HomeMy WebLinkAboutFire Alarm Test 10/20/2008
Metro
Alarm
"We Save Lives & Protect Property"
P.O. BOX 1775 . BURNSVILLE, MN 55337 · SERVICE (952) 890-6684 · FAX (952) 707-6881 · LIC#TS00401
Iii.'\ www.metroalarmco.com
\!y Underwriters Laboratories Inc.@ ALARM SERVICE #S8526-1
FIRE ALARM INSPECTION AND TEST REPORT
I COpy TO:_CLIENT_FIRE DEPT. I
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ACCT. NO L 1,'1- J 3/7 SERVICE CALL NO. '1 tJ ? xO
CUSTOMER) :t-,or L I"J f p L /L ,. ,
ADDRESS It-. 2/0 E/lblp /..,.....P,t Ave 5L
CITY PrlO( Lu.ke J
CONTROL PANEL
MANUFACTURE 0(";_ nb..r MODEL NO.
TYPE OF SIGNALING '
~ENERALALARM _SELECTIVE SIGNALS _CODED _PRE-SIGNAL
BATTERIES VOLT W1'J1I'f\:iIARGER NOTE # j
VOLT wrt.~ CHARGER NEW
U.L. CERTIFICATE NO.
CONTACT J: (JI) fin f ( /., I~ <:
PHONE '1.52 - l/ti 7- 9?S I
STATE IV) N I ZIP S'S J 7 ?
I DATE/OlIO/a?'
I TITLE
I_BI-MONTHLY _SEMI-ANNUAL
MONTHLY ,",-ANNUAL
r QUARTERLY FINAL
LOCATION 7t:i <;''?''I Ph "1
POWER <;:If.~!'SR. LOCATION NO. LOC;KED CIR BRKR. DEDICATED CIR
SOURCE ,F/,"' " '3 3 ~YES _NO ~YES _NO
TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC/OP POWER LOSS EARTH GROUND
CONDITIONS )5NORMAL NOTE ;i.NORMAL NOTE)!, NORMAL NOTE NORMAL NOTE
COMMUNICATOR
~1ANUFACTURE <~;'iV1 t}/"O'L MODELNO.?O;?o.1cl ~ LOCATION Sa m{:~
BATTERIES VOLT WITH CHARGER . I' AarE # POWER CIR. BRKIl,.A':OtATION NO. LOCKED CIR BRKR. DEDICATED CIR
VOLT WITHOUT CHARGEH 7 A NEW SOURCE /' YES NO YES NO
CENTRAL MONITORING RESPONSE TO ALARM TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC/OP POWER LOSS EARTH GROUND
STATION .~NORM. _NOTE # CONDITIONS [NORMAL _NOTE i.NORMAL _NOTE ~ORMAL _NOTE _NORMAL NOTE
COMMUNICATOR PRIMARY # 1S ? - t{ II 7 - 3 '3 7<:;
AUXILIARY FUNCTIONS
ANNUNCIATOR (MFcp.., J I MODEL TYPE _IN CAD _GRAPHIC
j/l"nn!€ 'J{ _LED _DROP
ELEVATOR RECALL TO PRIMARY FLOOR RECALL TO ALTERNATE FLOOR
FIRE RECALL _NORMAL _NOTE "t.N/A _NORMAL NOTE ,>!..N/A
SPRINKLER SYSTEM: METRO ALARM'S INSPECTION ONLY INCLUD7S A FUNCTIONAL TEST
ACTUAL FIRE SPRtNKLER TEST WAS DONE BY: N~f.,.ol1ti I >~)ri ',., 1/~ T'
COMMUNICATOR SECONDARY # 15' 2 - '-IV 7 - 07.. 7 Z.
_CRT I VOLTAGE /J .INO OlE ~ES
)lLCD I ? (I v ( J
ELEVATOR RESTART
FROM FIRE SUe. AUTOMATICALLY
I UNUSED PTS.
YES
NO
TESTED:
5hok~
PERIPHERAL FUNCTION TEST
DEVICE B I
:3
~r
FLOOR
VOLTS MFG & MODEL # NOTE
....:;/,.11 oJx
/
Manual Stations
R of R Heat Detectors
Fixed Heat Detectors
GVT
Lf
2.
J
/(
y
2l(v{){ 5mJok j.o:
7'-1 "O( 5. .,/.
11111-"'/ t-' /(
H,f!e,
,
21{vDC )/mpkx:
1 'Iv IX 51'''''l)? If!,tt'
Photo Smoke
I
Iou Smoke
Duct Smoke
Waterflow
PIV
Low Air
Horns Only
Strobes Only
r
~)
Horn / Strobes
I
Jrl
Speaker / Strobes
Door Holders
NOTATIONS AND COMMENTS
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CUSTOMER SIGNATURE:
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SERVICE~. .~lg~TU~~
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