HomeMy WebLinkAboutfire alarm test report 2025001ALARM fr NEW ENGLAND
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GLOEAL IECHNOTOGY. LOCAT P EOPLE
Fire Alaym Test Repprt
Site Name
Site Address
Telephone
Contact
anel and Locationfl Heat Detectors
fl Smoke Detectors
E Manual Pull Station
D-Co Detectors
Notiflcations Who Start End
ignals fl Alarm fl Trouble ! Supervisory ! Restoral
Notes/Comments
echnician Si n
'1-800-322-3500 Date
ite Rep Si n
Date
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D Notifi cation Appliances
E -System Battery
SYSTEM RECORD OF INSPECTION AND TESTING
Thls lomb (oho aonplobd by lho syslon lnspoollol ondlesllng oohtoalot allhg lln9 ol o syslon losl.
ll sho bo pornlkd lo ntodlly lhls lonn oi nogdod lo ptovlde a norc aohtplalo and/ot ols rcood,
lnso NlA ln all unused llnos,
Allooh oddlllonal shool6, ddlo, or oarcrrollors 6s ,,eoos9 ary lo Novldo a oonplolo rccod,
llslxotlolt./T,.rl Slrd DaldTilro:
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{. PROFERTYINF
No rllo ofproporty:
ORMATION
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Dosoriplion of prolcrly;
No lo of proporly roprorcnlollvo,
Addrosr:
Plrorro:lax:
2, TESTINO AND MONITORINO INFORMATION
B.rrnlh
Tarlllg orjadarlon: fl(P/(m ^/E0 GL4UO
Phorro:
Addr6tsi
B.noll:
Monilorilg orgRnizaliol:/cl
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Accortnt nrrutrr:
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8, DOCUMENTATION
orr-stlo locatlon ofllo 16qulrtd rec.ord doourrrorrls ond rllc-spccltiosofirvaro:
4, DESCRIPTION OF SYSTEM OR 8ERVICE
,1,1 Conflol Ut(t
Monufaohrroc
,{,2 Sofn}nlo nnd Fh'ltuml[
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lthnuroro rovislon numhr;
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SYGTEM REcoRD oF INBPEcTIoN AND TEST|No (conlinued,f
4, DESGRIPTION oF SYSIEM OR sERulcE (con(nued)
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I)D6:Loc{llon:
SccoNlnryPo\Yer fie
Dal{0ry typo (lf arpllmulo):S€nL€e lea Acb /2 t/ 7A
Irr sln[dby nrodo (lrolr$):/q ,tt slo,lr modo(rlln 16r)r r
5. NOTIFICATION8 MADE PRIOR TO TE8TINO
Monltorin8 o,g0[lzollon Co,rlnoli
Buildilg ntrnogononl conaooli
B[lldhg oco[I{nl! collldcli
Arthodly hivfirglrd.dlollm conldoll
Otltcr, ltrcqrrlrd cot sol:
6. TESTINORESULTS
6.I corll'ol Ulll nnd Reloled Equlnntotl
colkol Unlt
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Ftsos
lloultlo
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Tirno:
Tirto:
Tlrtre:
Comtnonls
Commohte
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Ronrolo
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tq!l
Renrolo
Captrhl,t O20l2 N,Uond ft6 Eotaaton ArgoaLuoo. nL lomr nlry bo (.phd ,o, h*{durl ulo d,11, l}tn lollotdt n mr, not b. o6!t d lor.{.i.sl.ht lllr oi dhvitvts..
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lnlpeotlon
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Crrlouhlcd copaolty ofbaftlrios lo d,lvo llro syrlonr;
sYsTEM RECoRD oF lNePEcTloN AND TESIINO (contht ed)
Doso llon c
Alanrt
Alaltt reslotntiort
rol /,/ss
Troublo P,4g
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d.7 I ubl [c Burorgell cy A l0 rm Relort lxg S]s lonl
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0, TEsTlNo REBU|':fg (aonfinaad)
6,3 Alal,tt and SflIon'ltoly Alol'ur Irlllnlttg D0Ylcc
Attaoh rlrpplouontary dovlco tort rk*ts tor nll hltl6tl0g dovloos,
6.,1 Norlftcnllon AIlllnfl.or
Allaoh s pplcnNoliry appllanao lcsl lh€da for all nollllcrllort oppllorrcos.
6,5 Irtlorfeco B0ulltnerl
Atl0oh {rfltl0Ncrll8}y llllorfrca oorllpomnl tcrt clrcotr for oll ittlstlboo oon[Drl.nls.
Ara lh edhcc l$lgnlhtg, Lhn Clrqtt Inlarltca /Fbo Alan tcot fiot hlotdco
6,6 SlUDlaltlng Slfl llort Mottllorlng
8Y8TEM REcoRD oF INBPEoTIoN AND TEgTlNo (corrrr,ued,
7. NOTIFICATIONS THAT TE8TINC t8 COMPLETE
Monltorlug organlznllo:r
Bllldhrg nlin.go onl
EulldhS ocoupnlll!
Arfi ority hivllg jurhdlollol
Ollur, lfrcqulrcd
Colllacl:
Colllaol;
Conholl
Crnlaoll
Conlaot;
Tlnro:
Tirno:
Thrtor
Timo:
Tinro:
B, $YSTEMRE8TORE TO RMAL OPERATION
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Orgonlznliotr:A,/€Tllto:
Tillo:
O. CERTIFIOATION
Thlt ty.lc$los ip.olrlcd l|,rol$ hn, b.rn l$pcotcd 0[d tost d aooordhg to NFPA ?& 20t3 .ditlon, Clmpt r 14.
Slgrrul:Prilldhrunol DAlo:
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e cll .Y/ c h4t^,,Phonst /o. ?2,36coa
Qunllllcnllorrs (rofcr to 10.5.3)://o*b
,IO. DEFECTS OR MALFUNGTIONS NOT CORRECTED AT CONCLUSION OF SYSTEM INSPECTION,
TESIINO, OR MAINTENANCE
I0,I
^ccoplnIaeby
Owltor or, Ovnol.rr Rcll'qtcnlfltlvot
T[o rrrderslglcd oocoplc.d th6 tost rEport for th0syslorn 0s spolfie<l ler6lr:
Prirrtcd nallu:
'l'ilte:
D[tc:
?hole:Organlz{llol:
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Da(o:
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ALARM fr NEW ENGLAND
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GLOBAL IICHNOLOGY.LOCAL P EOPLE
Property Notes/Recommendation
Date of lnspection Type of Sensivity
Detector Location Detector S/D Type
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P=Pass
F=Fail
ALARM fl NEW ENGLAND
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G LOBA L TECHNOTOGY LOCAL PEOPLE
Notes/RecommendationProperty
Type of Sensivity P=PassDate of lnspection
Detector S/D Type F=Fail
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Detector Location
ALARM fr NEW ENGLAND
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GLOBAL IECHNOLOGY. LOCAL PEOPLE
Property Notes/Recommendation
Date of lnspection Type of Sensivity P=Pass
Detector Location Detector S/D Type F=Fail
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ALARM fr NEW ENGLAND
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GLOBAL TECHNOLOGY - LOCAL PEOPLE
Notes/RecommendationProperty
Type of P=PassDate of lnspection
Detector S/D TypeDetector Location
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GTO BAt TECHNOLOGY. LOCA L PEOPLE
Property Notes/Recommendation
Date of lnspection Type of Sensivity P=Pass
Detector Location Detector S/D Type F=Fail
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GLOSAL TECHNOLOGY. LOCAL P EOPLE
Notes/RecommendationProperty
Type of Sensivity P=PassDate of lnspection
S/D Type F=Fail
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Detector Location Detector
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GLOBAL TEC HNOTOGY TOCAL PEOPLE
Notes/RecommendationProperty
Type of Sensivity P=PassDate of lnspection
Detector S/D Type F=FailDetector Location
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