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Vico Fire & SimplexGrinnell <br /> 4. INSPECTION CONTRACT <br /> INSPECTION REPORT Security lQ <br /> NO. 1�: <br /> ..................... :................. C�il� BUREAU FILE ...................................... <br /> CONFERRED WITH REPORT OF INSPECTION %/4/1/ F® <br /> per NFPA 13 & 25 Cp. NO. ....... ............................. ... <br /> ....+................................j...j...................._...................__........ y e� SET 1 OF 2 <br /> REPORT TO r) �/'✓d CA-)03 D BUILDING OR LLOea 4fiN INSPECTED �(20tti i <br /> STREET ,3 u T (U L•4•*)A41.—A -I A (!tI _ d/INSPECTOR t Q <br /> CITY&STATE a gf)A) ('t pi 4 t ZIP -�-S sC, SG OFFICE V)- I/7 ``> PHONE NO. 6l-!----Doc, <br /> ATT. DATE / - j " 0 G <br /> 1.GENERAL Yes N.A.$ No° <br /> A. (To be answered by the Owner or Owner's representative) <br /> a. Have there been any changes in the occupancy classification,machinery or operations since the last inspection? (f <br /> b. Have there been any changes or repairs to the fire protection systems since the last inspection? v <br /> c. If a fire has occurred since the last inspection,have all damaged sprinkler system components been replaced? CZ <br /> d. Has the piping in all dry systems been checked for proper pitch within the past five years? <br /> Date last checked AC-LA-) Z o(-)Z-- (checking is recommended at least every 5 years) <br /> e. Has the piping in all systems been checked for obstructive)materials? <br /> Date last checked i`''C- IA.) '2-(7.:D-2.._. (checking is recommended at least every 5 years) <br /> f. Have all fire pumps been tested to their full capacity through the use of hese streams or flow meters within the past 12 months? _ <br /> g. Are gravity,surface or pressure tanks protected from freezing? 1.-- <br /> h. <br /> .h. Are any of the sprinklers 50 years old or older? (testing and/or replacement is recommended for such sprinklers) ✓ <br /> i. Are any extra high temperature solder sprinklers regularly exposed to temperatures near 300°F? <br /> B. (To be answered by the inspector) <br /> a. Have the sprinkler systems been extended to all visible areas of the building? ,.../ <br /> b. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? t/ <br /> c. Are the building areas protected by a wet system,heated,including its blind attics and perimeter areas,where accessible? . a -- <br /> d. Are all visible exterior openings protected against the entrance of cold air? <br /> 2.CONTROL VALVES re. <br /> ^3s-d>, <br /> a. Are all sprinkler system main control valves and all other valves in the appropriate open or closed position? -''`:-::!:.••,, <br /> b. Are all control valves sealed or supervised in the open position? 7 :'. <br /> No. Easily Valve Secured? Supervision <br /> Control of Type Accessible Signs Openhow? (Sealed?) Operational <br /> ypIf yes, ? P <br /> Valves Valves (Locked.) <br /> — <br /> Yes No Yes No Yes No Yes No (Supvd.?) Yes No <br /> CITY CONNECTION / / V ✓ (f (,�- ✓ _Sip✓d `./ <br /> TANK <br /> PUMP <br /> SECTIONAL ✓ ✓ ,/ ,5up� v <br /> SYSTEM I t/ to,-- f,/ c,.-- �jr/Q+/d L.. .- <br /> ALARM <br /> ALARM LINE <br /> 3.WATER SUPPLIES Pressure Fire Pump&Tank <br /> a. Water supply source? City I Gravity Tank Pressure Fire Pump&City <br /> Waterflow Test Results Made During This Inspection Pressure Fire Pump&Pond <br /> Test Size Static - Static Test _ . Size - Static Static <br /> Pipe Test Pressure Flow Pressure Pipe Test Pressure Flow Pressure <br /> Located Pipe Before Fptessure After Location Pipe Before Pressure After <br /> g Std YE-- all' 9 0 ..S'S' 7 S <br /> 4.TANKS,PUMPS,FIRE DEPT.CONNECTIONS Yes N.A.$ No- <br /> r.." <br /> a. Do fire pumps,gravity,surface or pressure tanks appear to be in good external condition? <br /> b. Are gravity,surface and pressure tanks at the proper pressure and/or water levels? I..."' <br /> c. Are fire dept.connections in satisfactory condition,couplings free,caps or plugs in place and check valves tight? <br /> d. Are fire dept.connections visible and accessible? t./ <br /> 5.WET SYSTEMS fIt/ �C <br /> a. No.of systems / Make&Model vV t ` O+ <br /> b. Are cold weather valves in the appropriate open or closed position? I., <br /> If closed,has piping been drained? '---' <br /> c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA? <br /> d. Have all the antifreeze systems been tested? <br /> e. Date antifreeze systems were tested <br /> f. The antifreeze tests indicate protection to: <br /> system 1 2 3 4 5 temperature <br /> g. Did alarm valves,waterflow alarm indicators and retards test satisfactorily? 1.! <br /> $Not Applicable ... <br />