HomeMy WebLinkAbout2025-09-03 Metro Alarm Fire Alarm Inspection & Test Report1, .
U� Underwriters Laboratories Inc. @ ALARM SERVICE #S8526-1
�� � 3921 West 143RD Street • Savage, MN 55378
Alarm & Lock 952-890-6684 Dispatch 952-346-9452 Llc#TS00401
$eV,q❑—E ftf°dlq f"PW9 SM. 1974 www.metroalarmco.com • service@ metroalarmco.com
www.metroalarmco.com
ACCT. NO. (�7�€. - %Y j g� SERVICE CALL NO.
U.L. CERTIFICATE NO.
DATL —3 —2
CUSTOMER ,Q , ��G C
CONTACT
TITLE
ADDRESS ` �- 7y
--
PHONE ' ko3 -7 << '
BI-MONTHLY _S MI -ANNUAL
— ,F
_MONTHLY ANNUAL
_QUARTERLY _FINAL
CITY 6t vi ��� _
STATE M, ZIP
CONTROL PANEL
MANUFACTURE MODEL NO.
LOCATION o p.
TYPE OF SIGNALING
�GENERAL ALARM —SELECTIVE SIGNALS —CODED _PRE -SIGNAL
POWER CIR. �ELOCATION (NO. LOCID CIR. BRKR. �QE`DICATED CIR.
SOURCE t ES —NO op _YES —NO
BA RIES - LOAD TEST b E #
ASS _FAIL DATED � � �
TROUBLE RESPON TO ZONE TROUBLEST,�rNAL TROUBLE AC ` P POWER LOSS
CONDITIONS RMAL_NOT6 — ORMAL_NOTE ORMAL_NOTE
COMMUNICATOR
MANUFACTURE MODEL NO.C�° 5' L1_Cw;, C-
�s
LOCATION a /
BATTERIES - LOAD TEST NOTE#
_PASS _FAIL C Lv DATED
POWER CIR. BRKR. LOCATION NO. LOCKED CIR. BRKR. DEDICATED CIR.
SOURCE _YES _NO YES _NO
CENTRAL MONITORING RESPONSE TO ALARM
STATION L ORM _NOTE
TROUBLE RESPONSE TO ZONE TROUBLE SI NAL TROUBLE AC/ P POWER LOSS
CONDITIONS _v6RMAL_NOTE JORMAL_NOTE RMAL_NOTE
COMMUNICATOR PRIMARY # B
COMMUNICATOR SECONDARY #
FIRE RADIO ANTEN CUT
_PASS _FAIL
C ULAR
_PASS _FAIL _NA
INTERNET �
_PASS —FAIL s.lA NOTE #
AUXILIARY FUNCTIONS
ANNUNCIATOR (MFG)
MODEL
TYPE _INCAD _GRAPHIC CRT
_LED _DROP LCD
VOLTAGE
„- 6C,
NO. OF ZONES
UNUSED PTS.
ELEVATOR RECALL TO PRIMARY FLOKI
FIRE RECALL _NORMAL _NOTE _ /A
RECALL TO ALTERNATE FL 2
I _NORMAL _NOTE _7,KA
ELEVATOR RESTART
FROM FIRE SUC. AUTOMATICALLY YES _NO
SPRINKLER SYSTEM: METRO ALARM'S INSPECTION ONLY INCLUDES A FU;N�CT ONAL TEST. e�
ACTUAL FIRE SPRINKLER TEST WAS DONE BY: l Z - DATE: d
PERIPHERAL FUNCTION TEST
DEVICE
FLOOR
VOLTS
MFG & MODEL #
NOTE
Manual Stations
Heat Detectors
Smoke Detectors
1
Duct Detector
Waterflow
GVT
PIV
Low Air
Low Temperature
Horn Only
Strobes Only
Horn / Strobes
Mini Sounders
Door Holders
Ansul
BPS
NOTATIONS
AND
COMMENTS
CUSTOMER PRINT:
SERVICE TECH PRINT: �� l
CUSTOMER SIGNATURE:
SERVICE TECH SIGNATURE: 7