HomeMy WebLinkAboutSystem Record of Inspection and Testing Mar 2024SYSTET RECORD OF INSPECTION ANO TESTING
This form is to be @mplo@ by iD sysfen in$€cl*n dnd tesiie @nbacloi' at tr€ ti'Do of a sysr€m t€sL
It $all be ,€/mitted to ndify btis fonn as need€d to pavide I n o@ @mrtb an ot &at twtd.
lns€,rt l\!A in a unuspd linas.
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Inspectiory'Test Stan Date/TirEe 3t21t24 hsp€ctio.r/Test Completion Date/Time 3121t24
SupplerDehtal Form(s) Attached:YES (yeyno)
1. PROPERTY INFORMATION
Nauset Disposal
aadress: 61 Gommonweallfi Avenue South Yarmouth, MA 02664
Service Bay Building
Name of property repesentative:Bill Vvhelan 774-316-1563 (cell)
address: 61 Commonwealth Avenue South Yarmouth, MA 02664
p1,ons. 508-255-1419 ext 320 rax.
2. TESTING AND MONITORING INFORMATION
s-,n61. bill@nausetdisposal.com
Testiag orgaaization Seaside Alarms, lnc.
4,16r".r. '1265 Route 28 South Yarmouth, MA 02664
phone: 508-394-0599 Fan: 508-760-2830 p-*u;1. staff@seasidealarms.com
Centra-Larm, lnc
466,"r.. 994 Candia Road Manchester, NH 03109
phone: 1€00639-4068 Fax:
Ac.ootrumbe. 615-7945 phone tine l: cellular
Mcans of traosmission. cellular
E-mail:
Phone line 2:
Entity to wl ch alams are rstrarsmitted:
3. DOCUMENTATION
Yarmouth Fire Department phone: 508-398-0363
Located at FACP
t"lodet numuer ffi-32
on-site location of $e r€qui.€d r€oqd docufiEnts and site4ecific software:
,I. DESCRIPTION OF SYSTET OR SERVICE
4.1 Cotrtrol Unit
Y-r1".1ro' NaPco
4.2 Softw8rc .lld Firmtvrr.
Firmware revision number:Napco Quickloader 3.3.6
4.3 Systcm Power
4.3.1 Prim8ry (M.in) Powcr
Nominal voltage 120 V Location:
OvercunEnt protection t]?e:Disconnecting means location Breaker
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Name of pmperty:
Description of property:
Monitoring organization:
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SYSTEM RECORD OF INSPECTION AND TESTING (continued)
/t. DESCRIPTION OF SYSTEM OR SERVICE (continuecl)
4J.2 Sccondrry Porvcr
T}?e:Battery Ircstioo: @ FACP
Battery tr?e (if applicable):Gel Cell
Calculafed c{paciay of ba(eries to &ive the system
In standby mode (houn): 24
5. NOTIFICATIONS MADE PRIOR TO TESTING
Mooitoring orgsniz tion Contact:
Building m8|agement Coltact:
Building occupants Contact:
Authority havingjurisdidion Contact:
Other, ifrequircd Contact:
6. TESTING RESULTS
6.1 Cortrol Urit rrd Rcht d Equipmctrt
ln alarn mode (minutes): 5
Time:
Tirtre:
Timei
Time:
Tine:
Comments
Control unit New 3l?1124
CDs
Fuses
l rouble
Disconnect switches
Ground-fault moni
lrcal annunciator
Remote annunc iators
Remote
6.2 SecondarY Powcr
on Commenl3
condition
Load New
Dis tesl
lest
Remote batteries
Visual
lnso€ction
Functional
Tert
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SYSTEi, RECORD OF INSPECTION AND TESTING (continud)
6. TESTII{G RESULTS Gorrtin,B<r)
63 Ahrm rnd Supcrisory Al.rD ltritirtiry Dwicc
Attsch supplementary devic€ test sheets for all initiating devic€s.
6.4 Notilicltiotr Applirrcc!
Attach supplerDentary appliance test sheets for all notificrlion sppli&ces.
6.5 htcrfrcc Equipmcrt
Attach supplementary interface comporEnt test sheets for all interface compooens-
Citcltit lnterlacp / Signoling Line Circtit InterJace / Fire Alarn Conool lnterface
6.6 Slp€rvbitr8 Strtion Monitoriog
Deacri Commentg
Alarm si
Alam restoration
Trouble si
Trouble restoration
rcstoration
6.7 Public Emcrgcncy Alsrm Rcportirg Systcm
Descri Commenls
Alarm
Alam restoration
Trouble
Trouble restoration
restomtlon
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SYSTEH RECORD OF lt{SPECTIOI{ AND TESTING (continud)
7. NOTIFICATIONS THAT TESTING IS COUPLETE
Mooitoring dgardzrlioo
Building mamgern€nt
Building occrpaots
Authority haYing jurisdicti@
Other, ifrcquired
Contac.t:
Corf8ct
Coolact
C@tact:
Cotaa:
Tinre:
Time:
Tinrc:
Time:
Time:
8. SYSTEM RESTORED TO I{ORUAL OPERATIO
Date: 3121 n4 Time: '12 PM
9. CERTTFTCAT|Oi{
This slstem as inspected and tEsted accoding to NFPA 72, 2013 editioL ChTter 14.
printed name: Steve Roberts pa1s. 3122124
Orgarization:Seaside Alams, lnc.1;11". Technician phq1s. 508-394-0599
Qualifications (.efer to 10.5.3)
10. DEFECTS OR MALFUNCTIONS 1{OT CORRECTEO AT COI{CLUSIOI{ OF SYSTEM INSPECTION,
TESTII{G, OR MAI TEI{ANCE
Existing heat deteclors reconnecied lo new panel, age unknown
heat deteclors in high service bay removed
Area protected by sprinkler. Yarmouth Fire Department approved and permited
l0,l AcceptlDce by Owtrer or Owner'! Reprcre rtive:
Th€ undersigned ac{ept€d the test rcport for the system as specified berein
P.inted nanc:Signed:
Organ ization:Title:
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Date:
Phone
Signed:
NOTIFICATION APPLIANCE
SUPPLEiIENTARY RECORD OF INSPECTION AND TESTING
This fom is a supplemo.l1 to the s|r'slen Reco/d d lnspedion aN Testing.
It itlldude$ a notifuation applidnce tesl recod.
This fom is to bo completed by the system inspgclion aod tesiing cgntraclor dt the time ol the inspgction and/or test.
tt sha be Nmitted to .*fr ,no ,i#i"rm!,rinKJoo",i{on *rM. and/or ctear roood.
lnspectior/Test Slan Dd€/Time 312't 124 lnspoction/Test Cornpletion Date/Tihe 312',v24
Nusber ofsupplerbentdl Pages Attached: YES
Name of pmperty Nauset Disposal
r,l.l..*., 61 Commonwealth Avenue South Yarmouth, MA 02664
2. NOTIFICATION APPLIANCE TEST RESULTS
T€st Rosultg
'10 Horn/Strobes
1 Beacon PASS
PASS
PASS
PASS
PASS
Crpyng O 2Or2 itltidEt Fts prct .rbn A!!od.tion. IrE tonr m..y !. co*rd f. trdv d uts olrr thJl b. l! .b. lt ,tt y not b. c.d.d lor co.nnlrdd .ab o. dbtinlrbl.
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Locatiory'ldentifiar
lnterior
Exterior
1. PROPERTY INFORTiATION
PASS
IN]TIATING DEVICE
SUPPLETIENTARY RECORD OF INSPECTION AND TESTING
This lom k a supplamant ro tlro Syslem Recod of lnsryction and Tosling.
It idLdes an initialng devicg tesl acod.
:rhis tonn is to bo co/,,pletad by tt e system inspection aN testing c!,lt,?ctot at the tine of the inspeclion and/or test.
tt shatt b pemifted to *,il ,no tff!i"nffi,,:,:#;r::.. "r,,r* and/or cteor Bcotd.
tnsp€clioo/Test Stan Date/Time:3121t24 lnsp€ction/Test Completion Date/Time:3n1t24
Number of Supplem€ntal rages ettacleo: YES
I. PROPERWINFORTTIATION
Name ofprcperty:Nauset Disposal
e.ddress: 61 Commonwealth Avenue South Yarmouth, MA 02664
2. INITIATING DEVICE TEST RESULTS
Oevice Test Results
7 Pull Stations PASS
'1 '1 Heat Detectors PASS
2 Smoke Detectors PASS
'l Sprinkler Flow PASS
1 Sprinkler Low Air PASS
2 Sprinkler Tamper PASS
Address Location
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