HomeMy WebLinkAboutFire Alarm Test 10/20/2008
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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
~ Underwriters Laboratories Inc. @ ALARM SERVICE #S8526-1
FIRE ALARM INSPECTION AND TEST REPORT
\ I COpy TO:_CLIENT_FIRE DEPT. I
ACCT. NO /...i:"' I --71~:, SERVICE CALL NO. Lt L. ).11 U.L. CERTIFICATE NO. I DATE I D h.Q }6'i<
CUSTOMER e.. (j r i ,fi V " { L< HC\ 1\ CONTACT(t.ob \-\V~,-~'........ I TITLE .
ADDRESS U 16 4 \., h: lC} ~-", ~1- C",L PHONE '\~.}. . u \A '1_ -1,:46 6 I_BI.MONTHLY _SEMI.ANNUAL
P. ....1 ~ i "'-II {... MONTHLY :-1ANNUAL
CITY STATE ^"-&, I ZIP .~ <; 1."lA I QUARTERLY FINAL
CONTROL PANEL
MANUFACTURE l.:;, \V\ \- 11:......1. vMt>DEL NO. t:<t..lo LOCATION l..t..- lvv ,. f4...jJ'i"'
TYPE OF SIGNALING POWER CII~. pRKR. LOCATION NO. UIy~ED CIR BRKR. DEDICATED CIR
XGENERALALARM _SELECTIVE SIGNALS _CODED _PRE.SIGNAL SOURCE (1 n YES _NO ~YES - NO
IlATTERIES VOLT WITHCH~~rOTE# TROUBLE RESP~SE TO ZONE TROUBLE SIGNAL TROUBLE~~/OP POWER LOSS EAR1'H GROUND
VOLT WITHOUT . R . . . NEW CONDITIONS ORMAL NOTE '(NORMAL NOTE ORMAL NOTE NORMAL NOTE
COMMUNICATOR
~lA:-IUFACTURE .c,; A f'l\-A.."-'11 MODEL NO. LOCATION S""U, N'. --t -A
BATTERIES VOLT WITH CH,^,Gh NOTE # POWER CIR. BRKR. ~1AfION NO. LOCKED CIR BRKR. DEDICATErtCIR
VOLT WITHOUYCHARGER NEW SOURCE YES NO YES NO
CENTRAL MONITORING R~ONSE TO ALARM TROUBLE RES~ONSE TO ZONE TROUBLE SIGNAL TROUBLE~:IOP POWER LOSS EARTH GROUND
STATION NORM. NOTE # CONDITIONS NORMAL NOTE ".t,.NORMAL NOTE . ORMAL NOTE NORMAL NOTE
COMMUNICATOR PRIMARY # <\~;" j.. - ~'i"ll . S"). ~ ~ COMMUNICATOR SECONDARY # <:;,).... L1'\.fl..... ll'1 ~ ~
AUXILIARY FUNCTIONS
ANNI,lNCIATOR (MFG) . I MODEL TYPE - IN CAD - GRAPHIC CRT) I VOLTAGE I NO OF ZONES I ~~~~:D PTS
~'; k"i \( /'. "~ ,,:~- 1.1""
LED DROP iot.CD ')..\" fx . .~)
ELEVATOR R~~LL TO PRIMARY FLOOR RECALL TO ALTERNATE FLOOR ELEVATOR RESTART
FIRE RECALL ORMAL NOTE NIA ~ORMAL NOTE NIA FROM FIRE SUe. AUTOMATICALLY YES '/,No
SPRINKLER SYSTEM: ETRO ALARM'S INSPECTION ONLY INCLUDES A FUNCTIONAL TEST
'3r ~\ i'/'
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: . (), '''1r' TESTED: ! I ;) i"
PERIPHERAL FUNCTION TEST c.,rr
DEVICE bU .\'\ iJl) 4JP "FLOOR VOLTS MFG & MODEL # NOTE
Manual Stations
R of R Heat Detectors ').. J. ).. vl/ SIt:.. ~. iJ r;o '( .;:
i.,
Fixed Heat Detectors 4&.
Photo Smoke r;;O lJ S- ~.-" \I ;):. )'1 (..S '\Y~ t, \ .-
}'.J)'.
Ion Smoke
Duct Smoke L:f ." .>, ,/
,(.
WaterOow I Pi 1t1'/_.
GVT )... ~ i -:t\fC i,
v . I - l
PIV V p, t-\-t,-
Low Air
Horns Only .
Strobes Only ~ C~ ~ "",,10 '-v~\c,~iL
~L
Horn I Strobes 7"'" 10 rl. )-1 J ' ~ I I
'> r.:iC I"J .. i '.>\", \.
Speaker I Strobes
Door Holders -.. ~ l "'" ..1\'../ fJ\.-JI'I;-J\"
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NOTATIONS AND COMMENTS
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CUSTOMER SIGNATURE: S~fE REP 4GNA~!!P:-E/. . {{I/) i.""'<?~'"
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