HomeMy WebLinkAboutFire Alarm Report 1/11/2010
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
\!!:J Underwriters Laboratories Inc. @ ALARM SERVICE #S8526-1
FIRE ALARM INSPECTION AND TEST REPORT
I COpy TO: CLIENT_FIRE DEPT. I
ACcr . NO J,J, l~ 1- \J.(j.~ SERVICE CALL NO, h ~ J Olt> U.L. CERTIFICATE NO, I DATE lll~ I J ()
CUSTOMER i If PJ,...-( ~.h"\-~r CONTACT I-r.. J,IA t:: efi e}!l,-.., I TITLE .
ADDRESS 11..s( 71 P.,\.... Cr).,,~ T?J, S. E. PHONE C't\.1- '" ') (" .. V, I I 1 I_BI-MONTHLY _SEMI-ANNUAL
MONTHLY ,(ANNUAL
CITY /}.0/ h.d -( STATEM^' "ZIP ~r~J) I_QUARTERLY _FINAL
CONTROL PANEL
MANUFACTURE DIh P MODEL NO. ..,. Ib{)r) LOCATION N V {. dj ^ -f.,.. or 1.. J fly (L, ()v~-<-
EPE OF SIGNALING POWER CIR. BRKR, LOCATION NO. LOCKED CIR BRKR. DEDICATED CIR
GENERAL ALARM _SELECTIVE SIGNALS _CODED _PRE.SIGNAL SOURCE \,^ 1(^U',J" _YES ~O _YES J-NO
BATIERIES VOLT WITH CHARGER f NOu;..!' TROUBLE RESPONSE TO ZONE TROUB~~IGNAL TROUBLE AC/OP POWER LOS~(ARTH GROUf.rD
VOLT WITHOUT CHA~Eh'" '/1)( NEW CONDITIONS~ORMAL NOTE ORMAL NOTE il:!ORMAL NOTE ORMAL NOTE
COMMUNICATOR
MANUFACruRE <-- I) f'V\..I- ~DEL NO, LOCATION ~ h ~ ...."
BATIERIES VOLT WITH CHARGER! · NOTE # POWER CIR. BRKR. LOCA-r NO. LOCKED CIR BRKR, DEDICATED CIR
VOLT WITHOUT CHi)Il.GER NEW SOURCE YES)(NO YES ~
CENTRAL MONITORING ~~NSE TO ALARM TROUBLE RESPONSE TO ZONE TROUB~SIGNAL TROUBLE AC/OP POWER LOSL:ARTH GROUND
STATION ORM, _NOTE # CONDITIONS ./NORMAL _NOTE ORMAL _NOTE ~ORMAL _NOTE NORMAL J;OTE
COMMUNICATOR PRIMARY # ~5~ -1X, Ill~ COMMUNICATOR SECONDARY # G r .}.. ~~) , - 11)( l-f
AUXILIARY FUNCTIONS
ANNUNr)T~~G) I MODEL to q 0 TYPE _INCAD _GRAPHIC CRT) I VOLTAGE I NO OF ZONES I UNUSED PTS,
_LED - DROP -:iCD I) () (
ELEVATOR RECALL TO PRIMARY FLOOR RECALL TO ALTERNATE FLOOR ELEVATOR RESTART
FIRE RECALL _NORMAL _NOTE ...]J/A _NORMAL _NOTE J'WA FROM FIRE SUC, AUTOMATICALLY _YES - NO
SPRINKLER SYSTEM: METRO ALARM'S INSPECTION ONLY INCLUDES A FUNCTIONAL TEST, 11./J()/()~
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: c..: I h-ir + M.I LlM , I f.\_~"'L~J.rr'TESTED:
PERIPHERAL FUNCTION TEST
DEVICE '!.N "vi FLOOR VOLTS MFG & MODEL # NOTE
ManualiUlions
R of R Heat Detectors
Fixed Heat Detectors
Photo Smoke
Ion Smoke
Duct Smoke ,
Waterflow \ t"" -I " ~"^
~(~ t-O r
GVT l II, L \.J\7 <;H ~,
tJ
PIV
Low Air
Horns Only \ '~I Pr< N\', -<'-"
Strobes Only
Horn / Strobes I \,)...()H \Vlu, \()! Ii,
Speaker / Strobes
Door Holders
NOTATIONS AND COMMENTS
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CUSTOMER SIGNATURE: S~~SIGNA~
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