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Home My WebLink About2010-07-16 Ahern Fire Protection Annual Fire Protection Systems Inspection Report LID #: 3150313 0 Page 1 of 3 Ahern Fire Protection 13705 26th Avenue, Suite 110 Annual Sprinkler Work Order #: M MN 55441 Sy stem Inspection 853122 - - (763) 268 0515 p • (763) 268 0516 f J p :AH ERANV 'For Month/Year: www.ahemfire.com • Since 1880 Report July 2010 !Invoice: SHILO AUTOMATIC SPRINKLER EAST COAST OFFICE (Phone #: ,(208) 466 -0006 'Street: 2362 SPARTA ROAD City: NORTH WILKESBORO State: NC Zip: 28659 - (Location: Lowe's #2315 Dept.: Street: 1 5888 Nova Scotia Ave N City: Oak Park Heights State: MN Zip: I Phone #: (651) 275 -9910 Fax #: ((651) 275 -9911 (Foreman: (Andy Zarbok Date: Signature: r .- Wet 4 Foam FireDoors (Suppression BF RP (Dry 2 Alarms FirePumps 1 Anti Freeze IBF DC - � _ p Preaction Detectors ValveTT 2 Water Spray 1BF Generi (Deluge (Hydrants IBF Lincoln (Stand Pipe/Hose (Internal Sprinkler IBF Omaha Contacts: Mark Holey Direct: (208) 466 -0006 Ext: ' Deficiency Cell/Pager: (ALARM DEVICES TESTS Y N N/A 1. Did waterflow or pressure switches operate satisfactorily? -------------------------- - - - - -- - --------------- - - - - -- ' 2. Did tamper switches operate satisfactorily? ---------------------------- ------------------------------- - 3. Did water motor alarm gongs or electric bells operate satisfactorily? --------------------- -_ _ ----------------- - - - - -- - _ ----------- - - - - -- -N' 4. Did alarm service or central station operate satisfactorily and receive proper signals? ------------- - - - - -- f J (ALARM SIGNALS (System# (Test Times - 15 YEAR INSPECTION Y N N/A 1. Was the 5 year Inspection performed on the following items? --------------------- - - - - -- - - -------------------- A. Alarm valves B. Check valves CC L ,. C. Gauges I 1 AUij 3 , ._ D. Internal Examination of Piping Date due: - ' CITY 5 -YEAR TESTING `OA PARK K-101-IT" Y N - NIA I 1. Was the 5 year testing performed on the following items? ---- ------------------------- - - - - -- - - --------------- - - - - -- - _---------------- __------ A. Sprinkler heads in corrosive environments or rated 325° F or higher. Date Due: ------------ - - - - -- - - -- B. Standard sprinklers in service for 75+ years. Date Due: ----------------- - - - - -- --------- _____ ----- - 110 -YEAR TESTING Y N /A 1. Was the 10 year testing performed on the following items? _- -------------------- -------- - - - - -- A. Standard sprinklers in service for 50+ years. Date Due: B. Quick response sprinklers in service for 20+ years. Date Due- ------------- - - - - -- -- — - C. Dry pendant sprinklers. Date Due: _ _ _ _ - _ - - - - - -- - - -- - This document PROPERTY OF AHERN FIRE PROTECTION Copyright 2005 1 F. Ahem Co REPRODUCTIONS IN ANY FORM VIOLATES COPYRIGHT rptInspection_Annual LID #: 3150313 Page 2 of 3 ICONTROL VALVE SERVICE � Y N N/A 1. Were the following service items performed on all control valves? A. Fully opened and closed? B. Valve packing checked? ------------- -- -- -- - - -- - -- - - - - - --- - - - -- ---------------- C. Valve stem lubricated? — --------- - - - - -- -- - - - - -- — D. Is the valve properly secured and locked in it's normal operating position? IBACKFLOW PREVENTOR TEST Y N N/A 1. Did the backflow preventor(s) pass the test of backflow and forward flow capabilities? ------ - - - - -- -- --------------- -- (ANTI- FREEZE TEST Y N N/A 1. Has the anti -freeze solution for each system below been tested by measuring specific gravity? ----------------- -- ----------- - - - - -- �r (HANGERS AND SEISMIC BRACING Y N ' N //A 1. Did hangers and seismic bracing appear to be in good condition, firmly attached, and free from corrosion, from a visual inspection performed from floor level? -- -- ------------ - - - - -- --- - - - - -- - - - - - -- 17, 1 PIPING Y N N/A 1. Was the exterior of exposed sprinkler piping in good condition, not subjected to external loads, free of mechanical damage? y F NOTE. Piping located in concealed spaces, such as above a drop ceiling; are not required to be inspected IFIRE DEPARTMENT CONNECTIONS Y N N/A 1. Are fire department connections visible and in good condition? 2. Are caps and plugs in place? ------- -- -- - - -- --------------------------- t 3. Are automatic drain valves operating properly? - -- - -- - - --------------- - - - - -- - ------------- - - - - -- ----------- - - - - -- - - - - - -- 4. Do hose connections operate freely? J HOSE RACKS PRESENT? _ Ye _? No CONDITION: Good Fair Bad Y N N/A MAIN DRAIN TEST (System Number j <;, # ;' I ' - F (Static Pressure (Residual Pressure Size of drain 1. Were all main ain: drains tested at full flow? ----- - - - - -- - - - - - - - ----------- - - - - -- -------------- - - - - - -------------- - - - - - - - - - -� El If no, - 2. Were test results similar to the last test? _- ------------ - - - - -- - - -- � - If no, explain: 3. Was there any discharge of obstructive material, heavy discoloration of water, or plugging of the inspector's test connection? - IGENERAL INFORMATION Y N N/A 1. Are all the sprinkler systems in service? - - -- 2. Is the building completely sprinklered? ------- -- 3. Are all sprinklers in good condition? 4. Are all sprinklers free of obstruction? 5. Are spare sprinklers and wrenches available? - — 6 . Is hyd aulic nam plate and information sign s cu ely in and legible? ------ -- -------------- --------- - - - - -- - ----------- - ______ —' 8. Is emergency service contact information readily available? ------------------ - - - - -- - - - ----- - - - - -- - - -- --------- - - - - -- --------- - - - - -- - - 9. Are alarm devices provided and in good condition? 10. Are all standard sprinklers dated 1920 or later? - � - ------------------------------ ------------------- - IOWNER QUESTIONS Y N N/A 1. Any changes in sprinkler system since last inspection? --- " 2. Any fires since last inspection? - ' ------------------------------------------------------ This document PROPERTY OF AHERN FIRE PROTECTION Copyright 2005 1 F Ahern Co REPRODUCTIONS IN ANY FORM VIOLATES COPYRIGHT rptInspection_Annual LID #: 3150313 Page 3 of 3 A. Number of sprinkler heads that operated. B. How long was system out of service? C. Area where fire occured. 3. Are all areas of the building properly heated to prevent freezing where wet pipe systems exist? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j 4. Do ou have an outside alarm service? If yes, name and phone number. Note to Owner - Our inspections will only report conditions as they exist at time of inspection and do not guarantee the operation of the System due to factors beyond our control. (i.e., potentially closed valves or depleted municipal water supply.) Per NFPA -25, this inspection is based on the assumption that the system has been installed in accordance with all applicable codes and standards. / Owner /Representative'sSignature: Date; C New Deficiencies found during this inspection? Yes No Customer receive copy of New Deficiency Report? Yes No A previous inspection for your facility revealed the following deficiency in your Fire Protection System: Def Date: 11/21/2008 System # Quote: Quantity: t' i Def #: 31501379 ; t Casing relief valve pipe Is praggerr�i6m —ditn. .i IF THIS DEFICIENCY HAS BEEN REPAIRED, PLEASE FILL IN DATE OF REPAIR: FOREMAN'S INITIALS:. AHERN FIRE PROTECTION will perform this repair per your verbal or written'approval. Should you elect to proceed with this work, please call or sign and fax or mail a copy of this page. We will call to set up an appointment. Thank you. ACCEPTED BY: DATE: I NOTES SERVICES PERFORMED: J Alarm Test Drain Test Flow Test _' Walk Through Annual Inspection _' Other This document PROPERTY OF AHERN FIRE PROTECTION Copyright 2005 1 F Ahern Co. REPRODUCTIONS IN ANY FORM VIOLATES COPYRIGHT. rptlnspection_Annual �. Electric /Diesel Ahern Fire Protection 13705 26th Avenue, Suite 110 Fire Pump Test Minneapolis, MN 55441 ERN (763) 268 -0515 p • (763) 268 -0516 f www.ahernfire.com • Since 1880 Invoice To: SHILO AUTOMATIC SPRINKLER EAST COAST OFFICE (Phone #: ((208) 466 -0006 Street: 2362 SPARTA ROAD City: NORTH WILKESBORO State: NC Zip: 28659 - LID 3150313 Location: Lowe's #2315 Dept.: Work Order #:853122 Street: 5888 Nova Scotia Ave N City: Oak Park Heights State: MN Zip: Phone #: (651) 275 -9910 Fax #: 1(651) 275 -9911 (Foreman: (Andy Zarbok Total Fire Pumps: 1 Date: Si nature• PUMP JOCKEY PUMP CONTR J. P. CONTROLLE 1 -- - Manufacturer: - { Model: Witnessed by: f { Serial #: 0 �__ - - Model: - -- Capacity: gpm t Serial #: F .w - 7 D 1 t / psi — Voltage: S.O. gpm _ -- PIPING - psi - - Flee H.P.: Sensing Lines per NFPA 20? Size suction in. Check Valves Suction Discharge Bypass di scharge in - e In in in ELECTRI MOT OR/DIESEL ENGINE JJ.P. ELECTRIC_ MOTOR OS Y Valves Suction Discharge Bypass - I * - Manufacturer: in in in RPM: Jockey Pump: Cut in Pressure: Cut out Pressure: 'Nest Header: in. with 2 1/2" Hose Valves. e'_ fr Serial #: t i Roof Manifold: in Voltage: (. Fire Pump: Cut in Pressure: Cut out Pressure: Elec Pump Casing Relief Valve In HP: Diesel Main Relief Valve in AMP: Manual Stop: Auto Air Release in Cycle Gauges Phase: % Auto Stop: Timer min Suction Discharge System M_ odel: ' i , r'. F. P. Electric Motor F. P. Diesel Engine 10 Manual Starts and 10 Auto Starts required during initial setup. Page 1 of 2 This document PROPERTY OF AHERN FIRE PROTECTION Copyright 1998 1 F Ahern Cc REPRODUCTIONS IN ANY FORM VIOLATES COPYRIGHT rptFirePump x. -•. Electric/Diesel Ahern Fire Protection 13705 26th Avenue, Suite 110 Fire Pump Test Minneapolis, MN 55441 ERN (763) 268 -0515 p • (763) 268 -0516 f www.ahemfire.com • Since 1880 Invoice To: SHILO AUTOMATIC SPRINKLER EAST COAST OFFICE (Phone #: ((208) 466 -0006 Street: 2362 SPARTA ROAD City: NORTH WILKESBORO State: NC Zip: 28659- LID: 3150313 Location: Lowe's #2315 Dept.: _- Work Order #: 853122 Street: 5888 Nova Scotia Ave N City: Oak Park Heights State: MN Zip: Phone #: (651) 275 -9910 Fax #: ((651) 275 -9911 (Foreman: (Andy Zarbok Total Fire Pumps: 1 Date: I Signature:, Electric Motor, and I Electric Motor I Diesel Engine Pump Pressure Nozzle /Size Pressure - gpm i I Total Diesel Engine Rating Flow TIME RPM VOLTS AMPS WATER OIL PRESS SUCT DISC NET FLOW TEMP - 0% — — — --------------- - - -• -- Churn 2 -- - - --- -- - -- - -- - - - 3 - - — - -- -- - -- .----- - - - - -- - - -- 4 ---------------------- 5 - - %, Are the values in the above table acceptable? L. Yes No Page 2 of 2 This document PROPERTY OF AHERN FIRE PROTECTION Copyright 1998 1 F Ahern Co. REPRODUCTIONS IN ANY FORM VIOLATES COPYRIGHT rptFirePump Ahern Fire Protection Dry/Preaction/ - 13705 26th Avenue, Suite 110 Date: 7/1/2010 Minneapolis, NIN 55441 e Deluge Pi (763) 268 -0515 p • (763) 268 -0516 f g h Work Order #: g5312 ERN www.ahernfire.com • Since 1880 Valve Trip Test LID #: 3150313 Location: Lowe's #2315 Dep Street: 5888 Nova Scotia Ave N City: Oak Park Heights State: MN Zip: Phone #: (651) 275 -9910 Fax #: ((651) 275 -9911 Foreman: ,Andy Zarbok Date: % t ', Signature: System #: r° „ ystem #: System 5 System Type: Dry (System Type: Dry Valve Serial #: (Valve Serial #: Manufacturer Name: (Manufacturer Name: Tyco Valve Model: (Valve Model: Valve Size: (Valve Size: 6 Controlling Sprinklers Location:,, (•� Controlling Sprinklers Location: J - Controlling Sprinklers Number: appr( Controlling Sprinklers Number: approx. Date of Last System Pressure Test: ' Date of Last System Pressure Test: (Must be done every 3rd Year) (Must be done every 3rd Year) j Date of Last Full -Flow Trip Test: Date of Last Full -Flow Trip Test: ) , (Must be done every 3rd Year) (Must be done every 3rd Year) Date Last Operated: > Date Last Operated: ; Pressure Before Test - Air lbs. Pressure Before Test - Air lbs. Pressure Before Test - Water lbs. (Pressure Before Test - Water lbs. Size and Location of Test Valve: .t (Size and Location of Test Valve: 7 r Was gate valve below dry valve open wide at test? (if not, how many turns ?) I Was gate valve below dry valve open wide at test? (if not, how many turns ?) (Valve Tripped At - Air pressure lbs. (Valve Tripped At - Air pressure lbs. (Valve Tripped At - Water Pressure lbs. Valve Tripped At - Water Pressure f lbs. Valve Tripped At - Time min. sec. Valve Tripped At - Time min. sec. i If system flooded, list time water reached test opening. j ` ' min. sec. If system flooded, list time water reached test opening. ,\! • min. sec. PERFORMANCE Poor Fair - Good PERFORMANCE Poor Fair Good Interior of Body Poor Fair -Good Interior of Body Poor Fair cood (Moving Parts Poor Fair - -- Goode Moving Parts Poor Fair (Rubber Facing Poor Fait Good' IRubber Facing Poor Fair(_4_1 � Seats Poor Fair_ Goo Seats Poor Fair (Reset? C___-Yes No N/A Reset? � Yes' No N/A Did alarms operate at trip test? Yes' No N/A Did alarms operate at trip test? ( Y No N/A Have low point drains been emptied? # - Yes No N/A (Have low point drains been emptied? # Yee No N/A Water control valve left open and sealed? Ye) No N/A lWater control valve left open and sealed? No N/A (Are the valves accessible? -Yes '. No N/A (Are the valves accessible? Yes No N/A Are the valve enclosures heated adaquately? Yes No N/A (Are the valve enclosures heated adaquately? C yos-� No N/A Interior of pipe that passes through freezers } Interior of pipe that passes through freezers free of ice blockage? Yes No :,,_N/A free of ice blockage? Yes No ( N/A Quick Opening Devices Quick Opening Devices Device Serial #: Device Serial #: Device Manufacturer Name: ' Device Manufacturer Name: Device Type and Model: (Device Type and Model: Air pressure in upper chamber lbs. IAir pressure in upper chamber lbs. Quick opening device tripped at sec. lbs. (Quick opening device tripped at 1 sec. j lbs. (Quick opening device left in service, and control open-and sealed? (Quick opening device left in service, and control o sealed? Yes No N/A Yes No N/A AIR COMPRESSOR Plant r I System Manual Automatic Oil Level? Add Oil? Belt Tight? Belt Conditions? Cuts In? lbs. I lCuts Out? lbs., (Tested? I lReset? Yes No N/A Page 1 of I This document PROPERTY OF AHERN FIRE PROTECTION. Copyright 2008 1 F Ahern Co. REPRODUCTIONS IN ANY FORM VIOLATES COPYRIGHT rptValveTripTest Ahern Fire Protection 13705 26th Avenue, Suite 110 New ILID #: Minneapolis, MN 55441 lWork Order #: I (763) 268-0515 p •(763) 268-0516 f E Deficiencies HRN' www.ahemfire.com • Since 1880 AHRN rvoice To: �hone treet: City: State: Zip: ocation: Dept.: Lreet: City: State: zip.. hone Fax #: I — (Foreman: I late: Signature:. stem Number Quantity Location on site Deficiency Description NFPA 2 5 System Opp.rqtion 1;. 4( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 1 of I This document PROPERTY OF AHERN FIRE PROTECTION. Cop 1998 J F. Ahem Co. REPRODUCTIONS IN ANY FORM VIOLATES COPYRIGHT. rptBlank Deficiency