HomeMy WebLinkAboutFA TEST REPORT - 16-00573 - 486 S 3rd W - The Roost - Bldg #2 - MFRppm!
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FIRE ALARM SYSTEM
TEST REPORT
CUSTOMER {may}
�
PHONE DATE
-y mac.
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ADDRESS
CITYJ//�J (/ STyA..T�E
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TYPE OF TEST:
r
MONTHLY ❑
SEMIANNUAL ❑
ANNUAL ❑
QUARTERLY ❑ ACCEPTANCE y❑
NAME OF MONITORING COMPANY:
ACCOUNT #
BATTERY
FACP
FCPS 1
FCPS 2
FCPS 3
FCPS 4
VOLTAGE
VOLTAGE
AMP
, `
HOUR
-,
DATE ON
BATTERY
/
ITEM
YES
NO
NIA
ITEM
YES
NO
N/A
ITEM
YES
NO
NIA
TROUBLE SIGNAL AC
Imo'
❑
❑
❑
❑
CENTRAL STATION OR
'.�0
❑
❑
POWER OFF
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ELECTRICAL
RCAL SUPERVISION
y=1,�
REMOTE CONNECTION
SYSTEM OPERATES ON
pI-;I
❑
❑
CONTROL PANEL CHECKED
I'�
❑
❑
KEY TO PANEL
Q
El
ElSTANDBY
POWER
Y
PER NFPA & MFGS INST.
,Q
AVAILABLE
SIGNALS OPERATE ON AC
11
11(ELEV/FANS/DAMPERS)
AUXILIARY EQIP. OPERATES
77COMMUNICATION
❑
❑
VERIFIED
�Q
❑
❑
POWER
-El
h��
PANEL MFG.
MODEL
NO INIAT. ZONES/SLC:.'
NO SIGNAL ZONES:
fLc:
TYPE OF
NO. OF UNITS
SATISFACTORY
TYPE OF
NO. OF UNITS
SATISFACTORY
EQUIPMENT
IN BLDG
TESTED
YES
NO
N/A
EQUIPMENT
IN BLDG
TESTED
YES
NO
N/A
HORNS, CHIMES, VOICE
SMOKE DETECTORS
ALARM,�•
yg
([
❑
❑
+
,
r`.Ja
�.
El
SPEAKERS
('•�
/F. �,
+�
BREAKER PANE Lq
❑
❑
❑
MANUAL PULL STATIONS
y
II
I -El
1:1
BREAKER MARKED IN RED
E]
❑
❑
VENTILATION GON-
TROLS OPERATE
❑
❑
�.
TROUBLE INDICATORS
DUCT DETECTORS
4°
❑
❑
❑
❑
❑,
HEAT DETECTORS
ANNUNCIATIORS
WATER FLOW SWITCHES
ELEVATOR RECALL
J1
❑
❑
❑
❑
Q
1l
AUTO FIRE SPRINKLER
SUPERVISORY
j, i
(
')❑
AUTO DOOR RELEASE
❑
❑
(FAILSAFE)
❑
❑
e ❑
SWITCHES
PROBLEMS FOUND/CORRECTIONS MADE:
i
TESTING AGENT - PRINT NAME r )^' SIGNATURE: r !'
t' i' 1 (I,
SIGNATURE OF CUSTOMER / FIRE MARSHALL: DATE /7