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_ - VIKING AUTOMATIC SPRINKLER COMPANY 2400 ROSE PLACE • ST. PAUL, MINNESOTA 55113• (612) 636 -4680 • 1 -800- 229.6263 • FAX: (612) 636 -4685 SHEET t of 2. use snwAv sto •t to eieh tic"N nspertoo REPORT OF INSPECTION I Inspecti .Contmet Nn. i ns p ec ti on Report Ne. l4ttnau Pdd Nu, Cnn(erted With , �.` .7 � � INSPECTOR 1sUILDING OR.l 1CA "I ION Rrpoptrio ST'RI.E. c �� /— ✓ N g j CITY & STAIR > f " � i s - Owne(s Section. ITO be answered by Owner or Occupant) _ ,A Ix p l a i n anytatuptn y Ba�ard thmthes Nio a Iles pnvtiu in { ctr n. R. De scribe fin•pn +tielum mudrheall," made soot las(iny eetiun. C. Describe any firt.+tnce last mspe.tion. U When was the a +tin pop ung I avl vile &ed fi r u p paHe urn um or ( reign material? E.' who n wag the fry piping v) tut �yl�u ekul fur lice c r pLLJP - - _ F At, dry cal tdeepm elv +n tcd fnrm treeing? - .Date S h t �,,'• d ___ ' 11 • /G/17 "U/ Inspector's Section (All responses reference curtent inspection) NA OT API 11CAR1 F - 1. General - a is tilt building oceu{ned> �-Ye s ❑ NO b A e all systems to s -YOS ❑ No e h Ihue a mini uurm o f 18 w (457 mm) ch arm a Ix•Hsivn the lop It the ae ngc and IBC sprinkler JiAvehors? Wf.Yi,_ ❑ No d. Does all electrical heal tape appear h, In satisfactory- El Ye, Di1 O Yes ❑ �` 1 No s � .... a Dams the hand hose iin the sprinkler sy hm(s) appear It be 9 (. 2 Control Valves (Sri Item I$ ) a. Are all. spnnkler.ystem control valve.and ll uthir v ll de or c tn r wrth ? tamper s switch? .I +. +aB + ❑ (+� No ❑ I b Are. all .. control valves in the 'IF" position locked. sea' err 1 I l - 3. Water Supplies t&T Ihm ln.l a. \Vas. a water Dow• lest of main: drain made at the sprinkler riser(s)? Yes ❑ N 4. Tanks, pumps Fire Department Connections a. An fire pumps, gravity tanks, reservoirs and pressure, tanks in good ciindation and prop ray maintained? ❑ Yes ❑ No �A b. Are fire.departmenl connections in +,dislactury condition,, couplings free, caps. in place, and check calves tight? f�Yes ❑ Nu rj NA Are they accessible and visible? pi's. ❑ No ❑ NA S. Wet Systems pos a.. Arc cold weather valve (0.5. & YJ m the appro open or closed cacao? ❑'No ❑ NA b. Ilave antifreeze ystem sulutwo been tested? f1 Ye. ❑ N tif A C. Were the anreeze lestresults sadsfuWry? ❑Yes. d, In areas protected in wet y+lem(+), din's tile budding ap{e tr to be pnrpede Itt neA ur.ill. rte t mdudingl Iced allies and pt•rimrter areas_ where accessibl �}\'es ❑ Nn ❑ NA Dn:dl exterior upenmgs appear m Ise• protected againalJn•vzmg? [r✓LYcs ❑ Na ❑ NA 6. Dry Systems (Sec Ih•Ihs I7 In 13.) a Are dry valve(s) in service? ❑ Yes D Nt A l Ar • Ihv err { n +.arcs and primmgyval r IuJs m ace r h� e o,o e with t Ij f� r Are t utstructiun ? ❑ Ye s 11 No ©jJA c An, th a Arun res a r ntinigeu w{ p be Mwn air led Y •+ No they in setlic (]Yes ❑No F!5Q16, d. Were low points drained during this inspection? ❑ Ye El No Luj —'4A e. Did quick opening dvvice operate satisfactorily? ❑ Yes ❑ No F -NA - L Did the dry valve(s) trip properly during the trip prey ure te n \es [I 1 N [64N4% f. [] Yes ❑ No U*.NA g. Did the heating . etptipmenl. in the dry-pen valve runm(sl operate at the tittle 'If male 7 Special Systems (Secateni 14.) +. Did the deluge or pre actk n valves. operate prignrly dune{; j ❑Yes E) NO [Pj'M1A b. Did ttie heabresponsive devices operate properly during testing ❑ Yes ❑ No [j4S:A. e. Did Inc supervisory dune. , ;ate during testing? ❑.Yes ❑ No Gj:hA 8. Alarms a. Did water mulor(s) and gong(s) test satisfactorily? 11 Yes ❑ N o 0-NA b. Did electric alarrn(s) test sate fa tartly? o� I�1 Yes. ❑ Nu ❑ NA C. Did d supervisory alarm serum. test satn(uluriIv ?❑ Yes ❑ No 0-NA 9 Sprinklers IR'1es f] No a. Are all sprinklers free from corrosion loading or Obstruction to epmy disc b. Arc sprinkler. less than 50 Oars en old? (Older sprinklers require sam { +le testing) C3-Yes ❑ No e. Are quick response rind.. residtial sprinklers less than 20 Years 'lid? (Older sprinkhrs require. sannple testing) C!FYes. fl NO d.. is stock of spare sprinklers availa6h7 M 0 No .Y e, D eS the exterior condition of sprinkler system app ear to be satisfactory? 5}1'es f] :Na L Are sprinklers of proper temperature ratings for the locations? �tS -Yes C1 NO —T— 1 10 Explain any 'Nei' ansye an rc mmenta _ ..: _.. Date;: •