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HomeMy WebLinkAboutFAI15-0093 028-073-001 CF FA PUSD 2024 ALARM AND DETECTION REPORT Page 1 of 3 VOhTAGE'tPEcIALIsTs 530-624-4514 C101C16 License 0660862 www.Voitape$pecialists.com Inspection # ALARM & DETECTION EQUIPMENT TEST REPORT Type of Inspection: Annual Date: 9/25/24 site: Honcut School customer: Palermo Schools Street: 68 School Street Contact: Carlos Aguilar City/State: Oroville, CA Phone#: 530-864-8619 Fax#: 1. Before Test Notify Proper Authorities: Name Phone# A. Owner or Owner's Rep Carlos Aguilar 530-864-8619 B. Fire Department Oroville Cal Fire 538-6841 C. Central Station D. Central Station Acct# 2. Control Panel Status Yes No Note# A. Is the system monitored by Central Station? I X On Test Time: 9:00 Return to Service Time: 10:00 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.8 Date Batteries Installed: 6/8/21 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: 27.61 Battery Voltage without AC Power: 27.59 K. List any trouble conditions on panel before test. Note# Note# Comments: Note# Note# 3. FACP Manufacturer: Firelite Model# MS-4012 System Type: Hardware Location of Annunciators: Location of Primary Power Source:outside Port 1 Panel# 1 Breaker 13 Comments: Note# Note# FCPS: Manufacturer: Model# Panel/Breaker# Location: Battery Voltage with A/C Power: w/o A/C Power Date: FCPS: Manufacturer: Model# Panel/Breaker# Location: Battery Voltage with A/C Power: w/o A/C Power Date: FCPS: Manufacturer: Model# Panel/Breaker# Location: Battery Voltage with A/C Power: w/o A/C Power Date: Owner/Rep: Phone#: Date: Inspector: Wyatt C. Phone#: 530-362-2609 Date:9/25/24 / Owners Rep Sign: /e.:0 711 Date:9/25/24 Inspector Sign: v ALARM AND DETECTION REPORT 2 f 3 Page o Property Site: Honcut School l Operational #Tested This Equipment Total# Report Yes N/A Note# 4. Remote Annunciators 5. Zones 6. Manual Stations(Pull) 4 4 X Hardwire Addressable 7. Detectors Photoelectric Ionization Heats/Fixed or R of R Flame Duct(See#15) 8. Horn/Strobe Strobe Only 5 5 X Bell Speakers Horn 1 1 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: 20. Indicate%of equipment tested this report 25% 50% 75% ✓100% 21. Indicate%of equipment tested YTD 25% 50% 75% L71100% Comments for any"no"answers or explanations(Note#): 9/25/24 Owners Rep Sign: Date: Inspector Sign: ALARM AND DETECTION REPORT Honcut School Page 3 of 3 DEVICE Z8LC orone DEVICE TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL i # PS Rm 1 S. Exit X 1 1 PS Rm 1 N. Exit X 1 2 PS Rm 2 X 2 1 PS Rm 3 X 2 2 1 LEGEND PSD—Photoelectric Smoke Detector BD—Beam Detector H—Horn V—Visual ISO—lorizationSmoke Detector PS—Pull Station WPH—Weather Proof Han 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—Clime Visual DH—Door Holder DHS—Door Holder&Smoke Detector FD—Flame Detector S—Speaker OSY—Outside Stem&Yoke Tamper Valve SST)—Signal Station Smoke Detector R—RPII AV—Audible Visual PIV—Pncr Indrator Valve Cur-Elevator Curtains FRD-Fire Rolldown Door SDC Smoke Detector&Door Holder Combo CO-Carbon Monoxide Detector - • - NOTE# COMMENT il" Ix � _,..4a z:tYA1f �' ,t �: coei Ti l' :: Ar 4101:"Ott€tts.. tt��t. , rxt �x I f. as,t g----- Owners Rep Sign: Date: 9/25/24 Inspector Sign: ALARM AND DETECTION REPORT Page 1 of 7 VOLTAGE\ PECIAUsTs 530-624-4514 CIOIC16 License N880862 www.Voling.Speciallata.corn Inspection # 1-126 ALARM & DETECTION EQUIPMENT TEST REPORT Type of Inspection:ANNUAL Date: 6/19/24 Customer PALERMO USD Site: PALERMO SCHOOL Street: 7350 BULLDOG WAY Contact: Carlos Aguilar City/State: PALERMO, CA Phone#: 530-864-8619 Fax#: 1. Before Test Notify Proper Authorities: Name Phone# A. Owner or Owner's Rep Carlos Aguilar 530-864-8619 B. Fire Department CAL FIRE 530-538-7111 C. Central Station CENTRAL STATION 1-800-722-0364 D. Central Station Acct# 40-3726 2. Control Panel Status Yes No Note # A. Is the system monitored by Central Station? X On Test Time: 10:30 Return to Service Time: 2:30 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. 18 Date Batteries Installed: 12/6/22 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: 27,21 Battery Voltage without AC Power: 27.19 K. List any trouble conditions on panel before test: Note# Note# Comments: Note# Note# 3. FACP Manufacturer: SILENT KNIGHT Model# 5820 System Type: ADDRESSAU Location of Annunciators: Location of Primary Power Source: Panel# Breaker Comments: Note# Note# FCPS: Manufacturer: SILENT KNIGHT Model# 5895 Panel/Breaker# Location:LIBRARY STQj Battery Voltage with A/C Power: 27.21 w/o A/C Power 27,19 Date: 9/23/23 FCPS: Manufacturer: Model# Panel/Breaker# Location: Battery Voltage with A/C Power: w/o A/C Power Date: FCPS: Manufacturer: Model# Panel/Breaker# Location: Battery Voltage with A/C Power: w/o A/C Power Date: Owner/Rep: Phone#: Date: Inspector: Wyatt C. Phone#: 530-362-2609 Date:6/19/24 < Owners Rep Sign: Date:6/19/24 Inspector Sign: U U 2 7 ALARM AND DETECTION REPORT Page of Property Site: PALERMO 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 64 64 X 7. Detectors Photoelectric 9 9 X Ionization Heats/Fixed or R of R 26 26 X Flame Duct(See#15) 8. Horn/Strobe 22 22 X Strobe Only 28 28 X Bell Speakers Horn 36 36 X 9. 10. Automatic Door Release X 11. Water Flow switches X Did W/F Ring Outside Bell? Did W/F Activate Alarm Panel? X 12. Tamper Switches X 13. PIV X OS&Y X 14. X 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:Central Station 20. Indicate%of equipment tested this report 25% 50% 75% ✓ 100% 21. Indicate%of equipment tested YTD 25% 50% 75% ✓ 100% Comments for any"no"answers or explanations(Note#): 6/19/24 Owners Rep Sign: Date: Inspector Sign: • I ALARM AND DETECTION REPORT Page 3 of 7 Property Site: PALERMO SCHOOL DEVICE Z one L ` DEVICE TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL # HT ROOM 6 X 33 95 I HT ROOM 14 STORAGE X 33 72 HT ROOM 11/12 JANITORS CLOSET X 33 90 HT MAINTENANCE BY OFFICE X 33 91 HT STORAGE BY ROOM 18 X 33 73 HT STORAGE BY ROOM 23 X 33 76 HT STORAGE BY ROOM 21 X 33 74 HT STORAGE BY ROOM 21 X 33 75 HT GIRLS RESTROOM BY LOCKERS X 33 92 HT BOYS RESTROOM BY LOCKERS X 33 93 HT WEIGHT ROOM CLOSET X 33 96 HT ADMIN CORR JANITORS CLOSET X 33 87 1 HT KITCHEN X 33 86 HT KITCHEN X 33 85 HT KITCHEN X 33 84 HT UNDER THE STAGE X 33 77 HT UNDER THE STAGE X 33 78 HT STAGE ELEVATOR X 33 82 HT STAGE ELEVATOR X 33 83 HT STAGE X 33 79 HT STAGE X 33 80 HT STORAGE ABOVE FCPS X 33 88 HT ASSISTANT PRINCIPAL AC X 33 113-1 HT ASSISTANT PRINCIPAL AC X 33 113-2 HT ASSISTANT PRINCIPAL AC X 33 1113-3 HT ASSISTANT PRINCIPAL RESTROOM X 33 liii HT Band Room X 33 I 81 HT Gym Closet X 33 94 HT Preschool Storage X 33 89 I 1 I Owners Rep Sign: Date: 6/19/24 Inspector Sign: v U. PALERMO SCHOOL � 4 �7 ALARM AND DETECTION REPORT Page of Zone or DEVICE DEVICE SLc TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL PSD ROOM 30 OFFICE X 33 103 PSD ROOM 30 X 33 104 PSD ROOM 30 X 33 105 PSD ROOM 30 X 33 106 PSD ROOM 30 X 33 107 PSD ASSISTANT PRINCIPAL NORTH OFFICE X 33 108 PSD ASSISTANT PRINCIPAL X 33 109 PSD ASSISTANT PRINCIPAL X 33 110 PSD ASSISTANT PRINCIPAL SOUTH OFFICE X 33 112 PS ROOM 1 X 33 1 PS ROOM 1 X 33 2 PS ROOM 2 X 33 3 PS ROOM 2 X 33 4 PS ROOM 3 X 33 5 PS ROOM 3 X 33 6 PS ROOM 4 X 33 7 PS ROOM 5 X 33 8 PS ROOM 5 X 33 9 PS ROOM 6 X 33 10 PS ROOM 6 X 33 11 PS ROOM 7 X 33 12 PS ROOM 7 X 33 13 PS ROOM 14 X 33 14 PS ROOM 14 X 33 15 PS ROOM 13 X 33 16 PS ROOM 13 X 33 17 PS ROOM 12 X 33 18 • PS ROOM 12 X 33 28 Owners Rep Sign: Date: 6/19/24 Inspector Sign: v (--) r) . . ALARM AND DETECTION REPORT PALERMO SCHOOL Page 5 of 7 DEVICE Z L or DEVICE TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL # PS ROOM 11 X 33 21 PS ROOM 11 X 33 71 PS ROOM 10 X 33 23 PS ROOM 10 X 33 67 PS ROOM 9 X 33 24 PS ROOM 9 X 33 25 PS ROOM 8 X 33 19 PS ROOM 7B X 33 29 PS ROOM 15 X 33 30 PS ROOM 19A X 33 40 PS ROOM 19B X 33 39 PS BOYS LOCKER ROOM X 33 37 PS OFFICE BY MAINTENANCE X 33 49 PS ROOM 16 X 33 31 PS ROOM 16 X 33 32 PS ROOM 17 X i 33 33 PS ROOM 17 X 33 34 PS ROOM 18 X 33 35 PS ROOM 18 X 33 36 PS ROOM 23 X 33 46 PS ROOM 23 X 33 45 PS ROOM 22 X 33 44 PS ROOM 22 X 33 43 PS ROOM 21 X 33 42 PS ROOM 21 X 33 41 PS GIRLS LOCKER ROOM X 33 22 PS WEIGHT ROOM X 33 47 PS ADMIN CORRIDOR X 33 57 PS ADMIN CORRIDOR X 33 60 PS ATTENDANCE OFFICE X 33 54 PS STAGE ENTRANCE X 33 66 PS STAGE X 33 64 PS LIBRARY X 33 53 6/19/24 Owners Rep Sign: Date: Inspector Sign: PALERMO SCHOOL 6 7 ALARM AND DETECTION REPORT Page of DEVICE Zone or DEVICE TYPE DEVICE LOCATION PASS FAIL NOTE# CHANNEL # PS NURSES OFFICE X 33 52 PS NURSES OFFICE X 33 51 PS ASSISTANT PRINCIPAL X 33 55 PS ASSISTANT PRINCIPAL X 33 56 PS COMPUTER LAB X 33 58 PS ROOM 26 X 33 68 PS ROOM 27 X 33 69 PS ROOM 30 X 33 99 PS ROOM 30 X 33 100 PS ROOM 29 X 33 101 PS ROOM 29 X 33 102 PS BY FACP X 33 50 PS STAFF LUNCH RM X 33 20 PS MAIN OFFICE X 33 59 PS CAFETERIA X 33 61 PS CAFETERIA X 33 62 PS Kitchen X 33 65 (1,Owners Rep Sign: Date: 6/19/24 Inspector Sign: . • re) n ALARM AND DETECTION REPORT PALERMO SCHOOL Page 7 of 7 e DEVICE z SLc or DEVICE # 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 POD—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—Clime Visual DH—Door Holder DHS—Door Holder&Smoke Detector FD—Flame Detector S—Speaker OSY—OutsideStem&YokeTamperValve SST)—Signal Station Smoke Detector R—Rail AV—Audible Visual PIV—Pew In*atorValve Cur-Elevator Curtains FRD-Fire Rolldown Door SDC Smoke Detector&Door Holder Combo CO-Carbon Monoxide Detector - - NOTE# COMMENT Date: 6/19/24 Owners RepSign: Inspector Sign: Wet Pipe a - • • • - • • • : -• - - • Quarterly and 1 of 3 Fire Sprinkler System Inspe ion,Testing, and Maintenance Annual Report l e1* Property Information M CA� l Contractor or Licensed Owner Information Building Name Palarmo School stage y C.��` -") )DO !Name Voltage Specialists Address y "dn. g/ !Address 370 Apple Lane 4'17390 Bulldog Way \.. 1, !City Paradise St. CA Zip 95969 1I City Palermo !License# 880862 !Phone 530-624-4514 Contact Person ! ❑ SFM !Job# 1� Carlos Aguilar 530-864-8619 I © CSLB 'Misc. p ; .•; .'' .t0 .t 0r , gdit 4 k, a ft • e� a'+ai¢4 wm0ws f +r i Riser Riser Main Drain Initial Static Residual Final Static No. Location Diameter Diameter Pressure Pressure Pressure P,F,N/A 1 I Stage I 4" 2.5" I I I I F I I I I I I I I I I I I I I I I I I I I I I I II L n This building has more than 5 risers. See additional AES 2.9 form attached Number of AES 2.9 forms attached 1 1 I =Inspection T=Test M=Maintenance P=Pass F=Fail N/A =Not Applicable Item Description NFPA 25 CA ed. _Date„ _,' Date ____r__ Date_.__ Date Reference - ,;06/19/24 ;.. i l I 1.1 I Control Valves—Identification Sign 13.3.1 P 1.2 I Control Valves—Inspection 13.3.2 P 1.3 I Waterflow Alarm Devices 5.2.5 P 1.4 I Supervisory Devices 5.2.5 P 1.5 I Gauges(Wet Pipe Systems) 5.2.4.1 P 1.6 I Enter Water Supply Pressure Below Riser Check 5.2.4.1 psi psi psi psi 1.7 I Enter Water Supply Pressure Above Riser Check 5.2.4.1 psi psi psi psi 1.8 I Pressure Readings Acceptable 5.2.4.1 P 1.9 I Hydraulic Design Information Sign 5.2.6 N/A (for hydraulically designed systems) 1.10 I General Information Sign 5.2.8 N/A (not required for system prior to 2007 edition of NFPA 13) 1.11 I Heat Tape 5.2,7 N/A 1.12 I Spare Sprinklers 5.2.1.4 P 1.13 I Fire Department Connections 13.7 P 1.14 I Alarm Valves—Exterior Inspection 13.4.1 P 1.15 I Pressure Reducing Valves 13.5.1.1 N/A 1.16 I Backflow Preventers 13.6.1 N/A 1.17 I I (Small Hose Connections-Hose Valve* I 5.1.6, 13.5.2 I N/A I 13.5.5.1 1.18 I I IPRV—Fire Sprinkler Systems I 13.5.1.1 I N/A I I Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I, II, or III standpipe systems. Form AES 2.1 Sept. 3,2013 _ _ Inspection, Testing, an.' Taiintenance Cover eet NFPA25 as amended by CCR,Title 19 Property Information: Name: Palarmo School Stage Occupancy/Use: 7390 Bulldog Way Construction Type: �OF"CAL t Address: /� City: Palermo No. Stories: 1ct:::_tz 1p, ZIP: 95965 Year Constructed: 9 , Q i1 Contact: Carlos Aguilar -Eli NC'' Telephone: (530)864-8619 . Contractor Information: Number of System Risers Name: Voltage Specialists Copy sent to: Address: 370 Apple Ln 2Owner Date: 06/19/24 City: Paradise [1]Fire AHJ Date: State: California ❑Contractor Date: (530)624-4514 NOTES: Telephone: 1)For specific inspection,testing,and maintenance 880862 requirements and information,see NFPA 25,2011 CA License#: Edition as amended by California Code of Regulations, Title 19,§901 to§906. Job#: 2)Inspection items may be performed by the owner in Performed by: Wyatt C. accordance with California Code of Regulations,Title 19, §904.1(a) Check box for each system inspected and enter the number of forms used for inspection. Check boxes (Fall or Pass)to indicate status of inspected system at end of inspection. Forms Included with this Report Chapter . Number of Fauns :, N/A Fail'" : Pass O Automatic Sprinkler System 5 0 ❑ ❑ ❑✓ ❑ Standpipe and Hose System 6 0 ❑ ❑ ❑ ❑ Private Water Supply System 7 0 ❑ ❑ ❑ O Fire Pump 8 0 ❑ ❑ ❑ O Water Storage Tank 9 0 ❑ ❑ ❑ ❑ Water Spray System 10 0 ❑ ❑ ❑ ❑ Foam Water Sprinkler System 11 0 ❑ ❑ ❑ ❑ Water Mist System 12 0 ❑ ❑ ❑ O Concerns that are not deficiencies(i.e. Non-Sprinklered Areas) ❑ Yes m No See Deficiencies an d nd Comments"section at end of each respective form �, ;, ' -°' AES 1 September 3,2013 Wet Pipe 3 of 3 Fire Sprinkler System Inspection, Testing, and Maintenance Annual Report of Cad/l�l Property Information ,�•,- �!�p Contractor or Licensed Owner Information -.0).• 'Building Name Palermo School stage v 'Name Voltage Specialists 'Address 7390 Bulldog Way IJob# 'City Palermo ARE ea I D=Deficient C=Comment (Indicate t pe) .I"" ! •e'iciencies an• ommen S(con.) Item Date Riser D D • Indicate all equipment,devices and pans that were repaired or replaced ID **See Discrepancy** ffiI y 1 1 I11-1 I III I III I II III I t....:llf-7 r ill Al B 171 d iln � [lIILJ r _I� " _I Q I I III I II III p I p III II ill I a III I Check here if additional Deficiencies and Comments are listed on Form AES9 Number attached: ❑ See Correction Form AES 10 for corrected deficiencies. Number attached. 1 hereby certify that the fire protection equipment listed above has been fully inspected, tested,and maintained on this date by the company indicated above,in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable except as noted in the"Deficiencies and Comments"section of this form. Check box if Annual Inspection, Testing & Maintenance Items are Completed in the Indicated Quarter Quarter 1st - 0 Annual 2nd - ❑ Annual 3rd - ❑ Annual 4th ❑ Annual Date 06/19/24 Print Name Wyatt C. Signature Form AES 2.1 Sept. 3,2013 Wet Pipe California Code of Regulations-Title 19 Quarterly and 2 of 3 Fire Sprinkler System Inspection,Testing, and Mai enance Annual Report Property Information k$9-- Contractor or Licensed Owner Information 'Building Name Palermo School stage c: Name Voltage Specialists 'Address 7390 Bulldog Way _ ." Job# 'City Palermo I 1LREp S ANNU C110-11,'TtSTiti ANIYMAIN "ENANCE Include ALL Quarterly Inspections I = Inspection T =Test M=Maintenance P=Pass F=Fail N/A=Not Applicable NFPA 25 CA ed Item Description Date Comments Only P,F,N/A Reference 1.19 I Sprinklers 5.2.1 6/19/24 P 1.20 ' I 'Buildings(Freeze Protection) 4.1.1.1 Owner's Responsibility N/A 1.21 ( I 'Pipe and Fittings 5.2.2 6/19/24 I P 1.22 ( I 'Hangers 5.2.3 6/19/24 I P 1.23 I 'Seismic Braces ' 5.2.3 6/19/24 I P Field Service Test Required 5.3.1 6/19/24 If REQUIRED, Enter'F' until P 2.1 T (Send Report to Fire Code Official) 'results are returned from Lab 2 2 T !Recalled Sprinklers Title 19 6/19/24 ' P If not present=Pass: If present=Fail 904.1(c) Water Flow Alarm Devices 5.3.3 6/19/24 32 sec. P 2.3 T 90 sec. maximum - (Enter Time 1 13.2.6 2.4 ! T !Main Drain Test 13.2.5 6/19/24(Enter data on Page 1 of this form) 13.3.3.4 P 2.5 I T 'Control Valve-Position 13.3.3.2 6/19/24 I P 2.6 I T (Control Valve—Operation 13.3.3.1 6/19/24 I P 2.7 I T 'Supervisory Devices 13.3.3.5 6/19/24 I I P 2.8 I T IBacknow Preventer Assemblies 13.6.2 I N/A 2.9 ! T !Small Hose Connections' 13.5.2.3 ! !N/A w/PRV Hose Valves—Partial Flow Test 13.5.3.3 2.10 I T IPRV—Fire Sprinkler Systems 13.5.1.3 I I N/A 3.1 I M 'Control Valves 13.3.4 6/19/24 I P 3.2 I M ISmall Hose Connections* 13.5.6.3 I I N/A Obstruction Investigation required 3.3 M (If"Yes", see Deficiencies and Comments Section 14.3 16/19/24 �Nos IP for Results.) 3.4 I M 'System Returned to Service 4.5.3 16'19'24 L Nos I P *Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I, II, or III standpipe systems. D=Deficiency C=Comment (Indicate type) I nln Fill-I - I I I I 'i I I I f-11,,,,,„ ,I Form AES 2.1 Sept.3,2013