HomeMy WebLinkAboutfire alarm test report 2025Fire Alarm Test Report
ALARM fr NEW ENGLAND
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GLOEAL IECHNOLOGY - LOCAL PEOPLE
Notes/Comments
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E Heat Detectors
El Smoke Detectors
E Manual Pull StationE Co Detectors
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ystem Battery
Notifications Who Sta rt End
Signals E Supervisory M Restoral
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1-800-322-3500 Date -1 1 L'
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E Alarm E Trouble
SYSTEM RECORD OF INSPECTION AND TESTING
fhle lorn ls b ho conplolod by lho syslom lnspeolb| Bnd leslhr, oonhoalor 2l lho llnD ol o syslom l$l'
It sfioll bo pem lod lo ntodty lhls lom aa ttoodsd lo prcvldo a nob aonPlglo |nd/ot alodt tooo 'lnso NlA ln oll unusod lln68.
A aah oddlllonal lhool6, dtli, ot celcutollons os neaosss,y lo ptovldo d oonplelo rccod'
llrlxollory'Ti.ll Slnrl D0tdTi ot D L t /ot<n hlrfta(on[o!t Collplollon Dato/Ti o:*ilu-
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SrDplomorlnl Po.nt(s) All0clre.l:
1, PROFERWINFORMATION
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No,[oofproportyi L-/,r-L-tt., Kor/, .,.Q
Addrorsr 7?8 J.rr.r*q V..rnzrwvth /vlA
Dosorilllon of prolNrlyi
-l- ltLNu$lo olprororly roptoscnlnlivo;
Addross:
Pftouo:Ifox:
2, TE8TINO AND MONITORINO INFORMATION
B.nrolh
Toslhlg orgnIhhlio[:lo.
Arldlals:-L1tt Z+- )4.,) /Y\-O L,qlA
l'lortor Ihxt
Monilorilg orgnnizaliorr;
B.rrroll:
l.r^ Nc.-
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Phortor [ox
Aocot[tnlnrtrri LZ I \t;i llorroliro l:
Mearts of lrsnsrnlsslolll
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[ullty lo rvHoh nhlnr a ro r0lransnritlcd:
8. DOCUMENTATION
On.sllo locrtlol oftlo r6qulrrd rcard do ou rtrorrtr orrd lltcepcolnosoflwnrol
4. DE8CRIPTION OFSY8TEM OR SERVICE
4,1 Corrtrol Ullt
Phono:
Morrtrfaohrroc
'{,2 SofhYn[o nnd Fh'lflunr!
d.3,I l\'luroly (Mollr) Io\rcl
Antpu t 5-LocnlionrNotrlrrol vollogol
Ovorurro,)l protcotlon tyoo: -1j131!lgf Arnpr: r i DkcolnmlhlS nrca$slo*tlon: (..-..t
9C ModolnumUor: 8 3Z
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(D. 'l ol 4)
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lrlrnlvorc mvlslon nrnrhr;
4,3 Syrlom Porvor
8Y6TEM REcORD oF INBFECTIoN AND TEgTlNo (conllnued)
4, DESCRIPTION OF SYSIEM OR sERuIcE (conlhtuod)
,r,3,2 Sc(olrlnly PorYer
Typo:l?.t Locrtlon:
-7
t:-r{cP
Drll6ry lypa (lf appllqf, Uf o):
cfilolrlEled c{p{olty of brttorios lo drlvo llrosyrlonl:
rlW
Irr slnudby nrodo(fiours):
5. NOTIFICATIONS MADE PRIOR TO TEsTINO
Monfiorirrg o4onlzalion Conlaoll
.Bulldilg nrrnogonronl co,r(aol:
Ettlldlttg ocortpnnlr cortlnoli
Allhodty lrvfirgjurirdlollol Corrtool:
Otltor, llrcqrrlnd Cotllaol:
O. TE6TINO RESULTS
6,I ColholUnll nnd Rel0led EqulnrltoDl
Dos lon
Corkolnllt
EDs/LCDs
linaos
h olnffr nlodo(tltlnnlas);5
'l'lnro:
firlo:
Tiuro:
Timo:
Thrrol
2\
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lrlos
Dirconlleot
ld.fflullrlloDilorl
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Losnlnullrnolalor P. t.
llo Ir o16 d nnnlloifltor$
Rolnolo
6.2 Scconde ry PorYor
Desorl tlon Comm6ntg
dltioI q tt
Losd vol
Dhclra
Clrn 16rl
Rsnrolo ol brllorlo!
" I5
FuIollonal
Tostln
VlEuol
tlon
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n
Vl3uol
lnsDeollon
Funotlonal
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SY8TEM RECoRD oF INSPECIIoN AND TESTINO (contl,tttod)
0, TESTING RESULI I (conlhrued)
6,3 Alnrnt nnrl Suponholy Alntu lrllll0l[,g D0vlce
Altsolr sllppto oo(ary dovlco aoll shcoh lbt nll hlllf,tll)g dovlols.
6.4 Nollncnllon AII|lnIco!
A(8oh E(pplcnr6nlnrytrppllanco leslshrrk &r all nollllcllion opplioucos.
6,5 Iltlerfnco Eqtlunel(
Atlaoh snpphNcrllsry i[tcrfnco corllp0nolt lcs( sllc.olE for 0ll illl0lfaco oollllollcnls.
clrcl lh erfucal5ll olhtgLl,nclr llh erfsce /FlrcAkhttcd rol htlotloce
6,6 srUlollhhrg Slfl ll0rt M0nla0rlt)g
Do6otl n commenlo
Alarnr si nl
Alarrt ,6slorA
Troublosl
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s
rostorallon
roslofttlo
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6,7 P[bllc 3uoryoncy Al0rm Relor'(lxg S]raonr
DssoIl colrl Bntg
Alnorr s ol
Trottblo
Troulrlo rosloraliort
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o
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tr tr
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SYSTEM RECoRD 0F lNePEcTloN AND TEBTINo (corrhuod)
Monho lg organlzatlon
Bulldlrtg ntonogolrorl
Bulldlrrg ocoupntrtr
Arthority hrvirrg jurlrdlotlorr
O116r, lf16q[lrsl
'flnto:
Tiuo:
Tinro:
Time:
Tirro:
O. SYSTEM RESTORED TO NORMAL OPERATION
la L8 Tinto:)l;<a)Dalqr
O. CERTIFIOATION
Tlris syrlau ds sp{olflcd horoin hne h.on lrtspe0lcd rrd loslcd a.4ordirrg lo NFPA ?t 2013 dillon, Chnptor 14.
Sigrrcd:uintoe lmrel?, it U rlac.- - ParaV
znllo :Titlo:1-Jrr-LZ J?/DOrganlP[orro:
Qnalificdllons (ro&r lo 10.5.3):
10. DEFEOT6 OR MALFUNGTIONS NOT CORRECTEO AT CONCLUSION OF EYSTEM INSPECTION,
TEgIINO, OR MAINTENANCE
I0,l Accoplslceby O$lrer or, Orynerr! RclroJcnlflalvol
Tlto uttdorslgrred tocoplc{l lho tesl rcporl for lh0 syslon as iDiollie<{ |terolr):
Sigtcrl P ltlexl rtarto:
Orgnnlzaliorr:
Dsle:
Pholoi
(r). 4 ot 4)
7. NOTIFIGATIONS THAT TEsTING 18 OOMPLETE
Collaol:
Conl(oh
Collhol!
Cotl(60ll
Contf,ol;
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'l1lle:
ALARM fr NEW ENGLAND
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GIOBAL IECHNOLOGY LOCAL PEOPLE
Property lit' Cur-,+ Qd
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Notes/Recommendation
Date of lnspection lo 7c 5 Type of Sensivity P=Pass
Detector Location Detector S/D Type F=Fail
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