HomeMy WebLinkAbout2022-10-28 Metro Alarm Fire Alarm Inspection & Test Form FIRE ALARM INSPECTION AND TEST REPORT
Underwriters Laboratories Inc.®ALARM SERVICE#58526-I
6 $uletroqlarm 3921 West 143RD Street•Savage,MN 55378
fi Lock 952-890-6684•Dispatch 952-346-9452•Lic#TS00401
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CUSTOMER V, -56; -�•� 4� CONTACT TITLE
ADDRESS_ /g( J/5 1 /n / PHONE _BI-MONTHLY _SEMI-ANNUAL
r _MONTHLY _rANNUAL
CITY L./it � ' (J//t ryC��ts l', STATE/+.{,2 I ZIPSSO$3- _QUARTERLY _FINAL
CONTROL P EL
MANUFACTURE,rA�,�14.5 MODEL NO.;t.,Se.✓+tS LOCATION SPri es k1-e,-- iris
TYPE OF SIGNALING POWER C J /R.LOCATION Ng. L ES CI_NOR.BRIM DEDICATED CIR.R.
GENERAL ALARM_SELECTIVE SIGNALS_CODED_PRE-SIGNAL SOURCE JI
BATTERIES-LOAD TEST TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE ACOP POWER LOSS
PASS _FAIL DATED CONDITIONS.›NORMAL_NOTE k,NORMAL_NOTE ,IORMAL_NOTE
COMMUNICATOR
MANUFACTURE Ii'— II, MODEL NO&I( ,..>~ LOCATION SA.„..L-L
BATTERIES-LOAD TEST NOTE# POWER CIR.BRKR.LOCATION NO. LOCKED CIR.BRKIL DEDICATED CIR.
_PASS _FAIL DATED SOURCE _YES _NO _YES _NO
CENTRAL MONITORING RESPONSE TO ALARM TROUBLE RESPONSE TO ZONE TROUBLE SGNAL TROUBLE AC/OP POWER LOSS
STATION .JO+RM _NOTE CONDITIONS_NORMAL_NOTE _NORMAL_///OTTE _NORMAL_NOTE
COMMUNICATOR PRIMARY# �( (��t COMMUNICATOR SECONDARY# /j_�
FI RE RADIO ANTENNA CUT ,,,///"`JJJ /'� CELLULAR INTERNET
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_PASS _FAIL .,aNA AEASS _FAIL _NA _PASS _FAIL_.)A NOTE#
AUXILIARY FUNCTIONS
ANNL` TOR(M g) MODEL TYPE _INCAD_GRAPHIC _CRT VOLTAGE NO.OF ZONES UNUSED PTS.FO ~ rA _LED _DROP _LCD
ELEVA R RECALL TO PRIMARY FLOOR RECALL TO ALTERNATt FLOOR ELEVATOR RESTART
FIRE RECALL _NORMAL_NOTE. N/A _NORMAL_NOTE AIWA FROM FIRE SUC.AUTOMATICALLY _YES _NO
SPRINKLER SYSTEM:METRO ALARM'S INSPECTIONcc
LN')I?CLUDES A FUNCTIONAL TEST.
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: V j v.....::73 DATE:
PERIPHERAL FUNCTION TEST
DEVICE FLOOR VOLTS MFG&MODEL# NOTE
Mound Stations 1
Heat Detators
Smoke Detectors 1
Duct Detector
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Waterllow l
CVT a
PIV
Low Air
Low Temperature
Horn Only
Strobes Only
Horn/Strobes l
Mini Sounders J
Door Holders
Ansul
BPS
NOTATIONS AND COMMENTS
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CUSTOMER PRINT: SERVICE TECH PRINT \. (R.- • R ` �
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CUSTOMER SIGNATURE: SERVICE TECH SIGNATURE: / j