HomeMy WebLinkAbout2022-07-08 Metro Alarm & Lock Fire Alarm Inspection & Test ReportFIRE ALARM INSPECTION AND TEST REPORT
U� Underwriters Laboratories Inc. ® ALARM SERVICE #58526-1
Metro 3921 West 143RD Street • Savage, MN 55378
Al arm � Lock 952-890-6684 • Dispatch 952-346-9452 • Lic# TS00401
5 -My Ll—& PralWhy Property 51-1971 www.metroalarmco.com • service@ metroalarmco.com
www.metroalarmco.com
DATE
ACCT. NO. t ✓. Ci7 SERVICE CALL NO. i 3 U.L. CERTIFICATE NO. 7T
CUSTOMER lG &JI" CONTACT TITLE
ADDRESS ALJ �/ PHONE 7 -�
_BI -MONTHLY _SEMI-ANNUAL
—MONTHLY .ANNUAL
_QUARTERLY _FINAL
CITY I' e� t{� iii STATE 4 ZIP � � a
CONTROL PANEL 42
MANUFACTURE MODEL NO. �0
LOCATION '� �9( .�'n� -.
_* NERALALATYPE OF LRMGSELECTIVESIGNALS—CODED_PRE-SIGNAL
SOURCE L AT. ION - LOCKEDCIRjBES O R. DF�IYESEDCIR_
NO
Bf TTERIES - LOAD TEST T
ASS FAIL DATED
TROUBLE RESPONSE TO ZONE TROUBLE SIGNALTROUBLE AC/OP POWER LOSS
CONDITIONS 4NORMAL _NOTE ,NNORMAL_NOTE A"4-ORMAL_NOTE
COMMUNICATOR
MANUFACTURE 0"_Z1110 MODEL NO C
LOCATION JL'�
BATTERIES - LOAD TEST NOTE#
_PASS _FAIL DATED
POWER CIR. BRKR. LOCATION NO. LOCKED CIR. BRKR. DEDICATED CIR.
SOURCE _YES _NO _YES _NO
CENTRAL MONITORING RESPONSE TO ALARM
STATION _NORM _NOTE
TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC/OP POWER LOSS
CONDITIONS —NORMAL —NOTE _NORMAL NOTE —NORMAL—NOTE
COMMUNICATOR PRIMARY #,/U/(4-
COMMUNICATOR SECONDARY #
FIRE RADIO ANTEPJNA CUT
—PASS _FAIL A
CELLULAR
ASS —FAIL —NA
INTERNET
_PASS —FAIL �WA NOTE #
AUXILIARY FUNCTIONS
ANNUI�AT,YR (MFG)
\ fl—
MOD F,I/�� n
LL.�
TYPE _INCAD _GRAPHIC _CRT
_LED _DROP _LCD
VOLTAGE
NO. OF ZONES
UNUSED PTS.
ELEVATOR RECALL TO PRIMARY FLOOR RECALL TO ALTERNATE FLOOR
FIRE RECALL _NORMAL _NOTE�4/A _NORMAL _NOTE )[FI/A
ELEVATOR RESTART
FROM FIRE SUC. AUTOMATICALLY _YES _NO
SPRINKLER SYSTEM: METRO ALARM'S INSPECTI N ONLY INCLUDES A FUNCTIONAL TEST.
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: �cl�� DATE:
PERIPHERAL FUNCTION TEST
DEVICE
FLOOR
VOLTS
MFG & MODEL #
NOTE
Manual Stations
Heat Detectors
Smoke Detectors
1
Duct Detector
Watertlow
GVT
PIV
Low Air
Low Temperature
Horn Only
Strobes Only
Horn / Strobes
Mini Sounders
Door Holders
Ansul
BPS
NOTATIONS
AND
COMMENTS
i
CUSTOMER PRINT:
SERVICE TECH PRINT:
CUSTOMER SIGNATURE:
SERVICE TECH SIGNATURE: