HomeMy WebLinkAboutFire Alarm Report 7/8/2009
4445 W 77TH STREET, #125
MINNEAPOLIS, MN 55435
952-893-0905. FAX: 952-835-4742
800-339-7132
FIRE ALARM
INSPECTION..REPORT
Page ~ of -'--
Your Life Safety Specialists
P.O. # MONITORING ACCT. # K../ X ., 9~ I STATE CERTIFICATE # I DATE
-95 S 30 ":IJc- '152. -85'1 70JiA TSOO857 7- f- oe;
LOCATION ADDRESS IN~TION TYPE
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CITY , STATE ZIP PHONE o RELEASING SYSTEM
f 0 SPRINKLER COMMUNICATOR
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MANUFACTURE MODEL NO. LOCATION
5/1\'") r L. t::. x: /fO/{) LoN~ L.c-V6.L- M EG;tIA N leA-(.. /'<.M
BATTERIES VOLT W/CHARGER 2.7. r o NOTE # POWER CIR. BRKA. LOCATION NO. LOCKED CIR. BRKA. DEDICATED CIA.
VOLT W/O CHARGER ~7'~ NEW SOURCE PN L '--I CKT ..ef YES o NO r;;z{ YES o NO
TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC/OP POWER LOSS EARTH GROUND
N,,"MAL 0 NOTE> NORMAL 0 NOTE. NORMAL 0 NOTEt NORMAL 0 NOTE.
. ' ..
MANUFACTURE )::;vI MODEL NO. LOCATION
~/LeA./7 Ie; HI -S /6 7' B AI E-x T TO ,t:'.,fCP
BATT'ERIES VOLT W/CHARGER ".3. t&- o NOTE # POWER CIA. BRKA. LOCATION NO. LOCKED CIA. BRKA. DEDICATED CIR.
VOLT W/O CHARGER /-3. c;.. NEW SOURCE e-<?"Je qs T"rl C;O DYES o NO DYES o NO
C~AL RESPONSE TO ALARM I TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC/OP POWER LOSS EARTH GROUND
M .ITORING JZf NORMAL CONDITIONS ]a' Jll' NORMAL i1 NORMAL .0 NORMAL
& )l:irlON o NOTE # NORMAL 0 NOTE # o NOTE # o NOTE # o NOTE #
PRIMARY # SECONDARY #
. .... ; .;, ...... ... -.... . ............
Z. N..-f-c. E:..Y.' 1-''''f/vC> E.-€:.. F?+/V~L""'"";? BATT.' //1/ N...q c.... PNL C7601J
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DEVICE ',() /..1) ~/t:/."s..s /B l- /E ~~ MFG. & MODEL #
Manual Stations "
Heat Detectors .2 ('~A./Ic.~
Smoke Detectors 11-7 O/lnPLE:.-)( ~'75-'175 7
Duct Detectors C ~ ~ SE.N
Waterflow it P.o/TE.~
GVT C. Pc::)7T~'
Strobe only CP 0/ /nPL.E..X:
Horn / Strobe -I ..sJ f'I7 PL~~
Door Holders I:;/)w~s
NOTATIONS - FAILURES AND RECOMMENDATIONS ENCOUNTERED DURING THE TEST
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L/S/~
CUSTOMER'S SIGNATURE
SERVICE REP. SIGNATURE
?tX '7c...r --e-e::. ~
WHITE - OFFICE YELLOW - FIRE DEPT. "OK"
PINK - CUSTOMER