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�} ; tyco Fire & Sin�p/exG�inne// <br /> Security INSPECTION CONTRACT <br /> , , <br /> r..j „ <br /> NO. � � <br /> INSPECTION REPORT REPORT OF INSPECTION BUREAU FI�E _ _ ' <br /> NO. NO. :E <br /> SET20F2 : <br /> 6.DRY SYSTEMS Yes N.A.$ No' <br /> _ a. No.of systems Make&Mqdel � f ' ' " � � � <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 ail 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 a � Make&Model <br /> ' Type <br /> b. Were valves tested as required? <br /> c. Did all heat responsive systems operate satisfactorily? <br /> d.'Oid 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...... 4 <br /> , Valve No. 1......2......3......4......5......6...... Valve No. 1 ......2......3......4......5......6...... <br /> Auxiliary equipment: No. � Type •�=� �' 1=k.` �� � �i :v l.-- <br /> Location - <br /> ? . • t.;... <br /> Test results l �- �f' ' �' . �- � R�' <br /> S.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 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 condition7 <br /> 10.EXPLANATION OP"NO"ANSWERS(For Sections 1B thru 9): <br /> �. <br /> 11.THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS,HOWEVER,THESE SUGGESTIONS ARE NOT THE RESULT OF AN ENGINEERING SURVEY: <br /> + ( <br /> �� <br /> 12.ADJUSTMENTS OR CORRECTIONS MADE: <br /> l ;it «f� <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 IMPROVEM�NTS WEFjE�fSCUSSF�D WITH THE UNDERSIGNED OWNER OR OWNER'S REPAESENTATIVE? <br /> Signature of owner or owner's representative �'� ��� '% �"���'"�"� 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 /> � <br /> INSURA,NCE B�li���i� CO�'Y <br />