 9 X Bell Speakers Horn 4 4 X 9. 10. Automatic Door Release X 11. Water Flow switches X Did W/F Ring Outside Bell? X Did W/F Activate Alarm Panel? X 12. Tamper Switches X 13. PIV X OS &Y X 14. 15. Did test of Duct Detectors shut down air handling units? X 16. Did the Monitoring Center(Fire Dept, Central Station, Lease Line) receive signal? X 17. Is system reset for normal conditions? X 18. Is system restored to operational service? X 19. Have Proper Authorities (see#1)been notified system is back in service? X List Proper Authorities:Cal Fire 20. Indicate %of equipment tested this report 25% 50% 75% VJI00% 21. Indicate %of equipment tested YTD 25% 50% 75% 100% Comments for any"no"answers or explanations (Note#): 2/28/22 Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Page 3 of 4 Property Site: DURHAM INTERMEDIATE SCHOOL DEVICE zone or SLC DEVICE # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL PS BOYS LOCKER ROOM X 1 1 PS NORTH GYM X 1 2 PS SOUTH WEST GYM X 1 3 PS SOUTH EXIT X 1 4 PS ROOM 12 X 1 6 PS ROOM 13 X 1 7 PS ROOM 11 X 1 8 PS ROOM 10 X 1 9 PS ROOM 9 X 1 10 PS ROOM 8 X 1 11 PS LIBRARY X 1 12 PS ROOM 6 X 1 13 PS ROOM 7 X 1 14 PS ROOM 5 X 1 15 PS ROOM 4 X 1 16 PS STAFF BREAK ROOM X 1 17 PS MAIN OFFICE X 1 18 PS OFFICE EAST X 1 19 PS ROOM 3 X 1 20 PS ROOM 2 X 1 21 PS ROOM 1 X 1 22 PS ROOM 15 X 1 24 PSD ABOVE FACP X 1 23 c),S Owners Rep Sign: Date: 2/28/22 Inspector Sign: p J ALARM AND DETECTION REPORT DURHAM INTERMEDIATE SCHOOL Page 4 of 4 Zone or DEVICE DEVICE SAC # TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL LEGEND PSD—Photoelectric Smoke Detector BD—Beam Detector H—Horn V—Visual ISD—Ionization Smoke Detector PS—Pull Station WPH—Weather Proof Horn TS—Tamper Switch PDD—Photo Duct Smoke Detector RR—Rate of Rise Heat Detector C—Chime WF—Water Flow Switch IDD—Ion Duct Smoke Detector HT—Fixed Temp Heat Detector CV—Chime Visual DH—Door Holder DHS—Door Holder&Smoke Detector FD—Flame Detector S—Speaker OSY—Outside Stem&Yoke Tamper Valve SSD—Signal Station Smoke Detector B—Bell AV—Audible Visual Ply—Post Indicator Valve Cur-Elevator Curtains FRD-Fire Rolldown Door SDC Smoke Detector&Door Holder Combo CO-Carbon Monoxide Detector - - - NOTE # COMMENT 2/28/22 C)S Owners Rep Sign: Date: Inspector Sign: