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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: CLIENT
FIRE DEPT. I
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ACCT. NO'" sr- un 0 SERVICE CALL NO. U.L. CERTIFICATE NO. I DATE~/I /dt:
CUSTOMER ()'M"J/e" t)o. J./J..:... CONTACT "'" I /I I TITLE
ADDRESS t '2 JJ '1 1.tJ,'.. A'u.. SE PHONE "15'Z- '{l{6- $"'-0 2- I-~~~~Y _SEMI-ANNUAL
,)<ANNUAL
CITY P#.~_ LiII' " STATE YJ AI ZIP SL; 377.. l: QUARTERLY FINAL
CONTROL PANEL
MANUFACTURE liMP MODEL NO. "'X 112. 00 LOCATION R~.. e_illf
TYPE OF SIGNALING POWER CIR. j.RKR. ~ATlON NO. LOCKED CIR BRKR. DEDICATED CIR
)tOENERAL ALARM SELECTIVE SIGNALS CODED PRE-SIGNAL SOURCE YES ~O YES X-No
BA'lTERIES VOLT WITH CHARr:RI'- NCYrrI#/ TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE ACIOP POWER LOSS EARTH GROUND
VOLT WITHOUT CH hhK U ./_dI" CONDITIONS )tIORMAL ~OTE .xr;ORMAL NOTE )!NORMAL ~OTE NORMAL ~OTE
COMMUNICATOR
MANUFACTURE 6>-A M L MiJlfIJ/fNO. LOCATION ./ L1~ A
BATI'ERlES VOLT WITH CHARG""/' NOTE # POWER CIR. BRKR. LOC~ NO. LOCKED CIR BRKR. DEDICATED CIR
VOLT WITHOUT CHAiGER NEW SOURCE YES NO YES NO
CENTRAL MONITORING ~~NSE TO ALARM TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE ACIOP POWER LOSS EARTH GROUND
STATION NORM. NOTE # CONDITIONS .).tlORMAL NOTE )5NORMAL NOTE ~RMAL ~OTE NORMAL NOTE
COMMUNICATOR PRIMARY # ~52.. 'ft{o- ~/,oo COMMUNICATOR SECONDARY # 952 - 'W-26-'I'f~z
AUXILIARY FUNCTIONS
ANNUNCIATOR (MFa)>> J1P I MODEL ~I!/O' B TYPE _INCAD _GRAPHIC ~IVOLTAGi < '" D1 NO OF lfNES I UNULEDPTS.
LED DROP
ELEVATOR RECALL TO PRIMARY fLOOR RECALL TO ALTERNATE FLOOR ELEVATOR RESTART
PlRE RECALL NORMAL ~OTE ~/A ~ORMAL NOTE ~/A FROM FIRE sue. AUTOMATICALLY YES NO
SPRINKLER SYSTEM: METRO ALARM'S INSPECTION ONLY INCLUDES A FUNCTIONAL TEST.
AcruAL FIRE SPRINKLER TFST WAS DONE BY: lESTED:
PERIPHERAL FUNCTION TEST
DEVICE J bJ FLOOR VOLTS MFG&MODEL# NOTE
Manual Stall.os ( I In IIIP
R or R H... Detecton
Fixed Hea' o.tecton 5 It::" he... trnll/r<
Photo Smoke "2.. \ Sys,e'l ~ (r/541'
Ion Smoke " ,
Duct Smoke
Waterflow
GYT
PlY
Low Air
Horns Only ..
-- ----
Strobes Only
Horn I Strobes I I I'lv' I) c.. nMP
Speaker I Strobes
Door Holders
NOTATIONS AND COMMENTS
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All ](lsted r:.ovd
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CUSTOMER SIGNATURE: SERVICE REP SIGNATURE: 1/ / fi~ij/".-.../