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�, � <br /> �'yco Fire & Simp/exG�inne// <br /> Security INSPECTION CONTRACT <br /> '. NO. _._ <br /> __.. <br /> A INSPECTION REPORT REPORT OF INSPECTION BUREAU FILE <br /> ; NO. NO. _ _ <br /> SET20F2 <br /> 6.DRY SYSTEMS Yes N.A.$ No' <br /> a. No.of systems Make&Model <br /> - Date last trip tested <br /> b. Is the air pressure and priming water levels normal? <br /> c. Did the air compressor operate satisfactorily? <br /> d. Were all low points drained during this inspection? <br /> e. Did all quick opening devices operate satisfactorily? <br /> f. Did all the dry valves operate satisfactorily during this inspection? - <br /> g. Do dry valves appear to be protected from freezing? <br /> h. Is the dry valve house heated7 <br /> � 7.SPECIAL SYSTEMS <br /> a. No.of systems Make&Model <br /> Type <br /> b. Were valves tested as required? <br />� c. Did all heat responsive systems operate satisfactorily? <br /> d. Did the supervisory features operate during testing? <br /> Heat Responsive Devices: Type Type of test <br /> Valve No. 1......2......3......4......5......6...... Valve No. 1......2......3......4......5......6...... ; <br /> Valve No. 1......2......3......4......5......6...... Valve No. 1......2......3......4......5......6...... ; <br />_ ; Valve No. 1......2......3......4......5......6...... Valve No. t......2......3......4......5......6...... <br /> + Valve No. 1......2......3......4......5......6...... Valve No. 1......2......3......4......5......6...... ; <br /> Auxiliary equipment: No. Type <br /> Location <br /> Test results <br /> '. 8.ALARMS Yes N.A.$ No* <br /> a. Did the water motors and gong operate during testing? <br /> b. Did the electric alarms operate during testing? <br /> c. Did the supervisory alarms operate during testing? <br /> : 9.SPRINKLERS—PIPING <br /> a. Do sprinklers generally appear to be in good external condition? <br /> b. Do sprinklers generally appear to be free of corrosion, paint,or loading and visible obstructions? <br /> c. Are extra sprinklers available on the premises7 <br /> d. Does the exterior condition of piping,drain valves,check valves,hangers,pressure gauges,open sprinklers <br /> and strainers appear to be satisfactory? <br /> e. Does the hand hose on the sprinkler system appear to be in satisfactory condition? <br /> c 10.EXPLANATION OF"NO"ANSWERS(For Sections 1B thru 9): <br /> 11.THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS,HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: <br /> 12.ADJUSTMENTS OR CORRECTIONS MADE: <br /> � 13.LIST CHANGES IN THE OCCUPANCY HAZARD OR FIRE PROTECTION EQUIPMENT,AS ADVISED BY THE OWNER IN SECTION 1A: <br /> � 14.INSPECTION AND SUGGESTED IMPROVEMENTS WERE DISCUS$ED WITH THE UNDERSIGNED OWNER OR OWNER'S REPRESENTATIVE? <br /> Signature of owner or owner's representative ^k—..-- Date <br /> DUPLICATE TO: <br /> STREET <br /> CITY&STATE ZIP <br /> ;:ATT. <br /> #Not Applicable <br /> �: SG4550R1-2 "Explain(No)Answers on Back of Sheet <br /> INSURANCE BUREAU COPY <br />