HomeMy WebLinkAboutAlarm Test 7/8/2008
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63'stems
JOB#
ELECTRICAL HARDWARE
ALARM & DETECTION EQUIPMENT TEST REPORT
3700 74th Ave. N. Brooklyn Park, MN 55443
763-560-2048 Office. 763-566-4474 Fax
P.O. #
PROPERTY NAMF
No,r_...,L
STREET
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CITY & STATE P ( I r ;11 N ::, <, ~ J _:
CONTACT L Tt. PHONE# ,,!.:; --' - ,-/ I.; 7 - '/'I i II
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OWNER OR OWNER'S REP
INSPECTION: ~NNUAL D SEMIANNUAL D QUARTERLY
D BI-MONTHL Y D MONTHLY
CENTRAL STATION ('\, I I., /VI
ACCOUNT # t?LC - (:-, ~ '-/(, D UL
YES NO N/A
IS POWER LIGHT ON f.
DOES PANEL INDICATE
NORMAL CONDITIONS Y.
ARE ALL, INDICATING LAMPS I
IN OPERATING CONDITION "f
DO TROUBLE LIGHTS OPERATE I ;X
HOW MANY ACTIVE ZONES S-
HOW MANY INACTIVE ZONES 9>
DOES PANEL SILENCE SWITCH
SILENCE PANEL 'x'
DOES PANEL HAVE BATTERY
BACKUP X
DO BATTERIES INDICATE X
PROPER CHARGE
BATTERY VOLTAGE TESTED UNDER 15 OHM LOAD
1 A I -::, . i <)" VDC 3A
1B i ~ ,I 0 VDC 3B
VDC
VDC
VDC
VDC
2A
VDC
4A
2B VDC 4B
OTHER CONTROL EQUIPMENT TESTED
THE FOLLOWING ABNORMAL CONDITIONS WERE FOUND AND/OR REPAIRS
ARE NEEDED, BUT WERE NOT CORRECTED AT TIME OF INSPECTION.
CORRECTED BY:
COMMENTS: \ J, \ -\. r
nATE:'
\
( ,..J" . f ,\
-+ 1"'\ ~
1-\.)..)
BILLING ADDRESS IF DIFFERENT:
MANUFACTURER
MODEL #
('''-i'~ / /j)(
I; J) ...P,.J!/ / Pt ..,!,<.-) .1.c.)~ ~
I
FIRE ALARM MODEL #'S
FIRE PHONE JACKS
FIREFIGHTER PHONES
REMOTE ANNUNCIATORS
MANUAL STATIONS
DETECTORS
A. PHOTOELECTRIC
B. IONIZATION
C. THERMAL
D. DUCT
E. REMOTE LED
AUDIBLE /VISUAL,
A. BELL
B. SPEAKER
C. SPEAKER/STROBE
D. HORN
E. HORN/STROBE
F. STROBE
G. MINI SOUNDERS
MAGNETIC DOOR HOLDER
SPRINKLER SYSTEM
A. WATER FLOW-WET
B. WATER FLOW-DRY
C. LOW AIR
D. TAMPER SWITCHES
OTHER
J
I" :'!. il ,c) <.oJ
WERE TESTED DETECTORS CLEANED?
'It'\
METHOD OF CLEANING
i
i r ( r.
\ f ( ~-, ;../
DID TEST OF DUCT DETECTORS SHUT DOWN AIR HANDLING UNITS?
COMMENTS A) If;..
DID THE MONITORING CENTER RECEIVE SIGNALS CORRECTLY? y' C:.::_S
,
Lf'K
IS SYSTEM RESET FOR NORMAL CONDITIONS? ye ::.,
IS SYSTEM RESTORED TO OPERATIONAL SERVICE? '/ [' <",
'i (' <.-
INSPECTION DISCLAIMER
This inspection report done by Life Safety Systems Inc. does not imply any warranties to this system. The purpose of this inspection is only to test for proper
operation of the system, at the time of this inspection only, and does not warranty it's continued operation to be correct and trouble free. There are no obligations
or liabilities on the part of Life Safety Systems for the consequential damages arising out of or in connection with the use or performance of the alarm system or
other indirect damages with respect to loss of life, proPl:lrty, revenue or profit or cost.of rem~val, installation or reinstallation.
As the inspecting agent, I have thoroughly checked the~bove minimum requirements, and ~o the best of my knowledge, all statements are true.
L.S.S. Inspecting agent signature '-f\ {! i ! ,) lot, A.C'P<c&'..A A/) Date "7../ '-', .' :...-(
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Acknowledged by Building Management signatur<>.,--kY' / "-1
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