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r ire & SimplexGrinnell <br /> il INSPECTION CONTACT <br /> Security NO. _2e I- <br /> NSPECTION _.. <br /> JPORT .. REPORT OF INSPECTION BUREAU FILE ................................... <br /> NO. ...................../.................._....._.. NO...._. . <br /> (%/". ✓ -/L% A/ ✓"I=' SET 2 OF 2 <br /> 6.DRY SYSTEMS _ -7 <br /> Yes N.A.$ No' <br /> S0,, 4204ei- At <br /> a. No.of systems / Make&Model ,. /7)�� <br /> Date last trip tested <br /> b. Is the air pressure and priming water levels normal? V <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? t/ <br /> h. Is the dry valve house heated? <br /> 7.SPECIAL SYSTEMS yr <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. 1 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? / t/ <br /> b. Did the electric alarms operate during testing? V:,.. <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 premises? <br /> d. Does the exterior condition of piping,drain valves,check valves, hangers,pressure gauges,open sprinklers f <br /> and strainers appear to be satisfactory? V <br /> e. Does the hand hose on the sprinkler system appear to be in satisfactory condition? <br /> 10.EXPLANATION OF"NO"ANSWERS(For Sections 1B thru 9): <br /> )' i ©. 1 . / . 7/�f/'7-'L ).J i ? A-1 I- /?I/ /' 1 , S c,,-;7- C / "1"-) J a <br /> LCL /7 fj) L ,2 7 <br /> 11.THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS,HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: <br /> 14 ;1rErfe >j-}/(1 ,ti.. 4L .Z.;--/� k/ "4'1 /- / I:. 7-)' /i .t"7 is' /--- �l 42C /7L: 1.-" <br /> 7' / c i-7/r:/ A- -Y, L LL//e ,/,>',4:9," /k- ) )//Jv[ fi /)1.> (74/L- et KL ,L4;(-"--1-1 4, U/•-•/L <br /> 12.ADJUSTMENTS OR CORRECTIONS MADE: <br /> Vf'"/'�' / r r/l ' ' �/ .1-1 — t / --- / //C'/ dr i !� - /i( <br /> 13.LIS HANG S I T E O C PAN Y HAZARD O. FIRE PROTE IO EQUIPM T, V 5D BY .HE . NE S,CT A: <br /> ) <br /> v (74/ e j 9 ;,-� .x'11 L i 1 ,- s i/2 FL z �: �- �- 04k, l./ -ftL- f//i4- GuLt= c..-Iy / A7 C GA_. L-/rL.' G , <br /> / <br /> 14.INSPECTION AND SUGGESTED IMPROVEMENTS WERE DISCUSSED WITH THE UNDERSIGNED OWNER OR OWNER'S REPRESENTATIVE? <br /> Signature of owner or owner's representative / Date <br /> DUPLICATE TO: '''i ( _ i <br /> STREET <br /> CITY&STATE , ZIP <br /> ATT. <br /> $Not Applicable <br /> SG4550R1-2 'Explain(No)Answers on Back of Sheet <br /> !MCI IDA NI('C DI IDC=Al I r-,nr:V <br />