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Bong ane a a i oT SH DEES” — Ti ng or age Phan oF agents rena | Fa eat Conia PAF Phones Baling Fie rasan Sytem es no Comments FES Fire Alam Syaton compet [y [Fr re gars compated | [FAT Un Eerpene Lighting comptes | Lr Sprite sytem compat | [F2 Standpipe Systems. completed v a FT Kitchen suppression Systems ‘completed v Fe Comper suppression Systems| somptatea | [7 FIT Eargeey Power Gen Sa) | compiawed | |v ery compatea |) Treinformaion co Ws frm crac the tne ae pls my inspect, ‘sopcatle codes and Manuttue’sRequrements, The Fre Easter est Fusy Onan Cons, lees noma baw Edin repor please abe naced defceney shacks fe De ea nolo Dl, 1 hat a equpmant ws stn sora with ihe ‘The Bape ws et FULL OPERATIONAL cenaton[] Th Equprrts NOT FULLY OPERATIONAL The eens nein reat 6 Technicians Stamp Alarm Systems “Kawase ee Tage Supe Tee Sage Dig Comair ao x on ists lg Na aa EW Tio Car ea ae ad yable_ No" Unaceeprable_ (Pap ‘Suma No anewers ia commends) (Cl [i ati clam yan as bee pected and toed nacre wih CANTULC S36 Ti is aac ayn dacooiat oe and aude a ensripon ofthe pa “Ti aoe ean naa “Te seem ye as iene a Beoagesa bossa 7 copy of Wis apr ven to ie Oumar he ona reprieve “Tecicans ATer-et Cheek Reccnnest ine lint estou? ‘Reconect anil functions? ‘Reconest anlar Rincon (Se omeaONT [Recanect signal power” Advised fe Sparen! ie sing compl sis ne lars system incon eee Comments DECIDE Tae Dae Tina ‘Taner Auber Age ieee. [ier =a een ae Servant mratenentee a Serie screens eee l ale ‘coca nn egal Ae a eT eee ee Soonans Peelontery eens Srmaratee treaties Niieciv te sqamtreatenst Sas eT canna Socata soars Seca tenees Serres ES error te Fplperacee ee oo Siceeansena cee FF eerenoeeeeieate San oe tere Seeamectaeraneiaee See ain Feces) SLE cern enemas nostra See ee emt Sameera Sa Hd Terminators fom rag Todd Oe 26 Ammeniater& Remote Treble Tt Inpeton Fweron eos? Indie rsp sone bel nie? (Con ou sal oa? lane ing rs con tno et Ss inn ger mer si? Disa isbn otal nope? penton one poe 24 ower Sap lmpeton acd htt nated aig ef he ston? He PEEPETEPEETEI ‘isl ool ies one? Aa oul Sm! operas ‘ith eae ol een oper? 21S timergeey Power appt Tes an Inspection feetnay pe seem nite? Bary vege mai per on? 2620 Ve? sry vlge arent wih your ap “0fP ‘Andre sum in supervise conor? ‘Youge 35 Vie Case 54 ey og caren the oe Ipc fr ys dara? ‘erin seared ates? ‘Termite wht? Baten mse ade orev de 2077 Dimmsion ents eb Hane? Ind 9p of tay Te Promo? (i) Supe fr bob 4 lad penn (2) ying itr mtd (Atay eect mere A (5) i of tae, pice wth new et vg crate xe fe Recreate ate Sgty pF. 4SA Ss ei ge ae 25, He le LALLA Et | He inspection and Testing of Fire Alarm Systems continued 7 EmerzetyPover Supply Ts sd option {rue odie thom ge sal es en mile onmo rutlespalnda aleaton he Rageeed mance? (Exception operon fh nvial aam and ‘peo ate idan Bae ee {nlees tebe seus tnd sent sly Spel met fcotematin a Dips Peramcinr er sequen cy cmon open. Tofino slaw nd sper ome ates ee Connon ou srl peas? — Vial idea estat opr IETS ae am SoS eel ner sates ttt ieccetrcee Soom area SSO CAE Tenia ice arnaeoece eae Whee alsoltonm DCL rors Bees ‘mt estan det ‘responders sh eeu and soto ‘Seionbtwos ee pio (Corl nai coe! ns (Giempenar tapos Fower"ONT opts? Con vial eb ap pert Conn bie tole srl epee "ouDle sia sae schon? ‘eal vos pagina nig a opts? ue siete erste oie pai tng a Tee per 7 tig vis isotopes 41 Micoptane nang res lk wich oes? TT Spent ea nr wna Iain le wl tr sign? All vie paging opus on enact? Upon flue afone alii, stm noma evi for enc) elptne cli petion inci wie nd vie ndeatom operas rein aeneae pane yao ne nergy leone vr emuseicn aera Eeracyelepoe opel or se tre we Great monte times Gre. ‘ont Gres tie “Ver Acsoptatle_°X" No Unaee Device Tocation fable Esplin NO ansmers in omments)_ “NA” Notapplicable_ Sheet of 1 Apa|C z cl x D 5 (5/8/55 5/55 dual Device Record ELF Remarks wa | ala al ala Individual Device Record Continued ‘Ven Accepable_°X" No — Unaceptble(Explaa NO answers ao ments) "NA Not applicable Pg. 20611 Device [Location AB] Cc] D F Remar SA ¥ J faia fain fe SA v Y fava fa | ve SA v [laf na SA x Tf ia | nn SPE v fa [a ae SPK v Y [wa [wn SPE z Yow [ae [a Sa__[ 08 x ila | wis [w/a | SA-TOP OF STAIRS MISSING SA q VT [oa | | Sa y Twa [we [are SA q v_| wa [ma [we ‘SPK ike J] nia [nia | ov SPE ¥ [ala [wis | wa SPR q Tain [aie | SPK z [afin [ni sa [8 q X_ [ale [ale [ala SA ¥ v SPR y z SPR T q SPR T v ‘SA [or ¥ x SA. v ‘SPR v q 7 ‘SP, v y SPK x x SA 708 a y SA v v SPE v v SPK q Y SPK q v [sa Y v SPR q v SPE y z SP y z SA 708 q + SPE vt C sa 708 ¥ Le : Sa ¥ Y i SPE q [a [ne [la SPR ¥ iia [nia | wn SPR v aia | wa wi Individual Device Record Continued ‘hes Accepale_#X" No Unacexptble (Esplin NO anawer in co SNA Not applicable Device Location DLE Rem Pp Soft hs 704 c v wa [win a [nl aia [nin ala [ala aia [in rv we SPR ia la la SANZ as ain aa SPRXS a la efalefefelatelefaleleafal <=) 2) a) afe)aajata) ata fafa alae fafa afaafayafateatafatelay at ajafeiefefelatelalafafalay ay 2) apap fatefafetala tefl] aia Ves Aecapatle_*X" No — Une Individual Device Record Continued ble (Explain NO anes in comments NAY Notappliable Py. of Device Losstion a‘ D E ‘Remarks SA S07 c T ala aia ain SPE a ma ma SPK al al m7 wa ia ala la in i ala ma la ae rm ia a ‘wn co SPE SPK in ‘NOT INTERCONNECTED: a NOT INTERCONNECTED. ia ala ma 79 in we al ma ain ma la aia in eaetalteletelelel a} telat telpetatea tle fatefatay otal ttct SPR “Jove Acceptable No Unaceeptabte(Esplatn NO anowers in comments Individual Device Record Continued SNA” Notappliable ty. 5 of th Device Location a c D. ‘Remarks Sa 03, ma ai SPR ‘in al aia ala aia la om ‘NOT INTERCONNECTED. "NOT INTERCONNECTED. wr SKOUTDATED S| |5 (5 |5/5 15/5 |5|5/5 15/5 | = 5 1S 3 5) | PK =) aa afafafetatefaqeatatafatafatayatetatat 7a wT alajafalalalalalalada)} Individual Device Record Continued ves: Accepatie “XC No Unccepibte (Esplin NO anewers in comments) NA” Nat appleale Pg. 601 Device [Location AT BTC] D © ‘Remar 206 aia [aia | ae SPE ala [win | we in i mH wi ia i ‘la 5/55 S/S 5/5 /5/5/5/8| 5/5) BIS /S/5/5 15/5/55 Ve Acapuble_*X" Ne TOFOF STAIRS BY OT WHT war STAALEVES YSU EDN LOY abe (Esplala NO gern cmmen hide Device Reerd Continued le/2]s|e]e|2) |]2]=| gl2la om ra i cy a a STAIRATRETT BYSOT we el z|2/2/2|2|2/2]2]2|=|2]2/2]|5| =|3\=| 2] =| |=) |= 3} pervs Ta i = 7 Thos ie OTT Individual Device Reo sieve Acpttte_“¥" ae ssn NO ano pplcae Py. 9 of Device | Location ate LC Remar SPK | ROOM Pi v mc ‘M_—[BYSTALLTS 7 vy sok [= = 7 hae S| ELECTRICAL ROOM —[Y ‘SERINSLER ROOM FS [MAIN INCOMING z ha as = v on 73 MAN SHUT OFF 7 ai Ta 1s = v ¥ ait [in TS REPO STOR — Tae TS [Jockey SHUT OFF 1 parr ae TS] Pow avPASS 7 re Ts [FIREPUMP 1 fafa 1s = or wv Ts POMP BYPASS z cm Ts [Fine Pum ¥ afar fae ‘Ts STANDPIPE Go z aa S| STANDEIPE C10 x > | a | COMESIN AS SUPERVISORY” FURTHER INVESTIGATION REQ TS PAREADE REAR BLDG x Ti [wa | DOES COT COME IN TO FIRE PANEL-FURTHER INVESTIGATION REQ mE = x 505 [wa | DOES COT COMEIN TO FIRE PANEL-FURTHER INVESTIGATION REO 7s [wrnowoueran——[y TOA a TS [WINDOW CURTAIN} Tare Ps wow cuRTAN——[¥ Ya - Ps__[ WiNow CURTAIN [¥ [5a [wn Ts | PSDRY VALVE v rT TS [PSDRY VALVE ae Ps PSDRY VALVE 7 a EET Ps [PSDRY VALVE 5 EY TS | PEDRY VALVE v 15 | Ts | P2DRY VALVE 7 TP ae Ps [P2DRY VALVE q Tf fe Ps | P2DRY VALVE v vp a TS [FIDRY VALVE. z Jf 3a [wa | 7 Ts PIDRY VALVE v vf 3a fa Ps [PrDRVVaLvE YL ps [ PioRy vate a as a Ts | Loxpine Dock wv apa ‘Ts [LoapINe Dock 7 Je fe Ps [LORDING DOCK t Pes Te [Ps | Loapine Dock v q ‘SPR | BY SPRINKLER ROOM | q M___[PrsTALts z + ef = z ‘SPR | BYSTALLS x x Indivia ‘Ven Accepable “7 No —Unaceplabe (plain NO answers "Not applicable Py 10 061 Device | Location AT BTC Remarks SPK | BY STALL2 M___[PIELEY. 10m T q S = = v x SF = ¥ v er = v x M__[BYSTALLIE t SPK | PERAMP z Y M__[BY STALL v + er = q y ‘SPK__| BYSTALLT6 z v 5 SPK [STALL 3 q q ‘SPK [ROOM PEs q 7 M___| To Etevarontomsy [V7 v M___[ PS ELEY. LORBY z v s = = T v SPR [= = ¥ z et [= = v z M v z ‘SPK__|= = v + 18 v y Ts v x ™M. v y ‘sPK |= = q v SP, y y a = z v S| ToRSTaiRa z T SPE v v 5 v v Ts | 10™ FLOOR v v w = v T 3 FLOOR q q = = t 7 cn = v ‘S| 6™ FLOOR y y SPR |= = y y Ts = y rs = = q ‘Se FLOOR q a Individual Device Record Continued sever Aceptale “X" No Unsccptable(Eplain NO answers in commen) “NA Netapplcable Fy. Hof 1h Device [Loca Aleit c|D [ETF ‘Remar STAIR ¢CONTD. TS___[P* FLOOR a a ar S__— [Tor orstammes eo} ‘TS [FLOOR zo s "FLOOR TOF STAIR ROOF TOF TORDING DOCK Ts FS, s TS FS s SPE Ts BS. Ts PS 3 s DS STR BER Mt 3.1 Feld Device Testing ~ Legend and Notes a Raa WT Hest eseae FS Spier wich Mima apes EI: Ea ine reir Soot trcer SS Spunterseperioy deve Se. Cane pepe ‘terpenes ema ISP loa pepe Dnerypatuae eae " wi Soke dori ing est detector, Restrable est detector nen restore RI | Remote indent uni Sees Soot Ds | Duetsoke detestor SED | Supporting field device monitor) [is Spriter tw switch ‘SS [ Sprinkler superiony deviee - EM | Foul solton module ¥ [Wawa gaa devi : SP Cone pe speaker SP | orn type spenker ‘AD [Aner device Et ——[Waiergency Teleone EOL | Rad af ne restr ‘ier [Note 1. Smoke detector sensitivity measurement aud leaning date shouldbe recorded inthe remarks column, ‘Note2. Smoke dtcor cleaning or replacement date shoul be recorded a remarks ear. Note. Status change, incung tne delay, shouldbe recrde in he remarks column Note Duct smavedeccor presre diferent recorded nthe remarks clam, [Note Time delay setting of mater flow switch shold be recorded inthe remark clan [Note 6. Sprinkler supervisory switches cause rouble condin be annunclated bt not un alarm cones. dentiy correct deviee operation (alarm, rouble supervisor, annuncatonindiaton. Note 12, Ident sone, crit ntmber or adres. Note 13 Identity conventional el device oeaton. Note 14 inti seve eld device and supporting Feld device, data communication ik (DCL) address and lcation, Note 15, Tot and contcm conventional eld device supervision sf wiring. 16. Confirm ld device re of damnge 17, Confirm ld devi tree of foreign substance gpa) Note {8 Contiem eld device meshanialyeapprtedindependenty ofthe wiring Note 1%, Conf fll devie pratctive st belie or covers removed Dao See ECS DIST is Faget of 1 = ‘Orne ant Pee Tea Nae ase Fae TF Resin =" Not eepale agn "NOT aw TOCRTION SE ITIP ox NENTS TOPSTAR TomABe z aya TEAR pe ‘BY LEVATOR ROOM [OLR AB pr TODBABC. pe TOCEADC yr TOCA yr Tuba S835 ae TOC Ba vp TOR ARC T5, ve Ym TAS 3S pr aE TOGB AE 307 Tr ae TBAB 9325 2, eos TOOEABC Sse hr a TOCA Toate {hr 7 B26 TOLEABE Tos yp ‘BY HATO sin.aBe a ype STALL TOLBANC pst ype MAINELECTRCAT, TOLARC— SoA vp TMERG, DISTRO THSABC T9300 vp ‘SPRINKTER ROO TEARS eae The BYSTALLTS TOLRABC St yp BYSTALLS TOCA oo hr Tdi TOCA srt XG Gata nam SUB ABC se [= SSI PLELECTROCAL RM, TaLsapc co ps TANITOR RH BY STZ —[ SB7ABC. Tere he BY STALL IST SEBTARC oe i “icin Soy Da Ta Sra ‘Wet and Dry Sprinkler Inspection and Test Report Form, Bulag Nate wd Raia a BER Tae ay cn a ae a a és 3S =e 7 o ro 7 = sre os Compas | dei SD se AP Psi 18 a a 3 ra Tis Feu 0 we cy = ca Tip Ta asec — [issue snc —f sne —} 5 aaa a or ED See mdse | YES —[ Wd “arvana anaier | VIS —[ ta Daag [APC ‘va ang wor greni | VIS —[ esePonange z Se Contin poe 2 Sl a Recaro heen etiam hs ay Ooeeton Caon oe robo chai ep ome eee ‘Te Eup wsioin FULLY OPERATIONAL caren] Egupmat = NOT FULLY FRRATONAL The soars at Tp {con at ie oor mt be foward tu ower the owner's representative for this bulling. ‘Signatu ‘Technicians Stamp or FP¥ and Name