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FIRE ALARM INSPECTION AND TEST REPORT
METRO ALARM
METRO ALARM CONTRACTORS, INC
P.O. BOX 1775
BURNSVILLE, MN 55337
I COpy TO:XCLIENT_FIRE DEPT I
"WE SAVE LIVES & PROTECT PROPERTY"
SERVICE (952) 890-6684 FAX (952) 707.6881 L1C#CC0103I
ACCT,NO Lt }/-r~/7 SERYICE CALL NO. :3 I.(?"I.(
CUSTOMER .Ct' t.a.If<ll t. /h_o.r"
ADDReSS I 7'-0 Eaa/~ '--u.1< AVe
CITY P";or / a,A'n
CONTROL PANEL
MANUFACTUR' S,m ok j( MODEL NO. '-I 0 I 0
5E
U.LCERTlFICATENQ I DATE 7./ //c;t:;'
CONTACT Cr4~~ r 1-1 'Ii! d I TITLE
PHONB '1S7- YCf7- 337..9_BI-MONTHLY
STATE MAr Ill? 6""S"372 1~~~;LY
SEMI-ANNUAL
~NUAL
FINAL
TYPE OF SIGNALING
"J!t;ENERALAlARM _SElECTIVE SIGNALS _CODED _PRE.SIGNAL
BATTERIES VOLTwrrHCHARO~NOT:E:#
VOLT WITHOUT CHARGER
LOCATION R4..:S~ ","O,H r-
POWER $JJN~. WCAllON ~. -. l.pCKED erR .BRKR DEDICATED elR
SOURCE r r L :S, "SxYES _NO ><::tES _NO
TROUBLE RESPOr'lSE TO ZONE TROUBLE SIGNAL TROUBU: AGO? POWER LOSS EARTH GROUND
CONomONS ~ORMAL NOTE ,X:NORMAL NOTE )6IORMAL NOTE NORMAL NOTE
NEW
COMMUNICATOR
MANUFACTURE ~ ' MODEL NO "2 0 'S?' 0
BATIERJ!'.S VOLT WITH CHAR~Jt- L.A~ NOTE II
VOLT WITHO!IT CjI.Ml;f.iiI-:;;z:r NEW
CEl'ITRAL MONITORING RESPONSE TO ALARM
STATION NORM. _NOTE /I
LOCATION SA J4 ~ -rl
POWER CIR. BRKR.l>>CATl#<J NO LOCKED CIR BRKR DEDICATED C1R
SOURCE , YES yo YES _NO
TROU9LE RESPONSE TO _Zd"NE TROUBLE SIGNAL TROUBLE AClOP POWER LOSS EARTH GROUND
CONomONS J:1jORMAL --"'DTE )C.NORMAL NOTE )OIORMAL ..--NOTE NORMAL NOTE
COMMOMCA'0""MARY' q 57. - f.(1.{7-., 71)~
AUXILIARY FUNCTIONS
ANNUNCIATOR (MFG) I MODEL \TYPE =~AD ~~;HIC
ELEVATOR RECALL TO PRIMARY FLOOR RECALL TO ALTERNATE FLOOR
FIRE RECALL NORMAL -flOTE _NfA ~ORMAL.-NOTE NIA
SPRINKLER SYSTEM, METRO ALARM'S INSPECTION ONLY lNCL~D;S A ,N;nONAL TEST,
ACTUAL PlRE SPRINKLER TIlST WAS DONE BY: IV /.A
COMM1JNICATOR seCONDARY /I
HI
=f~~IVOLTAGE \ NO OF ZONES \ UNUSED PTS,
ELEVATOR RFSTART
FROrvlFlRESUC,AUTQMATlCALLY YES :-<0
TESTED'
PERIPHERAL FUNCTION TEST
DEVICE . 111"" FLOOR
ManualStallons .,Ie
RoCRHe..to.tectDrs
Fi~ed H...t[)ele<t<>r
Phot<lSmok~ I
lonSmolte
DoclSmoke 'I
Walerflow ,
GVT ~
,"v
Lo..Alr
HormOnly
Slro~tsOnlY S
Horn/Strobes IIlI I
SpelIk~rISlrobe:s
Door HoId~rs
.
NOTATIONS AND COMMENTS
II- .I 2 A,.../ ~/, .;~ nB A
,
VOLTS MFG & MODEL # NOTE
"=: ~L_
.<;,; nld<C
PO-' r
Pa- er
I PO~ fer
11...01
/7..Pt.
s, .",/".,.
.$',.,;,,,,,1,.
/
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CUSTOMER SIGNATURE:
~ / ./
SERVICE REP SIGNATURE'/ A4?"'7' -.---;Z.
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