HomeMy WebLinkAboutFA REPORTS - Providence Square - Clubhouse and Bldgs 1-18M �NE
"MeER ALARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with ap lic ble PA, 2 Standards / By NICET Certified Technicians
az�u FotUS
Building occupied as P/O V Air1 ,94 & W tt cc ee' Address of Building y -A *,
Owner./Manager: NN e & Number
Name of Tester / " u+P,G ,912 Date of Inspection49 "'`-"5-d' I(
Type of Inspection A it Notification of Testing
Control Panel Manufaquer & Model / w o %
# of Zones: A- SLC Loopes: NAC's - FACP: FCPS: Total NAC's
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
R¢Hrry Tn¢nortinn /
RA VP in¢nartinn
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Red
circuit Breaker Panel
Does Alarm system meet
audibility standards
Trouble Si uual with AC Vower off
System operates satisfactory on
standby power at max load
`
Control Panel checks made per
manufacturer's instruction
/
All signals operate on AC power
All interfaced equipment operates
Fans, Dampers)
All LED's Illuminate(Elevators,
Name of Monitoring
Communication Veri
Eauipment Tested
Type of Equipment
4 of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
# of Units
in Bldg.
FCPS Power Booster
Annucitors
r
SI-e,
/
Dialer, Communicator
}'
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
Smoke Detectors
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
Tam er Switches
Low/High Air Switches
Antifreeze Tam er
Annul System
Problems Found: IV& W7% �l'%ir
Corrections Made: e
This is to certify that this Fire Alarm has been properly Tested
Manufacturers Recommendation.
Signature of Fire Marshall:
Signature of Owner or repres
Signature of Certified Tester:
# 61PR' '4Xci /l
Interfaced
E ai ment
# of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
# of Units
in Bid .
Ventilation Controls
Elev Recall Primary
Elev. Recall See
Elev. Recall Shunt
_
Access Control Door
Release (Failsafe)
}�
Auto Release
Door Holders
for liability to cover the items listed in this report, according to
Date:
. 771
M --F/NE 1NE
NMBER ALARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied as Pe 0 V / d 1' h e— Q J, kok 4,Ad&ass of Building ' Z SO; by 2 1 L
Owner /Manager. N e &.. �Number // / u ✓
Name of Tester s r7i I/t Date of Insli'onje
Type of Inspection n A,wa L �+ Notification of Testin
Control Panel M yfa�turer & Model . <; < ! ^ j,> 42 . � .4; _
# of Zones:_ SLC Loopes: i NAC's - PACP: FCPS:6_ Total
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
Battery Inspection
CER
lei
FACP Insuection
YES
NO
N/A
YES
NO
N/A
Ke to Panel Available
All circuits checked for
electrical supervision
O erating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Red
circuit Breaker Panel: #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
ti
System operates satisfactory on
standby power at max load
Control Panel checks made per ,
manufacturer's instruction
All signals o
erate on AC ower All interfaced equipment operates c `
All LED's Illuminate 'levators Fans, Dampers) � z
Name of Monitoring Company: !! Account # 40i2 ^ �� r
Communication Verified: C cL-b N/A
Equipment Tested
Type of Equipment
D of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
/A
# of Units
in Bld .
FCPS Power Booster
q
/
Annucitors
Dialer, Communicator
Homs, Strobes, Bells,
Chimes, Speakers, Etc.
4i5'
Smoke Detectors
AS
Heat Detectors
Duct Detectors
Pull Stations
,G
i
Flow Switches
Tamper Switches
Low/High Air Switches
Antifreeze Tamper
/
Ansul System
Problems Found:
i
Recall See
Corrections Made: /V o ove
This is to certify that this Fire Alarm has been properly Tested and Inspected for
Manufacturers Recommendation.
Signature of Fire
Signature of Own
Signature of Cert.
to cover the items listed in this report, according to
Date:_
Date:® g'' 6''�I
no -f FWNE 1 NE
NFPA ALARMS
LARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied as Ado V t p'At4� ✓� g / Address of Building
Owner /Manager:NVA&N et
Name o
Type of
ayly
Control Panel Man cturer & Model ,;`li A �A / GK7v
# of Zones: SLC Loopes: / NAC's - CP: J
System should b tested on Standby (battery power) for 30 min. prior to Battery Test.
Date
Notification of Testing yd 2.4
Total NAC's—,00'
FA CP fnRnOetlnn
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
ti
Operating Instructions at Panel
Newest Record posted at Panel
L'
All functions and buttons
work properly
circuit Breaker marked Red
.cdJ
circuit Breaker Panel: u #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
a
Control Panel checks made per
manufacturer's instruction
`
All signals o crate on AC ower
All interfaced equipment operates
Fans, Dampers)
All LED's Illuminate(Elevators,
Name of Monitoring
Communication Veri:
Equipment Tested
Type of Equipment
N of Units
Tested
Satisfactory:
Yes
Sat sfa�tory:
No
!A
# of Units
in Bldg.
FCPS Power Booster
Annucitors
Dialer, Communicator
,,,,41
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
.26
Smoke Detectors
/
20 ,j
/
Heat Detectors
J✓
Duct Detectors
Pun Stations
.ey
Flow Switches
b
✓
Tamper Switches
a b
Low/High Air Switches
Antifreeze Tamper
Ansul System
Problems R
Corrections
Gl
This is to certify that this Fire Ale
Manufacturers Recommendation.
Signature of Fire Marshall:_
Signature of Owner or represen
Signature of Certified Tester:
.1 11 � 41"
Interfaced
E u m¢nt
# of Uni
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
# of lJnits
in Bldg.
Ventilation Controls
Elev. Recall Primary
Elev. Recall See
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
has been properly Tested and Inspected for liability to cover the items
report, according to
Date:
Date: bA
M - F-NE i E
MEMBER ALARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied as Address of Building 6--
Owner /Manager: Name & Number 9' 'V'-e W✓
Name of Tester-&,/ ' s v ; ^ Date of r4nectinn
Type of Inspection Notification of Testing &4 A S
Control Panel Ma cturer & Model
# of Zones: / A- SLC Loopes: l/ NAC' - FACP: r FCPS: Total NAC's
System should be tested on Standby (battery power) for 30 min prior to Battery Test.
Battery Inspection
..:
�.��'sir✓�:�r�%�®«i����i�"ice
FRCP Inspection
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Rpd
circuit Breaker Panel: ®mob + #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All signals oerate on AC power
7
1
All interfaced equipment operates
levators, Fans Dampers)
X
All LED's Illuminate
Name of Monitoring Con
Communication Verified:
Equipment Tested
Type of I
FCPS Pow
Annuciton
Dialer, Co
Homs, Str
Chines, S
Smoke De
Heat Detei
Duct Dew
Pull Static
Flow Swit
Tamper Sc
Lowali h
Antifreeze
Ansul Sys
Problems
Corecftm
%e-S
Account #. 4 1— 4/ d /
This is to certify that this Fire Alarm has been properly Tested and Inspected for liability to cover the items listed in this report, according to
Manufacturers Recommendation.
Signature of Fire
Signature of Own
Signature of Certl
Date: OR—06—?611
Or ENE ENE
MEMBER ALARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with pIicablePFPA�2 Standards / By NICET,Certified Technicians
Building occupied asr/d(1> sHL� ✓ u.�je�,✓ G(�`Agd-dress ofBuildin At k0 Vt�—
Owner /Manager: Name & Numb
eryy
NameqfTester r _� G16 1•`/t _ ai" Date Inspectiont®t
H
Type-tApet9o`n77(.ee,,/7oh I-'a-ly /Oe7 a —G C- ^ zG2/ Notification of Testing t,Ito D
Control Panel Matufacturer & Model ?mod a►K�`%�.� 7 ��'�
# of Zones: IVIA SIC Loopes: /r AC's - FACP: FCPS: —Total NAC's Al
System should be tested on Standby (battery power) for 30 min, prior to Battery Test.
Battery Ins resection
FACP Inspection
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Red
circuit Breaker Panel: #0 k, #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All signals operate. on AC power
All interfaced equipment operates
Fans, Dampers)
All LED's Illuminate
c(Elevators-
Name of Monitoring Company: atG ! Account#X7'"44P2/
Communication Verified: ." N/A
Equipment Tested
Type of Equipment
of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
A
#, of Units
to Bldg.
FCPS Power Booster
/
+.
Annucitors
Dialer, Communicator
Horns, Strobes, Bells,
Chimes, S eakers, Etc.
, J
7
`
j 91
`f
Smoke Detectors
/
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
/
t
Tamper Switches
Low/High Air Switches
Antifreeze Tamper
Ansul System
Problems Found: w4mow,
telfi'acg # of UnitsSatisfactory: SatisfactoryN/A # of Units
w went Tested Yes No in Bide.
Ventilation Controls
Elev. Recall Primary
Elev. Recall See
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
Corrections Made:
This is to certify that this Fire Alarm has been properly Tested and Inspected
Manufacturers Recommendation.
Signature of Fire
Signature of Own
Signature of Cerd
liability to cover the items listed in this report, according to
Date:
Date:D4—"—.2Ar
M �IOIE ��vE
MEMBER ALARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA72 Standards / By NICET Certified Technicians
Building occupied as r !
Owner /Manager: Name & Number
Name of Tester
Type of Inspection /Y t
Control Panel Manufacturer & Mod
# of Zones:_ SLC Lo
System should be tested on Standby
RuHn.ar Tnanontinn
/ NAC's(/FACP: I FCPS:
power) for 30 min. prior to Battery Test.
-s ev0-
of Testing t/mI_
_ Total NAC's
Battery Voltage
FACP
FCPSl
FCPS2
FCPS3
_
Volta a
i'-
!
/ '22
Am xour
7
1 7
Date on Batt
!J f- -.% n
1 6'G"7p
ce rn T...,.o..w..,,
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
`
All functions and buttons
work properly
circuit Breaker marked Red
circuit Breaker Panel;/-h1&x W #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
i
All si Is operateon AC power
All interfaced equipment operates
Elevators Fans, Dampers)
All LED's Illuminate
Name of Monitoring Corr
Communication Verified:
Equipment Tested
Type of Equipment
of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
/A
# of Units
in Bldiz.
FCPS Power Booster
Annucitors
Dialer, Communicator
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
Smoke Detectors
e
/
Heat Detectors
�S(
Duct Detectors
'
Pun Stations
Flow Switches
�S
Tam er Switches
Low/High Air Switches
Antifreeze Tam er
Ansul System
Problems Found: ,v dLo bi
Corrections Mader
This is to certify that this Fire Alarm
Manufacturers Recommendation.
Signature of Fire
Signature of Own
Signature of Cert.
# 4102 -- 4/t6 /%
dpte aced
n, u meat
#ofUni
Tested
Satisfactory:
Yes
Satisfactory
No
N/A
#of Units
in Bidg.
Ventilation Controls
X
Elev. Recall Primary
Elev. Recall Sec
1�
Elev. Recall Shunt
Access control Door
Release (Failsafe)
t,
�C
Auto Release
Door Holders
Inspected for liability to cover the items listed in this report, according to
Fir --FINE 1NE
rxy
p➢FPA ALARMS
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Q J°iI,® 6- It
Building occupied as/1Bd/�+ck�� u� Address of Buildin ?/.L e
�i
Owner /Maoager: Name &
' Name of Tester
Type of Inspection ix
Control Panel M a �, r & Model ,41A(A� 7 ff 4-,17
ig /
# of Zones: SLC Loopes: J NAC's - FACP:
System should be tested on Standby (battery power) for 30 min. prior to B
RuHnn.r incnnMinn
.Notification of Testing ..i i- ______
r .1
FCPS: P Total NAC's 4/
FA rP ingneMinn
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Re
circuit Breaker Panel: !�
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
.
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All si alsoperate on AC power
All interfaced equipment operates
Fans Dam ers
Ali LED's Illuminate(Elevators,
Name of Monitoring Con
Communication Verified:
Equipment Tested
Type of Equipment
of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
# of Units
is 1
FCPS Power Booster
+a
Annucitors
Dialer, Communicator
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
VC1
4.1,vA
k q
Smoke Detectors
S
Heat Detectors
Duct Detectors
Pull
Stations
1
Flow
Switches
J
Tamper Switches
Low/fligh Air Switches
Antifreeze Tamper
Ansul System
Y_
Problems F
Corrections
'0.z� W:
'V A a
Account # '` -
Interfaced
E ui �ment
# of UnitsSatisfactory:
Tested
Yes
Satisfactory
No
N/A
# of Units
in Bld .
Ventilation Controls
Elev. Recall Primary
jz_
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsa£e)
r
Auto Release
Door Holders
This is to certify that this Fire Alarm has been properly Tested and Inspected for liability to cover the items
Manufacturers Recommendation.
Signature of Fire Marshall:
Signature of Owner or represen ' e:
Signature of Cert fled Tester:
this report, according to
Date:
Date:
M -f /N 1naE
Nir.Er
EPA ALARMS
LARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable/ NFPA 72 Standards / By NICET Certified Technicians
"n `
Building occupied as f e O it , of . z, -0-Address of Buildinix
Owner/Manager: Napie 4 Number F
Name of Tester m9d Da oflnspection�—aO;r-1
Type of Inspection o eJ Notification of Testing
Control Panel Manufacturer & Model r A;7 b
# of Zones: & SLC Loopes: l NAOs - FACP: / FCPS: Total NAC's
System should b te6led on Standby (battery power) for 30 min. prior to Battery Test.
Rattem Insnection 1
FACP Inspection
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
6
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker mazked ed
circuit Breaker Panel: W b
Does Alarm system meet
audibility standards
ti
Trouble Signal with AC Power off
4
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
l/
/
All si alsoperate on AC power
All interfaced equipment operates
Fans Dampers)
All LED's Illuminate(Elevators,
Name of Monitoring Company: H11411 _tG -"
Account #
Cs%a
Communication Verified:
'6 '640- S v�
N/A
Equipment Tested
Type of Equipment
of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
NIA
# of Units
in Bldg,
FCPS Power Booster
/
t
/
AmNcitors
Dialer, Communicator
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
y9
/
Smoke Detectors
/AL
/
Heat Detectors
?S
Duct Detectors
Pull Stations
IV/
Flow Switches
/
Tamper Switches
Low/fligb Air Switches
Antifreeze Tamper
Ansul System
pC
Problems
Corrections Made:
This is to certify that this Fire Alarm has been
Manufacturers Recommendation.
Signature of Fire
Signature of Owr
Signature of Cert
n
Lptegaced
# of Units
Tested
Satisfactory
YesW.
Satisfactory
WA
# of Units
in Bldg.
Ventilation Controls
Elev. Recall Primary
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
and Inspected for liability to cover the items listed in this report, according to
Date:Dg 44 --�`W
n - fTINE
NFPA ALARMS
LARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance th applicable NFPA 72 Standards / By MCET Certified Technicians
%/
j 9
Building occupied as 110 b;461 c t ,� ELwi-� Address of Building w-' S
Owner/Manager: Naa�m�� & Number mby a
Name of Tester // t//rv✓�a. e /�,� �eo+ Da Inspection d j3
Type of Inspection OD h Notification of Testing / m�
Control Panel Manufacturer & Mode1S; te,,y! ,r. "r 4-4 7 401-j.O
# of Zones: SLC Loopes: I TSKAC's - FACP: / FCPS: e` Total NAC's
System should be tested on Standby (battery power) for 30 min. prior to Battery Test
Battery Inspection s
Batt Voltage
FA
FCPsl
FCPS2
FCPS3
Volta e
/7-
Amp flour
1-
7
Date on Battery
FACP Inspection
YES
NO
N/A
YES
NO
N/A
I{e to Panel Available
All circuits checked for
electrical supervision
O eratin Instructions at Panel
Newest Record posted at Panel
Allfunctions and buttons
work properly
circuit Breaker marked R
circuit Breaker Panel: #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
4
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All sionals operate on AC power
All interfaced equipment operates
Elevators Fans, Dam ers
All LED's Illuminate
Name of Monitoring Company: PA r*u' Account # 4V Z — 4s'-/1 _
Communication Verified: w/.o� N/A
Equipment Tested
Type of Equipment
# of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
/A
N of Units
in Bld .
FCPS Power Booster
Annucitors
Dialer, Conmranicator
Homs, Strobes, Bells,
Chimes, S eskers, Etc.
Q
Smoke Detectors
/
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
Tamper Switches
Low/Hi h Air Switches
Antifreeze Tamper
Ansul System
Problems
Corrections Made: /!/
This is to certify that this Fire Alarm has been
Manufacturers Recommendation.
Signature of Fire
Signature of Owr
Signature of Cert
Pterfaced
ur ment
# of UnitsSatisfactory:
Tested
Yes
Satisfactory:
No
N/A
# of Units
in Bld .
Ventilation Controls
Elev. Recall Primary
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
jG
P
Tested and Inspected for liability to cover the items listed in this report, according to
Date; - Od -A*4
NFPA
MrMBrA
--f:FNE PP\PE
ALARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordan��ritj} appI.c�e NFPA 72 Standards / By NICET Certified Technicians
Building occupied as #010V 1'* e'- j o- �{{!!� Address of Building_ ®UV% ,-Z
Owner /Manager: NNgme & Number
Name of Tester mot Date d Inspection ;7-dtz-f
Type of Inspection wW p Notification of Testing_
Control Panel Manuf turer & Model e w YI/• 7/ 2�
# of Zones:- �d SLC Loopes: NA 's - FRCP: P FCPS: L/ Total NAC's
System should tested on Standby (battery power) for 30 rain. prior to Battery Test.
Rattery Imenectinn
FACP Inspection
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Ped
circuit Breaker Panel: #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All si alsoperate on AC power
All interfaced equipment operates
Fans, Dampers)
All LED's Illuminate(Elevators,
Name of Monitoring Con
Communication Verified:
Equipment Tested
Type of Equipment
# of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
# of Units
in Bld .
FCPS Power Booster
Annucitors
y
Dialer, Communicator
/
.�. b
Hams, Strobes, Bells,
Chimes, S Bakers, Etc.
t'{
."
Smoke Detectors
Heat Detectors
Duct Detectors
IX
I
Pall Stations
,Q..Of
Flow Switches
f
/
Tam er Switches
.y
$
Low/liigh Air Switches
Antifreeze Tamper
1'(
Ansul System
Problems Found: of/OA.
Corrections Made: A
This is to certify that this Fite Ali
Manufacturers Recommendation
Signature of Fire
Signature of Own
Signature of Cert
Account # d `t Z/ X;�" /
Interfaced
E ai went
#, of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
#:ofUnits
m Bldg.
Ventilation Controls
Elev. Recall Prim
l{
Elev. Recall See
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
je
Auto Release
Door Holders
�(/te
LJ + !rfir 0
been properly Tested and Inspected for liability to cover the items listed in this report, according to
RA --FINE
NE d NE Hy
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable FPA 72� Standards / By NICET Certified Technicians
Building occupiedas&ov' S� „_�_� 67R�A/!d/dress/of Building
Owner /Manager:,yNlame & Nu `'- =� �=— ``'
Name ofTester xn "7 A
Type of Inspection
Control Panel Man acturer & Model
# of Zones: %E" SLC Loopes:
System should be tested on Standby (battery power)
_ NAC's -FACP: -/
30 min. prior to Battery Test.
Date d'InspectiondeJ oS goy
Notification of Testing 56w a✓
Total NAC's
FACP inspection
YES
NO
N/A
Y ES
NO
N/A
Ke to Panel Available
All circuits checked for
erating Instructions at Panel
electrical ervision
Newest Record osted at Panel
All functions and buttons
circuit Breaker marked Rod
work roperly
circuit Breaker Panel:
Does Alarm system meet
Trouble Signal with AC Power off
audibility standards
System operates satisfactory on
Control Panel checks trade per
standby power at max load
manufacturer's instruction
All signals oerate on AC Power
All interfaced equipment operates
Elevators Fans, Dampers)x
t /
All LED's Illuminate
Name of Monitoring Company: Ue��✓ t avr� Account # G"G.Z •/S�
Communication Verified: %ee, N/A
Fnuinment Tested
Type of Equipment
of Units
Tested
Satisfactory.
Yes
Satisfactory:
No
N/A
# of Units
in Bld .
FCPS Power Booster
w
Annucitors
Dialer,
Communicator
oe,
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
4 p
7
Smoke Detectors
,w
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
Tam or Switches
w
Low/M Air Switches
Antifreeze Tam er
Ansul System
Problems Found:
E tuif mart
#Tes ed
Satisfactory:
SatisNo ory:
NiA
din Bid
Ventilation Controls
Elev. Recall Prim
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
Corrections Made: rr®WV
This is to certify that this Fire Alarm has been properly Tested and Inspected for liability to covet the items listed in this report, according to
Manufacturers Recommendation.
Signature of Fire
Signature of Owr
Signature of Cert
Date:
Date+-__.d F--eW
M - f NE I1VE
NFPA ALARMS
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied as011aV i4WiW4-e' ""L- Address of Building �.3d+ NJ
Owner /Manager: e && Number / R w✓
Name of Tester J' iwa ! & vz 7:; D e of Inspection ®g -i%C —ZO'—
Type t
Control Panel M ufacturer & Model s Y 10wT o A T 60R X O
# of Zones:, SLC Loopes: / i C's - FRCP: / FCPS: L Total NAC's
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
Battery Voltage
FACP
I FCPSl
FCPS2
1 FCPS3
Volta e
it
jq`
Am Hour
7
Date on Batte
2 A
'�- o`
WA CID rne,.nr{inn
--
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Red
circuit Breaker Panel: #
Does Alarm system meet
audibility standards
`r
Trouble Si witb A Power off
System operates satisfactory on
standby power at max load
Y
Control Panel checks made per
manufacturer's instruction
-7'
All signalsoperate on AC power
All interfaced equipment operates
Elevators Fans, Dam ers
All LSD's Illuminate
v
Name of Monitoring Con
Communication Verified:
Equipment Tested
Type of Equipment
9 of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
#of Units
mBldiz.
FCPSPower Booster
.4
Annucitors
Dialer, Communicator
Horns, Strobes, Bells,
Chimes, Speakers Etc.
R/
w 5
Smoke DetectorsLV
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
%
Tamper Switches
e
LowMigli Air Switches
Antifreeze Tamper
Ansul System
Problems Fc
Corrections
This is to certify that this Fire Alarm has been properly Tested and
Manufacturers Recommendation.
Signature of Fire
Signature of Owr
Signature of Cert
9U7/
hnterfaced
ui ment
# of UnitsSatisfactory:
Tested I
Yes
Satisfactory.
No
N/A
# of Units
in Bldg.
Ventilation Controls
Elev Recall Primary
A�
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
for liability to cover the items listed in this report, according to
Date:
Date:
Date:Os'—Z t
mo --FINE I NE
NFPA ALARMS
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
ADZ- ) -2-
Building occupied asfe&vjw "c 4 u� Address of Building
Owner /Manager-NN,; e & Number��
Name of Tester /" %� ��G 6 `1 _— Date of Inspection d8
Type of Inspection Notification of Testing_ r�_�
Control Panel Mann tuner & Models, r v f
# of Zones:_ SLC Loopes: t NAC - FACP: k FCPS: 2- Total NAC's
System should be tested on oonn Standby (battery power) for 30 min. prior to Battery Test.
Battery Inspection
Batt Volta e
FAC
FCPSl
FCP52
FCPS3
Volta
I �
f 2
Am Hour
Date on Batte
FACP Inspection
YES
NO
N/A
Y ES
NO
N/A
Ke to Panel Available
All circuits checked for
O crating Instructions at Panel
electrical su ervision
Newest Record osted at Panel
All functions and buttons
work properly
circuit Breaker marked Red
. #
Does Alarm system meet
circuit Breaker Panel:
Trouble Sigaal with AC Power off
audibility standards
System operates satisfactory on
Control Panel checks made per
standby power at max load
manufacturer s instruction
All signals operate on AC power
/
All interfaced equipment operates
Elevators, Fans Dampers)
>,
LED's Illuminate
All
sy_
���'�" # �Gz et/ci <
Name of Monitoring Company:Account/
_ ua.+
Communication Verified: %f-a. Sr N/A
Equipment Tested
Type of Equipment
of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
/A
# of Units
in Bid .
FCPS Power Booster
Annucitors
Dialer, Communicator
t
Hams, Strobes, Bells,
Chimes, S. eakers, Etc.
Smoke Detectors
Beat Detectors
Duct Detectors
Poll Stations
rub
t
Flow Switches
I
Tam er Switches
•�5
Low/Hi Air Switcbes
Antifreeze Tam er
Ansul System
Problems
Wf
Interfaced
E ni
)went
# of Uni
Tested
Satisfactory.
Yes
Satisfactory
No
N/A
# of Units
in Bld
Ventilation Controls
Elev. Recall Prima
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
Corrections Made:
This is to certify that this Fire Alarm has been properly Tested and Inspected for
Manufacturers Recommendation.
Signature of Fire
Signature of Owr
Signature of Cert
to cover the items listed in this report, according to
Date: ---
Date:
DateP9 '—%�
--FINE LIVE NI
NFPA ALARMS s
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with,almli le F A 72 Standards / By NICF.T Certified Technicians
Building occupied as0/v 4 cr6Nn� aa�e �h Address of Building
Owner /Manager: Nam�J &-N�uber
Name of Tester %/ t4 r✓+ !mA Date of lnspectionlS��. G r ��
Type of Inspection Notification of Testing_
Control Panel Manuf turer & Model SJ�i �n 7 d
# of Zones:___ SLC Loopes: / N s -FACP: / FCPS: ri Total NAC's
System should li tested on Standby (battery power) for 30 min. prior to Battery Test.
Baftery Inspection
FCPSl
F
FCP53
Batt Volta e
FA
Volta e
�
Amp Hour
Date on Battery
FACP Inspection
YES
NO
N/A
ygg
NO
N/A
K to Panel Available
All circuits checked for
0 crating Instructions at Panel
electrical su ervision
Newest Record osted at Panel
All functions and buttons
circuit Breaker marked Red
work properly
circuit Breaker Panel:
Does Alarm system meet `
Trouble Signal with AC Power off
audibili standards
Control Panel checks made per
System operates satisfactory, on
standby power at max load
ma s instruction
All signalsoperate on AC ower
All ed equipment operates
interfaced
Fans Dampers)
All LED's Illuminate(Elevators,
Name of Monitoring Company: 1JaiN t Account #� 7 6'
Communication verified:/Y/3 N/A
Raninment Tested
Type of Equipment
T u ts
satted isfactory:
Satisfactory:
No
N/A
# of Units
in B
FCPS Power Booster
/
Annucitors
.t!
Dialer, Communicator
Homs, Strobes, Bens,
Chimes, S eakers, Etc.
yy
Smoke Detectors
Heat Detectors
Duct Detectors
k
Pun Stations
Flow Switches
l
Tam er Switcbes
Low/Higb Air Switches
Antifreeze T er
Ansul System
Problems Found: /l'00u, 7 `//,
Corrections Made, w'-2(
This is to certify that this Fire Alarm has been properly Tested
Manufacturers Recommendation.
Signature of Fire Mars
Signature of Owner or
Signature of Certified
Itttelffaeed
EE w went
#ofuni
Tested
Satisfactory:Satisfactory•N/A
Yes
No
#of Units
in Bld
Ventilation Controls
Elev. Recall Primary
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Aut Release
Door Holders
for liability to cover the items listed in this report, according to
Date: -
Dated Y— 44A
M --FINE INE
N�.
NEPA ALARMS
MEMBER
Building occupied
Owner /Manager:
Name of Tester
Type of I
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with 11 plicable NFP 72 Standards / By MCET Certified Technicians
Y,pt,,�Al s
®in'14 .e., n 19-_ ._ -. v_ Addrecc of Building %i 3 O. W Zt� eC.i
r/
_ I!Kate of Inspection ZP9-4'9''sAV'----L j
Notification of Testing ,y>
Control Panel Qcturer & Model S, i A-0orT 116A, + f 0 ty W'F— C/
# of Zones:/ SLC Lo-pes: NA 's - FACP: ! FCPS: S/ Total NAC's � _
System should a tested on Standby (battery power) for 30 min. prior to Battery Test.
Battery Voltage
I FAC
FCPS1
FCPS2
1
1 FCPS3
voltage
Am Hour
Date on Battery
CAlOY- !!Ctien
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
operating Instructions at Panel
4
Ncwest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked R d
circuit Breaker Panel: sttiK #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All si is operate on AC power
All interfaced equipment operates
Elevators, Fans, Dam ers
All LED's Illuminate
Name of Monitoring Company:,
Communication Verified:
Equipment Tested
Type of Equipment
N of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
/A
# of Units
in Bld .
FCPS Power Booster
Annucitors
Dialer, Communicator
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
51 q
»,t u 5,�g
Smoke Detectors
A
Heat Detectors
Duct Detectors
Pull Stations
v
Flow Switches
T er Switches
_. ,7,
1
Low/High Air Switches
Antifreeze Tamper
Ansul System
Problems F
Corrections
Y T 4;
�ntejaeed
E m ment
# ofUni
Testcd
Sat sfactory:
Yes
Satisfactory
No
INTIA
# ofUnits
in Bld .
Ventilation Controls
Elev. Recall Primary
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
jel
This is to certify that this Fire Alarm has been properly Tested and Inspected
Manufacturers Recommendation.
Signature of Fire Marshall:
Signature of Owner_ or represen t 1 Signature of Certified Tester:
to cover the items listed in this report, according to
Date:
NFPA ALARMS
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with�pplicabl�NFPA�2(�SSandaFds 1 BY NICET Certified TecImiiciaans
Building occupied as f/` d tip d w� G f W"� �j� Address of Building 'V 3f OJ ��—✓
7.0
Owner /Manager: Name & Number n ��
Name of Tester-AB o'J Da of Inspection ej9D y 1a2
Type of hispection u,.ov Notification of Testing a.Y
Control Panel Manufacturer & Model �.�..ee Nl GS `Z
# of Zones: SLC Loopes: AC - FACP: FCPS: �+ Total NAC's
System should b tested on Standby (battery p wer) for 30 min. prior to Battery Test.
Battery Inspection
F
FCPSl
FCPS2
FCP53
e
WBattvol
tt
FACY lnspecuon
YES
NO
NIA
YES
NO
N/A
K to Panel Available
All circuits checked for
O eratin Instructions at Panel
electrical su ervision
Newest Record osted at Panel
All functions and buttons
circuit Breaker marked K
work properly
circuit Breaker Panel: #
Does Alarm system meet
Trouble Sign with AC Power off
audibility standards
System operates satisfactory on
Control Panel checks made per
standby power at max load
manufacturer's instruction
All signalsoperate on AC power
L
All interfaced equipment operates
Fans, Dampers)
All LED's Illuminate(Elevators,
Name of Monitoring Con
Communication Verified:
Type of Equipment
of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
/A
# of Units
in Bld .
FCPS Power Booster
Annucitors
Dialer, Communicator
Horns, Strobes, Belts,
Chimes, Speakers, Etc.
g
4�
Smoke Detectors
Heat Detectors
X
Duct Detectors
Pull Stations
Flow Switches
Temper Switches
Low/HighAirSwitches
Antifreeze Tam r
Annul System
Problems Found:-- —h its
Corrections Made: �l�d
This is to certify that this Fire Alarm
Manufacturers Recommendation.
Signature of Fire Marshall:
Signature of Owner or representVW
Signature of Certified Tester:
Account
N/A
Interfaced
E W went
#ofUni
Tested
Satisfactory:Satisfactory•N/A
Yes
No
#of Units
in Bid
Ventilation Controls
Elev. Recall Primary
`
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
a
Tested and Inspected for liability to cover the items listed in this report, according to
Date:
t�J-/
NFPA ALARMS
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
/ - L4 3 o rrJ o s
Building occupied as Address of BuildingN
Owner /Manager: N e & Number
Name of Tester p 1, to of
Type of Inspection A F'u ` Notification of Testing�i7
Control Panel M.an acturer & Model '5 4-00 rVPJ t* [oy &'4�
# of Zones: N /r SLC Loopes: NAC's - FACP: FOPS: Total NAC's
System should be tested on Standby (battery power) for 30 min. prior to Battery Test
Battery Insp,ection
Battery Voltage FA FCPSl FCPS2 FCPS3
Volta e /
Am Hour
Date on Batt
O -
rJ 6i
c99—�/
d 6d
PAUr tnspecnon
YES
NO
N/A
YES
NO
N/A
K to Panel Available
All circuits checked for
O crating Instructions at Panel
electrical su ervision
Newest Record osted at Panel
All functions and buttons
circuit Breaker marked Red
work properly
`•
circuit Breaker Panel: a #
Does Alarm system meet
Trouble Si al with AC Power off
audibili standards
System operates satisfactory on
Control Panel checks made per
standby power at max load
/
manufacturer's instruction
All signals operate on AC power
Y
I
I
All interfaced equipment operates
Fans, Dampers)
All LED's Illuminate(Elevators,
Name of Monitoring Con
Communication Verified:
F.nninment Tested
Type of Equipment
t of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
# of Units
in Bldg.
FCPS Power Booster
u.
Annucitors
Dialer, Communicator
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
,v i
Smoke Detectors
Heat Detectors
Duct Detectors
Pull Stations
b
Flow Switches
/
b
Tampa Switches
.a
Low/High Air Switches
Antifreeze Tamper
Annul S stem
Problems
pm-
jj:�2 - q-r
Intelfaeed
EE W went
# of Uni
Tested
Satisfactory:
Yes
Satisfactory'
No
NIA
# of Units
in Bldiz6
Ventilation Controls
Elev. Recall Primary
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
P
Corrections Made: NoryY
This is to certify that this Fire Alarm has been properly Tested and Inspected for
Manufacturers Recommendation.
Signature of Fire Mar;
Signature of Owner of
Signature of Certified
to cover the items listed in this report, according to
Date: _
Date:
Dated9"6G-:Jd.21
ni --FINE Illl E
NFPA ALARMS
LARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable WA 72 Standards / By NICET Certified Technicians
CC /e,,B 6-1-7 A
Building occupied as or"Oy ad chi 4zw� / i Address of Building `�- �0 d' (—
Owner /Manager: Name & Number
Name of Tester Hati W
Type of Inspection
Nir
Notification of Testing_o�
Control Panel M fa toter & Model 7 F &4/1 1 t+r4r + !o a c.p
# of Zones: SLC Loopes: f NA 's -FRCP: f FCPS:�i Total NAC's
System should tested on Standby (battery power) for 30 min. prior to Battery Test.
Rotln..r inenon�inn
i Date on Battery
FACP Inspection
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Re
circuit Breaker Panel: o #
Does Alarm system meet
audibility standards
y�
!
Trouble Signal with AC Power off
Y
System operates satisfactory on
standby power at max load
IControl
Y
Panel checks made per
manufacturer's instruction
All si is operate on AC power
All interfaced equipment operates
Fans, Dam
All LED's Illuminate(Elevators,
Name of Monitoring Con
Communication Verified:
Equipment Tested
Type of Equipment
# of Units
Tested
Satisfactory:)
Yes
Satisfactory:
No
N/A
# of Units
in Bldg,
FCPS Power Booster
Annucitors
Dialer, Communicator
4
J
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
�9
t-
9
Smoke Detectors
Heat Detectors
Duct Detectors
-ilk
Pull Stations
Flow Switches
Tamper Switches
Low/High Air Switches
Antifreeze Tamper
y/
Ansul System
Problems Found: Alv"
Corrections Made: elk
This is to certify that this Fire Alarm
Manufacturers Recommendation.
Signature of Fire
Signature of Owr
Signature of Cert
Account # dZ12 . 'VOW
rtelfaced
m mCnt
# of Uni
Tested
Satisfactory.
Yes
Satisfactory
No
N/A
# of Units
in Bldg,
Ventilation Controls
F.lev. Recall Primary
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
been properly Tested and Inspected for liability to cover the items listed in this report, according to
Date61('" oG—iv7--K.
01 --FINE Nam,;
ALARMS
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with appl c bble rAA 77 Standards / By NICET Certified Technicians
Building occupied as /o+� % �e ss e ��1 �� Alddr'ess�of Building va o W A ^ 4 `�
Owner /Manager: Name &Number C' �� o
Name of Tester i G v mh Date Inspection
Notification of Testing��. S
Type of Inspection
Control Panel Manuf cturer & Model
# of Zones:__ SLC Loopes: l NA 's - FACP: / FCPS: Total NAC's,,__
System should be tested on Standby (battery power) for 30 min. prior to Battery Test_
-5-a�on Battery
FACP Inspection
YES
NO
N/A
YES
NO
N/A
Ke to Panel Available
All circuits checked for
Operating Instructions at Panel
electrical so ervision
Newest Record osted at Panel
All functions and buttons
circuit Breaker marked R
work properly
circuit Breaker Panel:
Does Alarm system meet
Trouble Signal with AC Power off
audibility standards
System operates satisfactory on
Control Panel checks made per
standby power at max load
manufacturer's instruction
All signals oerate on AC power
All interfaced equipment operates
levators Fans Dampers)
All LED's Illuminate
Name of Monitoring
Communication Veri
Fnnlnment Tented
Type of Equipment
of Units
Teste
Satisfactory:
Yes
Satisfactory:
No
!A
# of Units
in Bid .
FCPS Power Booster
v.
/
Amucitors
Dialer, Communicator
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
Smoke Detectors
.r
Heat Detectors
Duct Detectors
rY
Pull Stations
!
.�
Flow Switches
f
..
Tam er Switches
Z
LowlHi Air Switches
sY
Antifreeze Tam er
Ansul System
Problems Found: /'&A
Corrections Made: Aw `
This is to certify that this Fire Alarm has been properly Tested and
Manufacturers Recommendation
Signature of Fire
Signature of Own
Signature of Cert
Account # �p` Ifs%
Interfaced
E 11 meat
# of Unit
Tested
Satisfactory:
Yes
Satisfactory:
No
N!A
# of Units
in Bldg.
Ventilation Controls
d/
Elev. Recall Prim
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
liability to cover the items listed in this report, according to
Date:
Date:
Date: si'r-V`7Z-A
`�� �NE !NE
Meweea ALARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied ast`ia,V/J,.5e� Sttus�rIv Address of Building ti" � /
Owner /Manager:
Name of Tester j
Type of Inspectioi
Notification of Testing 5
Control Panel Man er & Model !o O
# of Zones: SLC Loopes: ! Ncls - FACP: I FCPS: Total NAC's—
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
RaHo*v rnenwrtin"
Pi d VP rnannrlinn
YES
NO
N/A
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Red
circuit Breaker Panel:
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All signals oerate on AC power
a
All interfaced equipment operates
Elevators, Fans Dampers)
All LED's Illuminate
Name of Monitoring
Communication Veril
Equipment Tested
Type of Equipment
of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
/A
# of Units
in Bldg.
FCPS Power Booster
01A
f
Annucitors
zS+f
Dialer, Communicator
CI
Homs, Strobes, Bells,
Chimes, Speakers, Etc.
`ice
'/ 9
Smoke Detectors
/
Heat Detectors
-
Duct Detectors
Pull Stations
d
Flow Switches
c
Tamper Switches
Low/Hi h Air Switches
Antifreeze Tamper
Ansul System
It
iL
Problems
Corrections Made:
This is to certify that this Fire Alarm has
Manufacturers Recommendation.
Signature of Fire
Signature of Own
Signature of Cert.
Door
Release (Faih
Auto Release
Account # �` *"-j/
Tested and Inspected for liability to cover the items listed in this report, according to
Date:
Date:
Date41 47— 1