HomeMy WebLinkAboutFire Alarm Report 2/25/11 Metro Alarm
"We Save Lives & Protect Property"
P.O. BOX 1775 • BURNSVILLE, MN 55337 • SERVICE (952) 890-6684 • FAX (952) 707-6881 • LIC#T500401
www.metroalarmco.com
U� Underwriters Laboratories Inc O ALARM SERVICE #58526-1
FIRE ALARM INSPECTION AND TEST REPORT
COPY TO: CLIENT FIRE DEPT.
ACCT . NO G-�� _ I.� � SERVICE CALL NO. q� U.L. CERTIFICATE NO. DATE �
CUSTOMER � CONTACT TITLE
ADDRESS �r �� PHONE 52 ^ " � �O p —M N �{ANNUAL
CITY r �� � STATE ZIP � _QUARTERLY FINAL
CONTRQL PANEL
MANUFACTURE MODEL NO. Q LOCATION
TYPE OF SIGNALING POWER CIR. BRKR. LOCATION NO. � LOCKED CIR BRKR. DEDICATED CIR
GENERAL ALARM _SELECTIVE SIGNALS _CODED _PRE-SIGNAL SOURCE '� _YES �TIO �YES _NO
BATTERIES VOLT WITH CHARGER E#.. _ TROUBLL� RESPQNSE TO ZONE TROL[BLE SIGNAL.TROUELE AC!OP POWER LOSS EARTH GROUND--
VOLT WITHOUT CHAR E CONDITIONS �QVORMAL _NOTE ORMAL _NOTE �jJVORMAL _NOTE _NORMAL _NOTE
COMMUNICATOR
b1AVUFACTL`RE r�' `�� ELNO. LOCATION
BATTERIES VOLT WITH CHARG NOTE # POWER CIR: BRKR. LOCATIO NO. LOCKED CIR BRKR. DEDICATED CIR
VOLT WITHOUT C ARGER 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 �IORMAL _NOTE �VORMAL _NOTE _NORMAL _NOTE
COMMUNICATOR PRIMARY # I� C� f J�/ ,,,, Q' 2 I' Z COMMUNICATOR SECONDARY #��� y y- b 4/
� «7 �l "� (,� 3 l?
AUXILIARY FUNCTIONS
ANNLJNCIATOR (MFG) . MODEL TYPE INCAD GRAPHIC CRT VOLTAGE NO OF ZONES UNUSED PTS.
���.�;5 /'6� LED DROP �LCD �� y� �
ELEVATOR RECALL TO PRIMARY FLOOR RECALL TO ALTERNATE FLOOR ELEVATOR RESTART
FIRE RECALL NORMAL NOTE N/A NORMAL NOTE N/A FROM FIRE SUC. AUTOMATICALLY YES NO
SPRINKLER SYSTEM: METRO ALARM'S INSPECTION ONLY INCLUDES A FUNCT[C'1RVAL TEST.
ACTUAL F1RE SPRINKLER TEST WAS DONE BY: TESTED:
PERIPHERAL FUNCTION TEST
DEVICE �,[ FLOOR VOLTS MFG & MODEL# NOTE
Manual Stations � � � � /
a"' V
R of R Heat Detectors � I �/ f�
h ;6�
Fixed Heat Detectors
Photo Smoke ^� � � ` C �
5 C F
Ion Smoke
Duct Smoke
Watertiow
GVT
PIV
Low Air
Horns Only
Strobes Only
Horn / Strobes "� � � � � �
Speaker / Strobes
Door Holders t r � y � � /� r
4 �/
+@Y
NUTATIQNS AND COMMENTS _
�'`� �(' .. r� � � �sc rr � �r�G.� - � � c- � � � c� �
1 ��� � ,� � � ` � �" ;' J�c� rl'+„ I
:'� '�� ',.�; ,. � �� . � r ' ?`;�
CUSTOMER SIGNATURE: SE C P SI ATU �i� �
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