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Home My WebLink About283 Sullivan Avenue - Life Safety System *Quality DMANARK SECURIrY MEMO C JCV7 EWERS Alarm Systems Since 1985 P.O. Box 1170 „Notionally Known, Loco Owned' Tolland, CT 06084-1170 LIC #181641 Tel. (860) 872-4050 Fax (860) 875-0493 AMK Welding* DynamarkCT@comcast.net 283 Sullivan Avenue South Windsor, CT 06074 Date: 5/20/2011 RE: ANNUAL FIRE ALARM TEST Attached is a copy of the"INSPECTION AND TESTING FORM". This form was completed upon testing the fire system in your building, as required annually. A copy must be kept in a file on the property for a minimum of three [3] years and available if asked for by a building official or fire marshal. 1a;_ c.- Michael G Casieri CC: Fire Marshal WO# 0142 Ofessed 6e the Lord my rock my refuge and my fortress, my stronghofd, my defiverer, my shied in whom I trust. PSALM 144 72-111 INSPECTION,TESTING,AND MAINTENANCE INSPECTION AND TESTING FORM WO#: 0142 DATE:'� l� SERVICE ORGANIZATION PROPERTY NAME(USER) NAME: Dynamark Security NAME: AMK Welding* ADDRESS: P.O. Box 1170 Tolland, CT 06084-1170 ADDRESS: 283 Sullivan Avenue REPRESENTATIVE: Michael G. Casieri South Windsor,CT 06074 LICENSE NO.: 181641 TELEPHONE: (860)289-5634 TELEPHONE: (860)872-4050 CONTACT: Gary Beaumont/Mary Campbell CHECK HERE IF MAILING ADDRESS IS DIFFERENT❑ MONITORING ENTITY APPROVING AGENCY CONTACT: CMS CONTACT: South Windsor Fire Marshal TELEPHONE: 1-800-432-1429 ADDRESS: 1540 Sullivan Avenue South Windsor,CT 06074 MONITORING ACCOUNT#: FLRPS1436 TELEPHONE: (860)644-2511 ext.217 TYPE TRANSMISSION SERVICE ❑-McCulloh ❑-Weekly ❑-Multiplex ❑-Monthly ®-Digital ❑-Quarterly ❑-Reverse Priority ❑-Semi-Annually ❑-R F ®-Annually ❑-Other(Specify) ❑-Other(Specify) PANEL MANUFACTURER:Silent Knight MODEL NO.: 5207 DATE INSTALLED: 12/06 CIRCUIT STYLES: B NO. OF CIRCUITS: SOFTWARE REV.: LAST DATE SYSTEM HAD ANY SERVICE PERFORMED: Fire Test 4/14/10 ALARM INITIATING DEVICES AND CIRCUIT INFORMATION QTY CKT. STYLE 11 B MANUAL STATIONS ION DETECTORS 11 B PHOTO DETECTORS 2 B DUCT DETECTORS HEAT DETECTORS WATERFLOW SWITCHES SUPERVISORY SWITCHES OTHER:(SPECIFY) NATIONAL FIRE ALARM CODE 72-112 ALARM INDICATING APPLIANCES AND CIRCUIT INFORMATION TV CKT.STYLE TYPE LOCATION VISUAL FUNCTI NAL I B Strobe Reception Ladies' Room 1 B Strobe Reception Men's Room 1 B Horn/Strobe Reception East I B Horn/Strobe Original Office I B Strobe Warehouse Ladies' Room I B Strobe Warehouse Men's Room I B Horn/Strobe Warehouse Above Bathroom Door 1 B Horn/Strobe Warehouse North Exit I B Horn/Strobe Warehouse East Exit I B Horn/Strobe Warehouse South Exit I B Horn/Strobe Shop Northeast Exit 1 B Horn/Strobe Shop Southeast Exit 1 B Horn/Strobe Shop Northwest Exit I B Horn/Strobe Shop North Center Exit I B Horn/Strobe Shop Cafe Exit 1 B Horn/Strobe Shop Northeast Exit 1 B Horn/Strobe Shop East Side I"Partition I B Horn/Strobe Shop East Side 2° Partition 1 B Horn/Strobe Shop West Side 2 Id Partition ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ NO.OF ALARM INDICATING CIRCUITS: 3 ARE CIRCUITS SUPERVISED? ®YES ❑NO SUPERVISORY SIGNAL INITIATING DEVICES AND CIRCUIT INFORMATION QTY CKT.STYLE BUILDING TEMP. SITE WATER TEMP. SITE WATER LEVEL FIRE PUMP POWER FIRE PUMP RUNNING FIRE PUMP AUTO POSITION FIRE PUMP OR PUMP CONTROLLER TROUBLE GENERATOR IN AUTO POSITION GENERATOR OR CONTROLLER TROUBLE SWITCH TRANSFER GENERATOR ENGINE RUNNING OTHER: SIGNALING LINE CIRCUITS Quantity and style(See NFPA 72,Table 3-6.1)of signaling line circuits connected to system: Quantity Style(s) 72-113 INSPECTION TESTING AND MAINTENANCE Primary(Main):Nominal Voltage 120v AC ,Amps: 15 Overcurrent Protection Type Breaker ,Amps: Location(Panel Number): Disconnecting Means Location: Circuit#12 b. Secondary(Standby): Storage Battery#l: Amp-Hr.Rating: r7-0 VDC: i J -cfi AH: U51nstalled: Stora e Batte #2: Amp-Hr.Rating: "' - VDC: 93-4 AH: Installed: Calculated capacity to operate system,in hours: 24 Engine-driven generator-dedicated to fire alarm system: Location of fuel storage: TYPE BATTERY ❑Dry Cell ❑Nickel Cadmium ®Sealed Lead-Acid ❑Lead-Acid ❑Other(Specify) c. Emergency or standby system used as a backup to primary power supply,instead of using a secondary power supply: ❑Emergency system described in NFPA 70,Article 700 ❑Legally required standby described in NFPA 70,Article 701 ❑Optional standby system described in NFPA 70,Article 702,which also meets the performance requirements of Article 700 or 701. PRIOR TO ANY TESTING NOTIFICATIONS ARE MADE: YES I NO WHO TIME MONITORING ENTITY ❑ I �S BUILDING OCCUPANTS ff l ❑ �" / -5 BUILDING MANAGEMENT ❑ I ❑ OTHER(SPECIFY) ❑ 1 ❑ AHJ(NOTIFIED)OF ANY IMPAIRMENTS ❑ I ❑ SYSTEM TESTS AND INSPECTIONS TYPE VISUAk FUNCTIO AL COMMENTS CONTROL PANEL INTERFACE EQ. ET FF_r LAMPS/LEDS ❑ ❑ FUSES ❑ ❑ PRIMARY POWER SUPPLY ❑ ❑ TROUBLE SIGNALS ❑ ❑ DISCONNECT SWITCHES ❑ ❑ GROUND FAULT MONITORING ❑ ❑ SECONDARY POWER TYPE VISU FUNCTIONAL COMMENTS BATTERY CONDITION LOAD VOLTAGE DISCHARGE TEST ❑ CHARGER TEST ❑ SPECIFIC GRAVITY ❑ 72-114 NATIONAL FIRE ALARM CODE TYPE VISUAL FUNCTIONAL COMMENTS TRANSIENT SUPPRESSIONS ❑ REMOTE ANNUNCIATORS ❑ ❑ NOTIFICATION APPLIANCES AUDIBLE ❑ VISUAL ❑ SPEAKERS ❑ ❑ VOICE CLARITY ❑ INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS LOCATION DEVICE VISUAL FUNCTION FACTORY MEAS. PASS FAIL TYPE CHECK TES SETTING SETTING Office Ad'. West Side Door Smoke Detector ❑ West Office/TelComm Room Smoke Detector ❑ File Storage Smoke Detector ❑ Office/Coafer-ence-fa-rea -Smoky-Detector - - -- - - --- - --1-1 - - u Office Right of Main Ent. Smoke Detector 1 ❑ Office Left of Main Ent. Smoke Detector I ❑ Reception Left Smoke Detector ❑ Reception Center Smoke Detector I Ll, I ❑ Reception Right Smoke Detector I ❑ Conference Room Smoke Detector Lj ❑ President's Office Smoke Detector [[� ❑ Shop Northeast Exit Pull Station I ❑ Shop Cafe Pull Station ❑ Shop North-Center Exit Pull Station ❑ Shop Northwest Exit Pull Station ❑ Shop Southeast Exit Pull Station I ❑ Shop Northeast Exit Pull Station ❑ Main Entrance Pull Station Ell ❑ Warehouse North Exit Pull Station Warehouse East Exit Pull Station Warehouse South Exit Pull Station ❑ West Side Exit Door Pull Station 6Z ❑ El Li El ❑ ❑ ❑ COMMENTS: ❑ VISUAL DEVICE SIMULATED OPERATION OPERATION INTERFACE EQUIPMENT Remote Annunciator ❑ (SPECIFY) ❑ ❑ ❑ (SPECIFY) ❑ ❑ ❑ SPECIAL HAZARD SYSTEMS (SPECIFY) ❑ ❑ ❑ (SPECIFY) (SPECIFY) ❑ ❑ ❑ 72-IIS INSPECTION.TESTING.AND MAINTENANCE SPECIAL PROCEDURES/COMMENTS: /e 5 X``",�1""i-` ✓'"`�� /�' ON/OFF PREMISES MONITORING YES NO aIM>0 COMMENTS ALARM SIGNAL ALARM RESTORAL C�' © 12--f O TROUBLE SIGNAL ❑J 12'f SUPERVISORY SIGNAL ❑ ❑ SUPERVISORY RESTORAL ❑ ❑ NOTIFICATION THAT THIS YES NO WHO TIME TESTING IS COMPLETE: f-0 BUILDING MANAGEMENT ❑ �Yj,g7v/ �a" MONITORING AGENCY ❑ /°� / BUILDING OCCUPANTS ❑ ❑ OTHER(SPECIFY) ❑ ❑ THE FOLLOWING DID NOT OPERATE CORRECTLY: SYSTEM RESTORED TO NORMAL OPERATION': DATE / 0�/ TIME l a-O THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS. NAME OF INSPECTOR: DATE: S )ao/I/ SIGNATURE: NAME OF OWNER OR REPRESENTATIVE: DATE: � ' SIGNATURE: - A Ij 0 C.