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ALARM INSPECTION REPORT
Occupancy: Cuffu's Clearance Store
18 Reardon Circle
SouthYarmouth , MA 02664
Site Contact: Brian Adams
Telephone (508) 760-3285
Alarm System is a (X) Fire System (X) Security System
Alarm System Reports to:(X) Cape Cod ,A,larrn Co., Inc.
( ) other: Loc4l
The Alarm System at the above location was tested, and all parts ofthe above system
were found to be, or corrected to be operational,
Comments: Need to replace on smoke detoctor in the right front area
I)ate'Iested: 03101/07 Bv: 'fhomas
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MA Contractors License # 1592C
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Fax: O[ficr lrOB) 198,1666 * Fnx: Crrrnnl Srnrion (508)760,2012
MA Licensr No. lI92C
Inspection and Testing Report
Property: Cuffy's Clearance Store
Transmission Type:
( ) Mcculloh
( ) Multiplex
(x) Digital
( ) Reverse Polarity
ORF( ) Master Box _
Panel Manufacture: Napco
[,ocation: Electrical Closet
Number of Circuits: I
Last date system had any service performed: 03/01/07
Last date that any software or configuration was revised:
Inspection Schedule( ) Weekly
( ) Monthly
( ) Quarterty( ) Semi-Annually
(X) Other: Annuallv
Model Number: 816
Circuit Styles: Class B
Software Rev.:
Alarm Initiating Devices and Circuit Information
Circuit StyleQty of
-)
8
Transient Suppressors
Remote Annunciators
Notifi cation Appliances
Audible
Visual
Speakers
Voice Clarity
Class B
Manual Stations
Ion Detectors
Photo Detectors
Duct Detectors
Heat Detectors
Water flow Switches
Supervisory Switches
Other:
Comments
Class B
ASSP
(
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)
)
)
)
)
)
)
(x
(x
(
(
ail
)
)
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)
F
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Inspection and Testing Report
Property: Cuffy's Clearance Store
Initiating and Supervisory Device Tested and Inspections
Loc. & S/N Device Visual Functional Factory Meas. PassType Check Check Setting Setting
Emergency Communications Equipment
Visual Functional Comments
Phone Set
Phone Jacks
Off Hook Indicator
Amplifier
Tone Generator
Call In Signal
System Performance
Interface EquipmentVisual Functional Simulated Operation
Fail
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
S
S
S
pec
pec
pec
fy
fy
fy
()
()
()
()
()
()
()
()
()
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()
Speci&
Specify
Special Hallard Systems
() ( )() ( )
Secondary (Stand-by) Battery
Storage Battery: Amp-Hr Rating _5_ Calculated
Calculated capacity to operate system in hours:_ 24 60
Engine -driven Generator Dedicated to Fire Alarm System:
Location of Fuel Storage:
Type of Battery( ) dry cell( ) nickel cadium
(X) sealed lead acid( ) lead acid ( ) other
Inspection and Testing Report
Property: Cuffu's Clearance Store
Emergency or standby system used as a backup to primary power supply, instead ofusing
a secondary power supply:
Emergency system described in NFPA 70, article 700
Legally required standby described in NFPA 70, article 701
Operational standby system described in NFPA 70, article 702, whtch also meets the
performance requirements of article 700 or 701.
()
()
()
Notifications Are Made
Monitoring Entity
Building Occupants
Building Management
Other:
AHJ notifred of any impairments
Control Panel
Interface Equipment
Lamps/LED's
Fuses
Primary Power Supply
Trouble Signals
Disconnect Switches
Ground Fault Monitoring
Secondary Power
Battery Condition
Load Voltage
Discharge Test
Charger Test
Specific Gravity
Bells
Homs
no
Comments
Speakers
Hom/Strobes
yes
(x)
(x)
cx)()
()
()
()
()
()
()
(x)
(x)
(x)
Alarm Indicating Appliances and Circuit Information
Qty of Circuit Style Qty of Circuit Style
Strobes
()
()
(x)
()
()
()
(x)
(x)
(x)
cx)
(x)
(x)
cx)()
()
(x)
(x)
()
()
()
()
()
()
()
()
I Class B
Chime/Strobes
Number of indicating circuits: I Are circuits supervised? (X) yes ( ) no
Prior to Testing
System Tests & Inspections
Visual Functional
Inspection and Testing Report
Property: Cuffy's Clearance Store
Supervisory Signal Initiating Devices and Circuit Information
Qty Circuit Style
Building Temp.
Site Water Temp
Site Water Level
Fire Pump Power
Fire Pump Running
Fire Pump Auto Position
Fire Pump/Pump Controller Trbl.
Generator In Auto Position
Switch Transfer
Generator Engine Running
Other
Signaling Line Circuits
Quantity and style (see NFPA 72, table 3-6.I ) of signaling line circuits connected to
system: Qty.
Stem Power Supplies
I'rimary (main): Nominal Voltage _I iOv Amps _20_
Overcurrent Protection: Type _Circuit Breaker_, Amps
Location (panel no.)
Discorurecting Means Location
Specia[ Procedures
Comments:
On/Off Premises MonitoringYes No
Alarm Signal (X ) ( ) Supervisory Signal
Alarm Restoral (X ) ( ) Supervisory Restoral
Trouble Signal (X ) ( )
Notifications That Testing Is Complete
Yes No
Building Management (X) ( ) Building Occupants
Monitoring Agency 6) ( ) other (specify)
The following did not operate correctly:
es
)
)
Y
(
(
No
()
()
Yes No(x)( )( )( )
System Returned to normal operation on 03/01/07 at 16:00
stvle(s)
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