HomeMy WebLinkAbout2004-01-23 Fire Guard Sprinkler Service Inspection Report v Mit-kW/kill) INSPECTION
INSPECTION 2 Al G� SPRINKLER SERVICE INC. CONTRACT NO.
REPORT NO. i w-
4- . 205 White Bear Ave.No.,Suite C MN 'ENSE NO: BUREAU
CONFIRMED F4.. -,' St.Paul,Minnesota 55109 000018 FILE NO.
WITH PH:651-748-9499 • FAX:651-748-9143
REPORT TO: BLDG.NAME:5-2/ D i L e „kr
STREET: ADDRESS: kC" S r- C_c,et c [, T
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CITY,STATE,ZIP: CITY,STATE,ZIP: c ' r /Ti .
TECHNICIAN: d 9) LICENSE NO. J O'f S—d//
DATE: I/z37e; 17/
OWNER'S SECTION(To be answered by owner or occupant) /1
A.Explain any occupancy hazard changes since the previous inspection. / ei A/t
B.Describe fire protection modifications made since last inspection. A/C- < {r1 1f�
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C.Describe any fires since last inspection. ,1 4211.1111.1.111.11111111111.1111.111.111.111111111111E I.11:
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D.When was the system piping last checked for stoppage,corrosion or foreign merial? C- Yom✓ t
E.When was the dry-piping system last checked for proper pitch? 0Y P 41
F. Are dry valves adequately protected from freezing? ;/..3 �•■fit
yes n.a. no yes n.a. no
INSPECTOR'S SECTION(All responses reference current inspection) c. Has the operation of the air or nitrogen supply been tested?
1. GENERAL ,Is it in service? IX
a.Is the building occupied'? :;, d.Were low points drained during this inspection? 4
b.Are all systems in service? 6, e.Did quick-opening devices operate satisfactorily?
c.Is there a minimum of 18 in.(457 mm)clearance between the top A- f. Did the dry valve trip properly during the trip pressure test? 01
of the storage and the sprinkler deflector? CV g.Did the heating equipment in the dry-pipe valve room operate
d. In areas protected by wet system,does the building appear to be _ at the time of inspection?
properly heated in all areas,including blind attics and perimeter
areas,were accessible?Do all exterior openings appear to be Q+ .. 7. SPECIAL SYSTEMS(See item 16)
protected against freezing? , a.Did the deluge or pre-action valves operate properly during testing?.. 9(
e. Does the hand hose on the sprinkler system appear satisfactory? b. Did the heat-responsive devices operate properly during testing? a
c. Did the supervisory devices operate during testing? d
2. CONTROL VALVES(See item 14) •
a.Are all sprinkler system control valves all all other valves in the Q 8. ALARMS
Of
appropriate open or closed position? I a.Did water motor and gong test satisfactorily? pp..
b.Are all control valves in the open position and locked,sealed or b. Did electric alarm test satisfactorily?
equipped with a tamper switch? c. Did supervisory alarm service test satisfactorily?
a
3. WATER SUPPLIES(See item 15)
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9. SPRINKLERS
a.Was a water flow test of main drain made at the sprinkler riser? Yt a.Are all sprinklers free from corrosion,loading or obstruction to spray _4 ,t;
discharge? N
4. TANKS,PUMPS,FIRE DEPARTMENT CONNECTIONS b.Are sprinklers over 50 years old,thus requiring sample testing? q
a. Are fire pumps,gravity tanks,reservoirs and pressure tanks in I' c. Is stock of spare sprinklers available?
good condition and properly maintained? d.Does the interior condition of sprinkler system appear to be ,y
b. Are fire department connections in satisfactory condition, satisfactory? "1
couplings free,caps in place,and check valves tight?Are
they accessible and visible? 10. Date dry-pipe valve trip tested(control valve partially open) I 2.? O Z
(see trip test which follows)
5. WET SYSTEMS(See item 13)
a. Are cold weather valves(O.S.&Y)in the appropriate openoe 11. Date dry-pipe valve trip tested(control valve fully open) L'1,
or closed position? (see trip test which follows)
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b. Have antifreeze systems solutions been tested? l
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c. Were the antifreeze test results satisfactory? 12. Date quick-opening device tested(see ASCOA trip test report)
6. DRY SYSTEMS(See items 10 to 14 and attached report) 4 13. Date deluge or preaction valve tested
a.Is the dry valve in service?
b. Are the air pressure and priming water level in accordance 14. See Control Valve Maintenance Table.
with the manufacturer's instructions?
CONTROL MAINTENANCE TABLE
Control Valves Number Type Open Secured Closed Signs Explain Abnormal Condition
System Control Valves f Z as'', f/C-1 /t:-.0 "a..."
Other Control Valves / /
15.WATER FLOW TEST
Test Pipe Size Pressure Flow Pressure Test Pipe Size Pressure Flow Pressure
Located Test Pipe Before Pressure After Located Test Pipe Before Pressure After
n/.T. Com,oNeL 2.1 eo ?_1"- 6/d
16.Type of Equipment /0 L' tiV Condition: .4-lid J
Manufacturer: . Model:
Auxiliary Equipment:No? Type? Location? Test Result?
17.Explain any"No"answers and comments: iC-"- /e
18.Adjustments or corrections made during this inspection: .1/G',i /C.•
19.Although these comments are not the result of an engineering review,the following desirable improvements are recommended:
WHITE:CLIENT YELLOW:OFFICE PINK:INSURANCE AUTHORITY
,,13E-GUgkb
FI R E''I UAR D -`65 White Bear Ave. No., Suite C
cn U St. Paul, Minnesota 55109
IN,j , Jw SPRINKLER SERVICE, INC. PH:651-748-9499 • FAX:651-748-9143
4, O
� Z ti4`� MN License No. C00018
4 5 DRY PIPE VALVE TEST
NAME OF PROPERTY: "-y /?lle/i -� DATE: //z ) / .9'
ADDRESS: S t, '�c, co ,tc`i tL- ISO FILE NO.
DRY PIPE VALES
NO. 1 NO. 2 NO.3
SIZE, MAKE, MODEL&YEAR 1/ i' ec Z, /3
OF MANUFACTURER
CONTROL SPRINKLERS IN l `)/e L e e
PRESSURE(LB.) AIR 9 Z
BEFORE TESTS WATER
CONTROL VALVE WIDE OPEN?
(IF NOT, HOW MANY TURNS?) ��f )-N-5
OPERATED AT:
AIR PRESSURE(LB.)
TIME(MIN.,SEC.)
OPERATION INDICATE:
(SATISFACTORY, PARTLY s J 1.if ,c/t ,_ „
SATISFACTORY,OR FAILED) '/'�
REASON FOR FAILURE OR
PARTLY SATISFACTORY
VALVE RESET DRY? j..
LIST REPAIRS MADE AA/
CONDITION:
INTERIOR OF BODY
WATER FROM.TEST PIPE
MOVING PARTS
SEALS
RUBBER FACING
ALARMS OPERATED? 7( J
QUICK OPENING DEVICES
MAKE, MODEL,YEAR J
OPERATION INDICATE: A//‘i
SATISFACTORY,FAILED OR SHUT OFF
SIGNATURE AND TITLE OF PERSON MAKING TESTS COMPANY NAME AND DDRESS
/ Aa/
WITNESS(OWNER OR LEASEE OF THE PROPERTY) DATE F EXAMINATION
WHITE:CLIENT YELLOW:OFFICE PINK:INSURANCE AUTHORITY