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CF FA SPIN _ SPORT CLUB_ Fire Alarm Supplement-DEVICES_ 1-17-2023 (Annual)
Fire Alarm Supplementary Form EAG* ,; Security Systems A VYANET OPERATING GROUP, INC.COMPANY Location Code: 045-174-5320 Contact: ERICA SANNAR Company: Eagle Security Systems Contact Address: 1788 HIGHWAY 99 Address: 3268 Esplanade Ste A GRIDLEY,CA 95948-2210 Chico,CA 95973 Phone: 5307886043 Company Phone: 530-345-6395 Email: DRJSANNAR@YAHOO.COM Inspector Nicholas Ray Property Evaluated: SPIN&SPORT CLUB(Business) 160298 NICET I,Expires: 10/1/2025 1788 HIGHWAY 99 Date of Work: 1/17/2023 GRIDLEY,CA 95948-2210 Frequency: Annual Description: Fire Alarm Supplement(DEVICES) Deficiency Summary There are no reported deficiencies for this submission General Comments There are no general comments for this submission VYANET Operating Group,Inc.,410 SW Columbia,Suite 120,Bend,OR,97702 Phone:541-812-6409 Page 1 of 2 ' Eagle Security Systems ��� =� EAGLE 3268 Esplanade Ste A ,,> Security Systems Chico,CA 95973 A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395 Fire Alarm Supplementary Form The work covered on this form is(select one): Annual Date of Work 1/17/2023 Account Information Facility Name: Property Type: Location Code: SPIN&SPORT CLUB Business 045-174-5320 Service Address: 1788 HIGHWAY 99,GRIDLEY,CA,95948-2210 Owner: Owner's Phone: ERICA SANNAR 5307886043 Owner's Address: 1788 HIGHWAY 99,GRIDLEY,CA,95948-2210 Legend PS-Pull Station SD-Smoke Detector DD-Duct Detector MM-Monitor Module(Ansul,temp,CO,etc) CM-Control Module I WF-Waterflow ITS-Tamper Switch 'HD-Heat Detector 'SC-Signal/Sounder Control Other I SPKR-Speakers 'STROBE-Strobes 'HORN-Horns/Horn-Strobes I BATT-Batteries Type Total Tested Not Passed Failed Type Total Tested Not Passed Failed Tested Tested SD 1 1 0 1 0 TS 1 1 0 1 0 WF 11 11 to 11 10 I 1 I I 1 I Type Address Location Notes Frequency Last Tested Test Results Comments TS 8 1 -Riser tamper Annual 1/17/2023 Pass WF 19 11 -Waterflow 1 (Annual '1/17/2023 'Pass 1 I SD '10 11 -FACU I IAnnual '1/17/2023 'Pass I I Comments Any deficiencies or other problems found with the devices must be explained using the comment specific for each device.Additional comments can be added here. Please see the summary section at the ton of the form for the comments. Inspector's Information Inspected By Nicholas Ray I state that the information on this form is correct at the time and place of my inspection,and that all equipment tested at this time was left in operating condition upon completion of this inspection except as noted in the Comments. Signature of Inspector Date 1/17/2023 ©2014 FormLink Systems,Inc., Fire Alarm Supplement v1.1 Page 2 of 2