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Sprinkler Inspection Certificate
For
BELLEW TILE AND MARBLE
280 ROUTE 28
WEST YARMOUTH, MA 02673
Tested to NFPA Standards
This Inspection was performed in accordance with NFPA 25 Standards. The subsequent pages of this
report provide performance measurements, listed ranges of acceptable results, and complete documentation
of the inspection. Whenever discrepancies exist between acceptable performance standards and actual test
results, notes and/or recommended solutions have been proposed or provided for immediate review and
approval.
Inspection Date:
7/30/2026
Inspector Name: Nick Narciso - T5
Title: Service Technician
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Report of Inspection, Testing & Maintenance
of Wet Pipe Pre-Action/Deluge/Dry Fire Sprinkler Systems
(Weekly and monthly inspection tasks are NOT included in this report)
Inspecting Firm: Fire Equipment Inc.Inspection Contract#:BELLEW TILE AND MARBLE - Child - Annual - 726 - Sprinkler Inspection
Property Name: BELLEW TILE AND
MARBLE
Street: 280 ROUTE 28 City/State/Zip :WEST YARMOUTH,MA 02673
Inspection Frequency: Annual Inspector Name: Nick Narciso - T5 Date: 7/30/2026
Installed Product: WB 00084433 Product Name: Dry Sprinkler Equipment Location: Building
Annual Testing for Wet Pipe/Deluge/Dry Sprinkler Systems
System in service before testing Yes
Pertinent parties notified before testing Yes
Adequate drainage provided before flow testing Yes
Hydraulic nameplate attached and legible with system identification signs Yes
Alarm device free from physical damage Yes
FDC is visible, accessible and undamaged with caps and autodrain in place Yes
FDC automatic drain valve in place and operating properly Yes
PRV in good condition N/A
Priming water level tested (pre-action/deluge/dry)N/A
Low air pressure alarms tested (pre-action/deluge/dry)Yes
Forward flow test conducted at maximum rate possible Yes
Static PSI 70 psi
Residual PSI 65 psi
Time for supply pressure to return to normal 5 sec
Is there an Antifreeze loop?
What area is protected by loop?
Glycol_Freeze_Point_(degrees_F)
Supervisory switch initiates distinct signal during first two hand wheel revolutions or before valve stem moved one-fifth
from normal position
Yes
Signal restored only when valve returned to normal position Yes
Water flow alarm tested and is operational Yes
Test conducted with inspector’s test connection N/A
Piping appears free of mechanical damage Yes
Sprinklers appear free of paint Yes
Sprinklers appear free of physical damage Yes
Clearance appears to be adequate between sprinkler and building contents Yes
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Spare sprinklers are of proper number (at least 6), type and temperature rating Yes
Wrench available for each type of sprinkler Yes
Sprinkler valve trip tested at full flow N/A
Pressure reading at hydraulically most remote nozzle or sprinkler psi
Pressure reading at the deluge valve psi
Manual actuation device operated satisfactorily N/A
Dry pipe valve trip tested with control valve partially open (required at full flow every 3 years)Yes
Operating Stems of OS&Y (including backflow) valves lubricated N/A
Valves completely closed and re-opened N/A
Drain Test Conducted after control valves re-opened
Automatic air pressure maintenance devices tested in accordance with mfg. inst.Yes
System tagged and left in service Yes
Pertinent parties notified after conclusion of maintenance Yes
ALARM PANEL CLEAR N/A
SYSTEM RETURNED TO SERVICE Yes
Five Year Internal Completed On 7/30/2026
Next Five Year Inspection Due 7/30/2031
5yr Due Now No
COMMENTS:
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DEVICE SHEET
Devices for Product: WB 00084433
Device Type Manufacturer Model Address Location Test Results
Control Valve Kennedy 6” OS&Y City side backflow Pass
Tamper_Switch Potter OSYSU-2 Zone 1 City side backflow
control valve
Pass
Back Flow Preventor Conbraco 6” Model 6 DC Sprinkler room Pass
Control Valve Kennedy 6” OS&Y System side
backflow
Pass
Tamper_Switch Potter OSYSU-2 Zone 1 System side
backflow control
valve
Pass
Dry Pipe Valve Globe 6” Model G3 Sprinkler room Pass
Low Air Switch System Sensor EPS40-1 Zone 1 Alarm valve Pass
Pressure Switch Potter PS10-2A Zone 2 System waterflow Pass