HomeMy WebLinkAboutFire Alarm Report 1/15/09
Metro
Alarm
"We Save Lives & Protect Property"
P,O. BOX 1775. BURNSVILLE, MN 55337. SERVICE (952) 890-6684 · FAX (952) 707-6881 · LIC#TS00401
~ 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 7..\ ;'1-\ ~ S SERVICE CALL NO, .1::!IIIf. Jj {I} '-;6 J. ~ U,L. CERTIFICATE NO, T DATE I / ; rJ 01
CUSTOMER A r - A.Jr.-( ,l; J 'N...("" ,- CONTACT 4.~-j 1;-\..."",- IL t" T TITLE
ADDRESS 1\l.~J3. f. ',\-- (.:::>ll,^-t ~J. ~. t. PHONE " S'~-- J'ui"r I j 1J.. I_BI-MONTHLY ~MI.ANNUAL
MONTHLY _ NUAL
CITY P/- ,~l/ 1 t,' ICe STATEM;.! T ZIP ~ \' 1/ J- I=QUARTERLY _FINAL
CONTROL PANEL
MANUFACTURE w-r~ MODEL NO,"11f ~ () 0 LOCATION IVU (Ur" -{....., <-71' 'vJ '''1'.( 1'\iJ..i ~-(
~ OF SIGNALING POWER CIR, BRKR. LOCATION NO, LOCKED CIR BRKR. DEDICATED CIR
NERAL ALARM _SELECTIVE SIGNALS _CODED _PRE-SIGNAL SOURCE \J I" l ^U ""-^ - YES - NO - YES _NO
BATIERIES VOLT WITH CHARG~~__+_lN~{E # TROUBLE RES~SE TO ZONE TROUBLE SIGNAL TROUBLE ACIOP POWER LOSS EARTH GROUND
VOLT WITHOUT crt , ,( ~ NEW CONDITIONS ORMAL NOTE 'f...J:<ORMAL NOTE ~RMAL NOTE ~ORMAL NOTE
COMMUNICATOR
MANUFACTURE <;,'I\~,....", MODEL NO, LOCATION ~ It /'""c ..-J(
BATIERIES VOLT WITH ;~GER NOTE # POWER CIR. BRKR. LOCAT,JZNr NO, LOCKED CIR BRKR, DEDICATED CIR
VOLT WITHO CHARGER NEW SOURCE ... YES NO YES NO
CENTRAL MONITORING RE~ONSE TO ALARM TROUBLE RESPONSE TO ZONE TROUB~ SIGNAL TROUBLE ,ACIOP POWER LOS~ARTH GROUND
STATION ORM, NOTE # CONDITIONS :lJIORMAL NOTE NORMAL NOTE ,L~ORMAL NOTE ORMAL NOTE
COMMUNICATOR PRIMARY # q\;)~ JJ.b~ \\~l-\ COMMUNICATOR SECONDARY # ~ \J..- .J'~ b- i \ ! ~
AUXILIARY FUNCTIONS
ANNUNCIATB~ I MODEL &,~() TYPE - INCAD - GRAPHIC CRT) I VOLTAGE I NO OF ZONES I UNUSED PTS,
LED DROP ~CD \ .i '" fi (
ELEVATOR RECALL TO PRIMARY F~OR RECALL TO ALTERNATE FLOOR ELEVATOR RESTART
FIRE RECALL NORMAL NOTE IA NORMAL NOTE iJ:</A FROM FIRE SUe. AUTOMATICALLY YES NO
SPRINKLER SYSTEM: METRO ALARM'S INSPECTION ONLY INCLUDES A FUNCTIONAL TEST
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: Cr- ' \ r..v.\ (.>, }. Pr oJ k~i ,11 '" TESTED: !'.l/IA/o&"
PERIPHERAL FUNCTION TEST
DEVICE Lv 0\/1 FLOOR VOLTS MFG & MODEL # NOTE
Manual Stations
R of R Heat Detectors
Fixed Heat Detectors
Photo Smoke
Ion Smoke
Duct Smoke ,
Watertlow I <;! ,"11
CC\'tJ/""
GVT :J.. V , 1_v'7~i I Isv.....
-,,(.
PIV
Low Air
Horns Only I '\l..'.; :)-( /",' .\,,-
".1,
Strobes Only
Horn I Strobes I' \'-,'.>",1 wW!ul.,li
I ;~ !
Speaker I Strobes
Door Holders
NOTATIONS AND COMMENTS
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CUSTOMER SIGNATURE: S~~ RE~-1IGNe~: /
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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
~ 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 ~~\-.\hlr~ SERVICE CALL NO, U \., ..." ~ U,L. CERTIFICATE NO, I DATE \ h~L) '\
,.. ,,,\\ \. (; ,,,\ rv.. '" ~ CONTACT P.... ,\ I I TITLE
CUSTOMER , j '.
ADDRESS \ \ ^ '". \ \ fv\,!\"" t>.. ,- \-. PHONE c:... 'IS '),- -v.'0. ';), ~L.{)o I_BI-MONTHLY SEMI-ANNUAL
"-. MONTHLY :::J..NNUAL
CITY i,), ,\ r \ f\ ',L.( STATE M ,.J I ZIP c,.-<;; <.. ,..,\. I_QUARTERLY _FINAL
CONTROL PANEL
MANUFACTURE \)~J MODEL NO,~ \\.J no i= LOCATION e '^ '\..( {'M/'\ \..
1;YPE OF SIGNALING POWER CIK BRKR, LOCATION NO, LOCKED CIR BRKR DEDICATED CIR
hiGENERALALARM _SELECTIVE SIGNALS _CODED _PRE-SIGNAL SOURCE "v' (\ \\.rvl.J r-.. - YES ~O - YES ~NO
BATIERIES VOLT WITH CHA~FR , NOTE # TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE ACIOP POWER LOSS EARTH GROUND
VOLT WITHOUT {~\fGER ,,'\1 NEW CONDITIONS ~ORMAL NOTE ...l.NORMAL.. NOTE _fORMAL NOTE NORMAL NOTE
COMMUNICATOR
:-"IANUFACTURE ~ t. ,......}' ~DEL NO, LOCATION <;:- 14 (V-,j ,/\
BATIERIES VOLT WITH CHARGER/ ' NOTE # POWER CIR, BRKR, LOCATIOr \ NO, LOCKED CIR BRKR, DEDICATED CIR
VOLT WITHOUT CHA~GER NEW SOURCE YES NO YES NO
CENTRAL MONITORING RESPONSE TO ALARM TROUBLE RESPONSE TO ZONE TROUB!jj SIGNAL TROUBLE ACIOP POWER LOSS EARTH GROUND
STATION 'j.,NORM, _NOTE # CONDITIONS '::'liORMAL _NOTE NORMAL _NOTE ~ORMAL _NOTE _NORMAL _NOTE
C\)}_ 1,.\\-\0 -. ~lnOu ,
COMMUNICATOR PRIMARY # COMMUNICATOR SECONDARY # 4 <;- J.- _1~J.~,..l.\l,.\ '1)'1
AUXILIARY FUNCTIONS
ANNUNC~(\.l~) I MODEL '~ TYPE - INCAD - GRAPHIC CR~ I VOLTAGE I NO OF ZONES I Ut.::\ED PTS,
\Il~ 0- _LED - DROP ~CD h,.., J () I L.\
ELEVATOR RECALL TO PRIMARY ~~R RECALL TO ALTERNATE~OOR r ELEVATOR RESTART
FIRE RECALL _NORMAL _NOTE IA _NORMAL _NOTE IA FROM FIRE SUe. AUTOMATICALLY _YES _NO
SPRINKLER SYSTEM: METRO ALARM'S INSPECTION ONLY INCLUDES A FUNCTIONAL TEST
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: TESTED:
PERIPHERAL FUNCTION TEST
DEVICE I {':,:; '''\ FLOOR VOLTS MFG & MODEL # NOTE
Manual Stations ( l \ ) rrJ,CJ
R of R Heat Detectors
Fixed Heat Detectors ~- d~ \.. Vif'l-'t " ;. f'.; ( \--
Photo Smoke '=x: I
'-t '
Ion Smoke
Duct Smoke ,
Waterflow
GVT
PIV
Low Air
Horns Only
Strobes Only
Horn 1 Strobes ~ I "\~ lj ~ ON?
',...,,' ,
Speaker / Strobes '-
Door Holders
NOTATIONS AND COMMENTS
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CUSTOMER SIGNATURE: SERVICE ~:'1'~NATURE: ,/""\\..__