HomeMy WebLinkAboutFire Alarm Report
.FIRE ALARM INSPECTION AND TEST REPORT
METRO ALARM
METRO ALARM CONTRACTORS, INC
P.O. BOX 1775
BURNSVlLLE. MN 55337
I COpy TO:~CLIENT_FIRE DEPT.
"WE SAVE LIVES & PROTECT PROPERTY"
SERVICE (952) 890-6684 FAX (952) 707-6881 LIC#CCOl031
1 ACCf.NO 481-J3Z i 5ERVICECALLNO. ZifZ.(;.2.
I CUSTOMER Prior La-K, CI-t-'f HaJ/
IADD'ES' It200 Ea"~ C,.e..K Av<>
IcITY fir/or /p!<p'"
I CONTROL PANEL
IMANUFAcrvRE_~c-utr..", MODEL NO 'LL.O-Z
I TYPE OF SIGNALING
~ENERAL ALARM _SELECTlVE SIGNALS _CODED _PRE-SIGNAL
I BATTERIES VOLTWITHPoIAJr;,F.R .1:7 N9'tJi.#o
VOLT WITH'i\vt [!.HARGtt:'-_ LJ;+ J 1>iEW ~
I COMMUNICATOR '.
SE
UL CERTIFICATE NO. I DA1E _ 3'.....-'/ ~ ~
CONTACT ("'.;'f7i 6 ~ /./re" mu
PHONE t!:(<)l. ~ Ql/7...y.23a_BI-MONTHLY _SEMI-ANNUAL
STATE fVlfI/ I ZIP ~gS37l_ 1=~g~~LY ~t:::"~AL
LOCATION ~UJ,!A~" rooltJ
POWER ~ BRKR. iATION NO LOCKED OR BRKR. Di~1CATED elR
SOURCE r.~'9. '7 22 ~ -.NO BJES _NO
TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE ACIOP POWER LOSS EARTIl GROUND
CONDITIONS ~ORMAL _NOTE MORMAL _NOTE ~ORMAL JlOTE _NORMAL _NOTE
I MANUFACTURE .6A Me. ;!!. LOCATION -SA JV/ 1:=.. f111
I BATTERIES VOLT WITH CHARGER ' NOTE /I POWER CIR. BRKR. LOCATION f NO. L,~KED CIR BRKR OWCATED CIR
VOLT WITHOUT CHAR" NEW_SOURCE ~ES _NO .AYES _NO
I CENTRAL MONITORING RESpoNSE TO ALARM TROUBLE RESPW'SE TO WNE TROUBLE SIGNAL TROUBLE ACIOP POWER LOSS EARTH GROUND
STATION &ORM. _NOTE /I CONDITIONS CNoRMAL _NOTE booRMAL _NOT~RMAL _NOTE _NORMAL _NOTE
ICOMMUNlCATORPRIMARY/I 952- '22" -6 $SO ICOMMUNICATORSECONDARY/I 952 - lfl{7- '1265
I AUXILIARY FUNCTIONS
I ANNUNCIATOR (MFG) I MODEL I TYPE =~~AD ~':;;;~HIC
I ELEVATOR RECALL TO PRIMARY FLOOR I RECALL TO ALTERNATE FLOOR
FIRE RECALL _NORMAL _NOTE _N/A _NORMAL _NarE _N/A
I SPRINKLER SYSTEM, METRO ALARM'S INSPECTION ONLY INCLUDES 'l~crIO~ TEST.
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: IV ./ A
-,
_CRT I VOLTAGE
_LCD
ELEVATOR RESTART
fROM ARE SUe. AUTOMATICALLY
I NO OF WNES
IUNUSEDPTS
_YES _NO
TESTED.
I PERIPHERAL "UNCTION TEST
IOEVICE II L
I ManuDISl.Dlinns
I RofRHeatJ:lete<:tonI
FLoQR
VOLTS MFG & MODEL# NOTE
I Fixed Hea.D<to:<:ron
I Photo Smoke S~C;
I Inn Smoke
I Duct Smoke
Iwaterflow
I GVT
[PIV
I Low Air
I HorMOnly
IStro!>esonly
I Horn/Strob" 2.. "Z...
!SpeakerlStrobes
I Door Holde,,"
5v...A,.,5.h. 0-
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I NOTATIONS AND COMMENTS
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I CUSTOMER SIGNATURE:
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I SERVICEREPSIGNA~d
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