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P.E. CARUSO COMPANY INC.
BOCKLAND, MA O237O
oa1l871-O7s7
FIRE ALARM INSPECTION REPORT PAG
INSPEC
F 16357
Rockland Trust Co
biannua 1 Alarm Central
1
s- ?ar outh, !,!A
s. Yardouth F
TO LOCATI
288 Reat Unlon st.
Rockl-and, MA 02 370
CUST.
MASTEB/TRANSMITTER BOX NO
FBEQUENCY CS
# ALARM CIFICUiTSN,/ A AHJ
fiYes
Loop Besistance of
Line Type Heat Detection
! N.A.
a. Did audible alarms test satisfactorily?
b. Did visible alarms test satisfactorily?
4. Automatic tire detectors
a. Did heat detectors test satisractorily?
b. Did smoke detectors test satisfactorily?
c. Did flame and/or gas detectors test satisfactorily?
5. Sprinkler waterflow and supervisory devices
a. Did waterflow switches test satisfactorily?
b. Did pressure switches test satisfactorily?
c. Did supervisory switches test satisfactorily?
5. Manual fire boxes and two way telephone
a. Did manual fire boxes test satistactorily?
b. Did two way telephones test satisfactorily?
7. Emergency Call
a. Did emergency call system test satisfactorily? n Yes
8. Miscellaneous
a. Did miscellaneous devices test satisfactorily? E Yes
9. Master box or other connection
a. Did master box or other connection test satisfactorily? S Yes
10. System left in service F Y* E No
ENo
nNo
ENo
ENo
ENo
ENo
trNo
ENo
ENo
ENo
Ives
fifYes
E[ Yes
El Yes
E Yes
E Yes
E Yes
E Yes
I Yes
E Yes
! N.A
f] N.A
f] N.A
N N.A
E N.A
ts N.A
F N.A
str N.A
tr N.A
E N.A
M ru.n
tr N.A
tr N.A
trNo
trNo
trNo
12. Adjustments or Corrections Made
13. Parts Beplaced
14. The lnspector suggests the tollowing necessary improvements, repairs, or replacements. These suggestions are not the result
ol an Engineering Survey
. 15. lnspector suggested improvement, repairs, replacemenls were discussed with the undersigned owner or owner's
SIGNATURE OWNER OR RE {PRINT NAME)
4
DATE
E
tr N.A
representative E Yes n No fl N.A APP16. Explanation of "No" Answers
t o'zr-{*P"T DATE
428 Station Ave.
lnspector's Seclion (All responses relerence current inspection) N.A. = NOT APPLICABLE
1. Control and Supervisory Panels
a. Did all electrical controls, supervisory panels and annunciator panels test satisfactorily?
b. Did system trouble signals test satislactorily? [Yes E No tr N.A.
2. Secondary (stand by) power supply
a. Are batteries in satisfactory condition? Bnfes D No fl N.A.'- 3. Alarm lndlcating Appliances
ENo fl N.A.