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i <br /> A r?, FIRE ALARM RECORD OF COMPLETION, continued <br /> 4. 4f <br /> 3. Record of System Operation <br /> Documentation in accordance with Inspection Testing Form,Figure 10.6.2.3,is attached <br /> All operational features and functions of this system were tested byDav L vlsc,r\ date ;mss-/ 7$ /t'a <br /> And found to be operating properly in accordance with the requirements of: <br /> PEI NFPA 72,Chapters( 1 2_ 3..,—._4_1.5,1—,5_,„171 $_�_9 14_,.1.1 (Circle all that apply) <br /> )',.0 NFPA 70,National Electrical Code,Article 760 ctl0 Manufacturer's Instructions <br /> ❑ AHJ or Other Source: <br /> Signed: . ' ...-y:,- - — . Date: ., /1 Sy//(.3 <br /> Organizatitif:G//r . <br /> 4. Signaling Line Circuits Quantity and class of signaling line circuits connected to system(see NFPA 72,Table 6.6.1): <br /> Quantity Style Class <br /> 5.Alarm-Initiating Devices and Circuits Quantic and class of signaling line circuits connected to system(see NFPA 72,Table 6.6.1): <br /> Quantity 5 Style Class <br /> Manual <br /> (a)Manual stations Non-coded Coded Transmitters Addressable <br /> (b)Combination manual firer alarm and guard's tour coded stations <br /> Automatic <br /> Coverage:(Check all that apply) ❑ Complete 0 Partial ❑ Selective ❑ Non-required <br /> Enter quantities and check if the devices are addressable. <br /> (a)Smoke detectors Ion Photo ❑ Addressable <br /> (b)Duct detectors Ion Photo 0 Addressable <br /> (c)Heat detectors FT j RR FT/RR RC 0 Addressable <br /> r <br /> (d)Sprinkler waterflow indicators: Non-coded '( Coded Transmitters ❑ Addressable <br /> (e)The alarm verification feature is ] Disabled ❑ Enabled ,changed from seconds to seconds. <br /> (f)Other(list): <br /> 6. Supervisory Signal-Initiating Devices and Circuits <br /> Guards Tour: <br /> ❑ (a)C.o stations ❑ (b)Non-coded stations <br /> ❑ (c)Crimptylsory guard's tour system comprised of transmitter stations and intermediate stations. <br /> Note:Combination devices are recorded under 5(b),Manual,and 6(a),Guard's Tour. <br /> (Check if provided.) <br /> Sprinkler System: Electric fire pump: Electric-driven fire pump: Electric-driven generator: <br /> sl , (a)Valve supervisory switches ❑ (e) e>ipump power /❑ (h) cpbr in auto position El 4(k)Selector in auto position <br /> ,' (b)Building temperature points ❑ (f)Fire p p running ❑ (i)Engirt' or control panel trouble El (I)control panel trouble <br /> ❑ (c)Site water temperature points 1=I (g)Phalle reversal ❑ (j)Fire bump running El (m)17rtknsfer switches <br /> ❑ (d)Site water supply level points El (n) ngin unning <br /> ❑ Other supervisory function(s)(specify): <br /> Reprinted with permission from NFPA 72®2002,National Fire Alarm Code®,Copyright©2002,National Fire <br /> Protection Association,Quincy,MA 02169. This reprinted material is not the complete and official position of the 1 11 1111 1 1111 11111 110 11111 11111 1 1111 11111 11111 11111 11111 11111 11111 11111 11111 11111 MI 1111 <br /> NFPA on the referenced subject,which is represented only by the standard in its entirety. 0 1 1 0 0 0 5 0 3 0 0 1 0 5 0 8 <br /> F5030-01 <br /> (p.2 of 3) <br /> AHJ <br />