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Fire Alarm Inspection Report 11/2/2007
Your Life Safety Specialists 4445 W 77TH STREET, #125 MINNEAPOLIS, MN 55435 952-893-0905. FAX: 952-835-4742 800-339-7132 FIRE ALARM INSPECTION REPORT I / Page_ of _ P.O.# L ,. . ---"! "":" '.;, ( MONITORING ACCT. # I,"'.:. ( 7 ".. ,.f"-.-' . .' STATE CERTIFICATE # TS00857 /DATE . /1 /,) /'( LOCATION ADDRESS --:7 I ,,- ~. I .... "; ," -,(" - '''1'' _ , .1 1"" 1;.... , . .!. 1/ , - I I I I I ( , . c' ., /-1 .L ...,.. , i D BI-MONTHL Y D SEMI-ANNUAL ITY.._-, ", ". I 11 '. . STATE ZIP. ,'_ . . P.H ON. E......... '. . ,'. _'. D.MO. NTHLY QANNUAL I L/ '" L N .~II / /... , " '7' ,.l.;: 1..} :;. D QUARTERLY D FINAL MANU,FA:T~RE MODEL NO. LOCATIO/N. :. I " / / / . ._,. . /' I I. / (. \. ! f. I {' " '.~ / t { f '- ( . '<,/ .J... , ......,. (,..., _ ..._' J BATTERIES VOLT WICHARGER ),..." 0 NOTE # POWER CIR. BRKR. LOCATION NO.,.., J LOCKED CIR. BRKR. DEDICATED CIR. VOLTWIOCHARGER ) ( . L ,) NEW ','r.. .y SOURCE/, I" II .<'1".:" 7",(, .c. DYES Id"NO aYES D NO TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE ACIOP POWER LOSS EARTH GROUND CONDITIONS . ~.. N. ORMAL 0 NOTE # 2" NORMAL 0 NOTE # I4 NORMAL 0 NOTE # NORMAL 0 NOTE # MANUFACTURE MODEL NO. LOCATION /I-'/'~ f''' ,-,4/"-:: BATTERIES VOLT WICHARGER 0 NOTE # POWER CIR. BRKR. LOCATION NO. LOCKED CIA. BRKR. DEDICATED CIA. SOURCE VOLT WIO CHARGER NEW CENTRAL RESPONSE TO ALARM /TROUBLE RESPONSE TO ZONE TROUBLE MONITORING CONDITIONS STATION ,la' NORMAL 0 NOTE# ,l;d NORMAL 0 NOTE# ~ NORMAL 0 NOTE# Q NORMAL 0 NOTE # 0 NORMAL 0 NOTE# OMMUNICATOR "" ...... . '. ... COMMUNICATOR .' _ . ." , PRIMARY # Cj,....). _..) .. ( .j c: .l.!' SECONDARY # ,/.' L. .~ _ ~ -=:.! _ ."' . / / . .. .... t \. j' ..., ,j l/ee... // ;vll( ::,'y ",{",1."/"e/\ - !?/(,1'_~ . Fe,: ..\' '",: SIGNAL TROUBLE DYES ACIOP POWER LOSS D NO DYES EARTH GROUND D NO /" \"!!~J.(,( .1/( C (.. ./1 / ,/1';"'-1r'L'.~.( /, ~'F,\ Manual Stations Heat Detectors Smoke Detectors .. 'I t' ! '. ,I X/ ( -. - to' .:' <; .::1, Duct Detectors Waterflow ...., _/ 1-9'" -. '( I ,/".../ t. GVT Horns only Strobes only Horn I Strobe ,...-; 1;'- - ){. /I~A.- //L... J..; t' . \ -...../:: .. ,"",J. ! "./ Door Holders /; t- /:,~..- /-l /' it" " fii~ >v~; IL, /'if /' , I ,. ~ ~imm /~..,I./J!'."" #~ 7'c.'..-~r /..It,,'?,p,/(~ (*lt~~-'{:< ....,,< ,""':...'"'I(..."'-t' r/t.,- /1/(. ~ ).- ~..-.' ../ I.~ (~. ,i",; ~. i.',-t. ( . (. .,,^ r ,d,.. 4. '/:"-' ( ~ " -'< 'i <} ,J'I Y CUSTOMER'S SIGNATURE SERVICE REP. SIGNATURE WHITE - OFFICE YELLOW - FIRE DEPT. "OK" PINK - CUSTOMER ....-r