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:: � ��! tyco Fire & Siinp/exG�inne// <br /> Security INSPECTION CONTRACT <br /> NO. _. <br /> ___ _ <br /> INSPECTION REPORT REPORT OF INSPECTION BUREAU FILE _ <br /> NO. NO. __ <br /> SET 2 OF 2 � <br /> 6.DRY SYSTEMS _ _ _ Yes N.A.$ No" <br /> __ <br /> _ _ __- -- _ - <br /> a. No. of systems Make&_'1Godel <br /> ; Datelas�tri�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 SVSTEMS <br /> a. No.of systems Make&Model <br /> Type <br /> b. Were valves tested as required? <br /> - c. Did all heat responsive systems operate satisfactorily7 <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. 1......2......3......4......5......6...... e <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 /> a 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 premises? - <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 /> 10.EXPLANATION OF"NO"ANSWERS(For Sections 16 thru 9): <br />� 11.THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS,HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: <br /> 72.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 /> i <br /> 14.INSPECTION AND SUGGESTED IMPROVEMENTS WFRE bISCUSSED WfTH THE UNDERSIGNED OWNER OR OWNER'S REPRESENTATIVE? <br /> Signature of owner or owner's representative � ;`" Date <br /> DUPLICATE TO: <br /> STREET <br /> CITY&STATE ZIP <br /> ATT. <br /> #Not Appiicable <br /> SG4550R1-2 � 'Explain(No)Answers on Back of Sheet <br /> INSliRAlVC� 3J�i�AU COF'�° <br />