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FIRE ALARM INSPECTION AND TEST REPORT
METRO ALARM
"WE SAVE LIVES & PROTECT PROPERTY"
SERVICE (952) 890-6684 FAX (952) 707,6881 LIC#CCOI031
METRO ALARM CONTRACTORS, INC
P.O. BOX 1775
BURNSVILLE, MN 55337
I COpy TO:XCLIENT_FlRE DEPT. I
ACCf.NO I1Si... 13J~ SERVICSCALLNO. .3 'Z.. 44" V.L. CERTIFICATE NO. DATE.~ //4
CUSTOMER (' /1..,. .of' 1+io,.. {.. a.K f2 I'1ni",f. F81'.J/,'t.. CONTACTwn/a ~/d..".1 TIUE
ADDRESS 1707"3 aMn Sf SE PHONE Q5z - 4l/?-'l(j'Qjl- ~~~~LY SEMI-ANNUAL
CITY Pr/or' /~h.k.. STATE NM I ZIP .5$ 37 2. 1- QUARTERLY ...\ANNUAL
FINAL
CONTROL PANEL
MANUFACTURE (;/.-nf r#..:,~ilODELNO,_ '-1'''-0'7 LOCATION r/~ C/r.r; ,lfl r~~
TYPE OF SiGNALING v POWER j!!p_RKR. LOCATION NO. LOCKED CIR BRKR, DEDICATED CIR
I](OENERAL ALARM SELECTIVE SIGNALS CODED PRE-SIGNAL SOURCE _' 15 yes >c!'o ,l<;Yes NO
BATTERIES VOLt~~~BR , TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE ACtO? POWER LOSS EARTH GROUND
VOLT CHARG NOW CONDITIONS ~ORMAL NOT' lS;NORMAL NOTE )Q'<ORMAL Nam NORMAL NO"
COMMUNICATOR
MANUFACTURE < 00_ LOC."'-TION ..:::; A IVJJ:; .AI
BAITERIBS VOLT WITH CHARGE~~ NOTE # POWER CIR. BRKR. LOCATIO,,/, I NO. LOCKED CIR BRKR DEDICATED CIR
VOLT WITHOur CHARGE NEW SOURCE yes ..NO _yes NO
CENTRAL MONITORING ~NSETOALARM TROUBLE RES NSE TO ZONE TROUB~~IONAL TROU~~~OP ?OWER LOSS EARfH GROUND
STATION ORM. _NafE# CONomONS ~6RMAL YOTE ORMAL NOTE ORMAL NOTE YORMAL NOTE
COMMUNICATOR PRIMARY # q 5 L __ 1./1/0 - q /, 77 COMMUNICATOR SECONDARY # '15 Z-lf'lO- i/7/
AUXll.IARY FUNCTIONS
ANN~:It;~ fl... 'A.h +- I MODeL .<:;2 ~ 0 TV" - [NCAD __GRAPHIC ~IVO.zAyV D t 1 NO O~ONES I UNUSZ{PTS
J.EO -.-DROP
ELEVATOR RecALL TO PRIMARY FLOOR RECALL TO ALTERNATE FLOOR ELEVATOR RESTAR:T
FJRERECALL YORMAL YOTE XNIA NORMAL NOTE )l;:</A FROM FIRE sue. AUTOMATICALLY yes NO
SPRINKLER SYSTEM: METRO ALARM'S INSPEc:n~~::LUDI FVZONA~ TESj. /.0 ~ -Z~.. ~L/
ACTUAL FIRE SPRINKLER TEST WAS DONE BY' fin )or1n .r TESTED"
PERIPHERAL FUNCTION TEST
DEVICE FLOOR VOLTS MFG & MODELl NOTE
ManualStJJ.tiODll
RotRHeatDetector.l
FixodHeatOete<:tOTll
PbotoSmoke
lonSmok.
Duct Smoke 1- /'fl/J;r. -').412," ~,,<
,
Wau,rt1ow I
GVT I
'"
Low Air
Horns Only
Strobes Only '> 2~ S;...n IQ~
Horn/Strobes 1.. I ~'I: ",,' 'J /.; j
Speaker/Strobes
Door Holders
.
NOTATIONS AND COMMENTS
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CUSTOMER SIGNATURE: SERVICE REP SIGNATURE, f/i IJ.~ ~
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