HomeMy WebLinkAbout2023-06-19 Metro Alarm & Lock Fire Alarm Inspection & Test Report FIRE ALARM INSPECTION AND TEST REPORT
03 Underwriters Laboratories Inc.®ALARM SERVICE#58526-1
6II,leti'OJJlarm & Lo 3921 West 143RD Street•Savage,MN 55378
ck 952-890-6684•Dispatch 952-346-9452•Lic#TS00401
Mg am a Prof0.9 P.o.V 5M m1 www.metroalarmco.com•service@metroalarmco.com
1 www.metroalarmco.com
ly '1 S -t¶ l.) SERVICE CALL.NO. asa g 1 3. U.L.CERTIFICATE NO. DATE 4:6A1/23
CUS OME..R�1 cine,ic,e5 c. co4 tArt 4eilp.1 CONTACT-t,w Sint-kin J.-- k e I i TITLE
ADDRESS Sg 55 1^ .e cie r LAns PHONE q`^a-3tit_Liz al _BLMONTHLY _SEMI-ANNUAL
_MONTHLY rVANNUAL.
CITY (" SIMS/1„,iv ZIP 55 op,a, -QUARTERLY _FINAL
CONTROL PANEL f
MANUFACTURE 5v.... MODEL NO. C)I04B LOCATION. fl0,4-p:i,( oo ft
T'1f'i_'-OF SIGNALING POWER CIR.BRKR.LOCATION NO. LOCKED CIR.RRKR. DE IC.ATED CIR.
EN FRALALARM_SEL.ECTIVE SIGNALS_CODED_PRE-SIGNAL SOURCE pN t_p,(ce(I0.S- ES _NO S'ES _NO
' RIES-LOAD ZEST ,,NOTE TROUBLE RESPONSE TO ZONE T 151.1. SIGNAL TROUBLE AC/OI'POWER LOSS
PASS _FAIL � DATED l�a,� CONDITIONS NORMAL_NOT' tC NORMAL_NOTE �T ORMAI._NOTE
COMMUNICAp Olt
MANUFACTURED(\ MODEI.NO. C Q(I (,� LOCATION {�
BATTERIES-LOAD TEST NOTES POWER CIR.BRKR.M �'`NL).- LOCKED CIR.BRKR. DEDICATED CIR.
LPASS _FAIL DATED SOURCE ✓ Imo/ _YES _NO _YES _NO
CENTRAL MONITORIT�y�3//V R S NSE TO ALARM TROUBLE RESPONS-TO ZONE TROUBLE ��SIGNAL TROUBLE /\Cd/OP POWER LOSS
STATION W/` OR//M _NOTE CONDITIONS ORMAL-NOTE XNORMAL_NOOTE -- 'ORMAL._NOTE
COMMUNICATOR PRIMARY d /A(/a, COMMUNICATOR SECONDARY II r/4
FIRE RADIO ANIS CU'I r �'J ELLIiI.AR INTERNET
_PASS _FAIL ,A ASS _FAIL _NA ' _PASS _TAIL 6NA NOTES
AUXILIARY FUNCTIONS
ANNU€15 R(MFG) MODEL, �� TYPE _INCAD _GRAPHIC' CRT VOLTAGE NO.OF ZONES UNUSED PTS.
\\VV//�� fin/ 0 _LED _DROP 1CD
ELEVATOR RECALL TO PRIMARY FLOOR ECALI.TO ALTERNATE ELEVATOR
EIRE RECALL _NORMAL_NOTE. N/A _NORMAL_NOTE A FROM FIRESIJC.AUTOMATICALLY _YES _NO
SPRINKLER SYSTEM:METRO ALARM'S INSPECTION-NLY I 'LLII//DES A FUN IONAL TEST //'
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: ,r,'! DATE: ,e 23
PERIPHERAL FUNCTION T - '`
DEVICE FLOOR VOLTS MFG&MODEL# NOTE
Manual Stations
Heat Detectors
Smoke Detectors ! SSC A:),�
Duct Detector 7
Waft rfow Pets
_/I -
GVT 1f"1 a�•iG'
O� f O
PIV
Low Air
Low Temperature
Horn Only
Strobes Only
Horn/Strobes
Mini Sounders
Dour Holders
Annul
BPS
NOTATIONS AND COMMENTS n
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CUSTOMER PRINK: SERVICE TECH PRINT: /VI d //�y[`-'�(� (/-�_TZ./
CUSTOMER SIGNATURE: SERVICE TECH SIGNATURE�/����p J \,......„..•_- -