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FAI20-0005 009-162-014 CF FA HAZEL HOTEL_ Fire Alarm Supplement-NOTIFICATION APPLIANCES_ 3-3-2025 (Annual)
Fire Alarm Supplementary Form ��f, * ,; Security Systems A VYANET OPERATING GROUP, INC.COMPANY Location Code: 045-344-2122 Contact: TRISH STILWELL Company: Eagle Security Systems Contact Address: 880 HAZEL ST Address: 3268 Esplanade Ste A GRIDLEY,CA 95948 Chico,CA 95973 Phone: 530 846 7800 Company Phone: 530-345-6395 Email: HAZEL@CHIPHOUSING.ORG Inspector: JOSE ANTONIO SANCHEZ LUNA Property Evaluated: HAZEL HOTEL(Business) NICET 1 165142,Expires:3/1/2027 880 HAZEL ST Date of Work: 3/3/2025 GRIDLEY,CA 95948 Frequency: Annual Description: Fire Alarm Supplement(NOTIFICATION APPLIANCES) Deficiency Summary Status:Open Severity:Impairment Deficiency for Device Type:HORN,Address:20,Location:Apt 12. Not going off General Comments There are no general comments for this submission Eagle Security Systems,3268 Esplanade Ste A,Chico,CA,95973 Phone:530-345-6395 Page 1 of 3 1' E AG LEEagle Security Systems ��� =� 3268 Esplanade Ste A Chico,CA 95973 - ,> SecurityD Systems A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395 Fire Alarm Supplementary Form Account Information Facility Name: Property Type: Location Code: HAZEL HOTEL Business 045-344-2122 Service Address: 880 HAZEL ST,GRIDLEY,CA,95948 Owner: Owner's Phone: TRISH STILWELL 530-846-7800 Owner's Address: 880 HAZEL ST,GRIDLEY,CA,95948 Legend -.— PS-Pull Station SD-Smoke Detector DD-Duct Detector MM-Monitor Module(Ansul,temp,CO,etc) CM-Control Module WF-Waterflow TS-Tamper Switch HD-Heat Detector SC-Signal/Sounder Control Other SPKR-Speakers STROBE-Strobes HORN-Horns/Horn-Strobes BATT-Batteries Type Total Tested Not Passed Failed Type al Tested Not T Passed I Failed Tested Tested Bell 1 1 0 1 0 HORN 27 27 0 26 1 STROBE 3 3 0 3 0 Type Address Location Notes Frequency Last Tested Test Results Comments HORN 1 1 -Apt 1 Annual 3/3/2025 Pass HORN 2 1 -Apt 1 Annual 3/3/2025 Pass HORN 3 1 -Apt 3 Annual 3/3/2025 Pass HORN 4 1 -Apt 3 Annual 3/3/2025 Pass HORN 5 1 -Apt 4 Annual 3/3/2025 Pass HORN 6 1 -Apt 4 Annual 3/3/2025 Pass HORN 7 1 -Apt 5 Annual 3/3/2025 Pass HORN 8 1 -Apt 5 Annual 3/3/2025 Pass HORN 9 1 -Apt 2 Annual 3/3/2025 Pass HORN 10 1 -Apt 6 Annual 3/3/2025 Pass HORN 11 1 -Apt 6 Annual 3/3/2025 Pass HORN 12 1 -Apt 7 Annual 3/3/2025 Pass HORN 13 1 -Apt 7 Annual 3/3/2025 Pass HORN 14 1 -Apt 7 Annual 3/3/2025 Pass HORN 15 1 -Apt 8 Annual 3/3/2025 Pass ©2014 FormLink Systems,Inc., Fire Alarm Supplement vl.1 Page 2 of 3 1� Eagle Security Systems ��� =� E AG L E 3268 Esplanade Ste A ' SeCUI'Ity Systems Chico,CA 95973 A VYANET OPERATING GROUP,INC.COMPANY Phone:530-345-6395 Address Location Notes Frequency Last Tested Test Results Comments HORN 16 1 -Apt 9 Annual 3/3/2025 Pass HORN 17 1 -Apt 9 Annual 3/3/2025 Pass HORN 18 1 -Apt 13 Annual 3/3/2025 Pass HORN 19 1 -Apt 13 Annual 3/3/2025 Pass HORN 20 1 -Apt 12 Annual 3/3/2025 Fail Impairment,Not going off HORN 21 1 -Apt 11 Annual 3/3/2025 Pass HORN 22 1 -Apt 11 Annual 3/3/2025 Pass HORN 23 1 -Apt 10 Annual 3/3/2025 Pass HORN 24 1 -Apt 10 Annual 3/3/2025 Pass STROBE 25 1 -Men's RR Annual 3/3/2025 Pass STROBE 26 1 -Women's RR Annual 3/3/2025 Pass HORN 27 1 -Restroom Hallway Annual 3/3/2025 Pass STROBE 28 1 -Restroom Hall Annual 3/3/2025 Pass HORN 29 1 -C2 Restroom Annual 3/3/2025 Pass HORN 30 1 -FACU Annual 3/3/2025 Pass Bell 31 1 -Exterior Annual 3/3/2025 Pass 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 top of the form for the comments. Inspector's Information Inspected By JOSE ANTONIO SANCHEZ LUNA 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 3/3/2025 ©2014 FormLink Systems,Inc., Fire Alarm Supplement v1.1 Page 3 of 3