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Fire Alarm Insp. Report 10/30/2007
Met 10/' Ala r m "We Save Li'Ves & Protect Property" P.O. BOX 1775 · BURNSVILLE, MN 55337 · SERVICE (952) 890-6684 · FAX (952) 707-6881 . LIC#TS00401 Iii:'\ www.metroalarmco.com \!!:I Unde,rwriters Laboratories Inc.@ ALARM SERVICE #S8526-1 FIRlt..A~RM\ SPECTION AND TEST REPORT .- " , ..... ':}!o ~'PY TO: CLIENT FIRE DEPT. iI'7~ "f-I~ 'f,.J,.. 'l, :.t'SERVICE CALL NO.. Ct -, fLF 1 .'.' I DATE I,:)'j ACCT. NO ." {..., ;. U.L. CERTIFICATE NO. r ,. . /~':'Y... CUSTOMER ''!'Wf.(~ it ,: / .JJ.:y'. {., .. CONTACT ! ~<j : . I TITLE 1. i, c." / ! " "- ADDRESS I! '~ ! I~'. t~... <'" // 0,',- /~. pi ,,i'f' "':.:.>(' PHONE :-- ~:::;f. (/ <;2 'j ;"J, :'~'f _BI.MONTHLY _SEMI.ANNUAL / ~.;: ,..:._. I \_' _" ~ I ,c.:. . I MONTHLY ..2:ANNUAL q ..."( . /\1 ZIP ( .. ^ ~:} .~: I_QUARTERLY CITY 1 .1' ir( .~> STATE , -' - FINAL . "'-'- CONTROL PANEL MANUFACTURE " .......... MODEL NO. Lie" C' LOCATION -~'-r-- .. . TYPE OF SIGNALING POWER CIE.,' WK,f-. LOCATION NO..., .~ LOCKED CIR BRKR. ~CATED CIR :.t.-GENERAL ALARM _S];:LECTlVE SIGNALS _CODED _PRE.SIGNAL SOURCE ('r .:-- '~")_'7 " ,,-YES NO .:.. YES _NO - BATTERIES VQLT WITH CHAR~ \ NOTIn; J r--' TROUBLE RESPQNSE TO ZONE TROUB!--E SIGNAL TROUBLE. AC/OP POWER LOSS EARTH GROUND ,;j" VOLT WITHOUT CHA tiEIt :::;. ~".:::-> CONDITIONS NORMAL NOTE 'NORMAL NOTE NORMAL NOTE NORMAL NOTE " ; COMMUNICATOR ,:-...., .7 :-'1ANUf'ACTURE : .' -~ MODEL NO. ;y){~)n .(It)} '. ' LOCATION .' / . ..., I / ~:.~ I,~ic.- jlj ); - BATTERIES VOLT WITH CHARGER NOTE #f' I ,,1 POWER .CI~. BRKR. LOC~TI9p .~:: Pc ~OCKED ClR BRKR. DEDICATED CIR VOLT WITHOUT CHARGER 'W~~ : SOURCE \ , '~', I /, L. 0;. , /{ ':L.,!y~.., NO YES NO CENTRAL MONITORING RESPONSE TO ALARM TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC/OP POWER LOSS EARTH GROUND STATION' v _NOTE # CONDITIONS ~NORMAL _NOTE '':...NORMAL _NOTE :::">NORMAL _NOTE _NORMAL NOTE . NORM. f""O"- ,"'; IIl-; ~ ,. 2 :J ..., COMMUNICATOR SECONDARY # >'"1 (:::;; '. , ~. - ., -;:i.'I-- COMMUNICATOR PRIMARY # ! (.,. .'--1. - -- U<. ; .- ...... 1./ , U - L-,~ 'I ..-.... ! . I ~"'~~:..) ~ /_' AUXILIARY FUNCTIONS ANNUNCIATOR (MFG) I MODEL ,- "'~".. TYPE _INCAD _GRAPHIC ~CR\ I vor;rAqE I NO OF ~NES I UN~S7DrrSi .- {, LED _DROP ~LCD 1.'(,' (ia( / '::, ; " - " 'i"J ELEVATOR RECALL TO PRIMARY FLOOR RECALL TO ALTERNATE FLOOR ELEVATOR RESTART FIRE RECALL - NORMAL - NOTE ~.N/A - NORMAL _NOTE ,,,-IN/A FROM FIRE SUe. AUTOM1)TICALLY _YES - NO SPRINKLER SYSTEM: METRO ALARM'S INSPECTION ONLY INCLUDES A FUNCTIONAL TEST .,-:-'..r' ",. .,~ I ACTUAL FIRE SPRINKLER ~EST WAS DONE BY: /\.. I,~ ., )r'\~. , ~- !.f:t "1 ... . -j I I ' , . i j (! : I, ,I ( +'. " Irr'ESn:D: .~,~...,I~."J I \..-' PERIPHERAL FUNCTION TEST , ! " DEVICE (\ \ :'; FLOOR VOLTS MFG & MODEL # NOTE Manual Stations :?) .' -,:,.. (/'''''1 R of R Heat Detectors Fixed Heat Detectors -'~. Photo Smoke 1'1 ". ,J Li , I" ~ .' . Ion Smoke Duct Smoke L\ .') .:.n..P( .' , ''\ , Watertlow 2-- l"J y.i.... f' r ,..... , J. , -. GVT l~ " ! ! .~ PIV /( I' I Low Air , ... Horns Only ". Strobes Only G -;:t'l.: 'jpt' ,- . , ../' Horn / Strobes 12.. ci4 v~~:. . L;.. X Speaker / Strobes t Door Holders I' I. / NOTATIONS AND COMMENTS , /'" 1,- , /2 l/ I Lit..! .- . '\ ) ~ ,., . ( \/" ."') j i , .~ , -.., ,-; r I, ., '. " f;' \ . .~I .' ../ .. t. .. \).-r I I r> r -I ..,/ , J. ~...~l , .- I , ,..... <' ...-f ,. ,.....---/-l -...." , ',,' -=. ,. -. :l~;~ ~~"._~,,... "'. -- ! l_,:.::;- /';' ,'-.'~ I ..,.,,- / ,. I " , ,/ \1 '. ;C , , .- . I I ! . . CUSTOMER' SIG~ATURE: . SERVICE REP SIGJ:rlATURE: .> I " ,.. .' , , >. 'Z, ,.....-......". .' "