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National Park Service Annual Inspection of Fire Detection and Notification System (Form FA-1A)

Information on this form covers the minimum requirements of NFPA 72 for fire detection and alarm systems. Separate forms are available to inspect, test an maintain other fire protection systems.

Date Previous Inspection:

Date of Inspection:

Asset ID No: Asset Description:

Park: Site No and Name:

Location ID No: Location Name:

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form.

Part II – INSPECTION

1. Control panel fuses are satisfactory? Yes No N/A

2. Control panel interface equipment is satisfactory? Yes No N/A

3. Control panel lamps and LEDs are satisfactory? Yes No N/A

4. Control panel primary (main) power supply is satisfactory? Yes No N/A

5. Control panel trouble signals are satisfactory? Yes No N/A

6. Control panel lead-acid batteries are free of corrosion and leakage, connections are tight, and electrolyte levels is appropriate? Yes No N/A

7. Control panel nickel-cadmium batteries are free of corrosion and leakage and connections are tight? Yes No N/A

8. Control panel dry-cell primary batteries are free of corrosion and leakage and

9. Control panel sealed lead-acid batteries are free of corrosion and leakage, connections are tight, and electrolyte level is appropriate? Yes No N/A

10. Control panel transient suppressors are satisfactory? Yes No N/A

11. Control panel trouble signals are satisfactory? Yes No N/A

12. Emergency voice/alarm communications equipment is satisfactory? Yes No N/A

13. Remote annunciators are satisfactory? Yes No N/A

14. Air-sampling initiating devices are satisfactory? Yes No N/A

15. Duct detectors are satisfactory? Yes No N/A

16. Electromechanical releasing devices are satisfactory? Yes No N/A

17. Fire extinguishing system switches are satisfactory? Yes No N/A

Control panel fuses are satisfactory? Yes No N/A

18. Fire suppression system switches are satisfactory? Yes No N/A

19. Fire alarm boxes are satisfactory? Yes No N/A

20. Heat detectors are satisfactory? Yes No N/A

21. Radiant energy fire detectors are satisfactory? Yes No N/A

22. Smoke detectors are satisfactory? Yes No N/A

23. Supervisory signal devices are satisfactory? Yes No N/A

24. Water flow devices are satisfactory? Yes No N/A

10/10/24

1310836

DEVA FC270 Furnace Creek Visitor Center

Furnace Creek Visitor Center51507

Fire Alarm

25. Video image smoke and fire detectors are satisfactory? Yes No N/A

26. Projected beam smoke detectors are satisfactory? Yes No N/A

27. Guard’s tour equipment is satisfactory? Yes No N/A

28. Interface equipment is satisfactory? Yes No N/A

29. Alarm notification appliances are satisfactory? Yes No N/A

Part III – TESTING

30. Control equipment receives correct receipt of alarm?

31. Control equipment alarm notification appliances are satisfactory? Yes No N/A

32. Control equipment interface equipment passed simulation test? Yes No N/A

33. Control equipment lamps and LEDs are illuminated? Yes No N/A

34. Control equipment primary power supply passed test by disconnecting all secondary power? Yes No N/A

35. Control equipment transponders passed test? Yes No N/A

36. Engine-driven generator passed test? Yes No N/A

37. Lead-acid batteries passed charger test? Yes No N/A

38. Lead-acid batteries passed 30-minute discharge test? Yes No N/A

39. Lead-acid batteries passed load voltage test? Yes No N/A

40. Lead-acid batteries passed specific gravity test? Yes No N/A

41. Nickel-cadmium batteries passed 30-minute discharge test? Yes No N/A

42. Nickel-cadmium batteries passed load voltage test? Yes No N/A

43. Dry-cell batteries passed load voltage test? Yes No N/A

44. Sealed lead-acid batteries passed charger test? Yes No N/A

45. Sealed lead-acid batteries passed 30-minute discharge test? Yes No N/A

46. Sealed lead-acid batteries passed load voltage test? Yes No N/A

47. Emergency voice/alarm communications equipment passed tests? Yes No N/A

48. Remote annunciators passed test and are operating properly? Yes No N/A

49. Duct smoke detectors are properly sampling the airstream? Yes No N/A

50. Correct operation of Electromechanical Releasing devices was verified by removing the fusible link and operating the associated drive? Yes No N/A

51. Fire extinguishing system switches were operated and receipt of signal by the control panel was verified? Yes No N/A

52. Fire detectors passed test and are operating at the proper sensitivity and alarm response? Yes No N/A

53. Heat detectors passed test and are operating properly? Yes No N/A

54. Fire alarm boxes passed test and are operating properly? Yes No N/A

55. Radiant energy fire detectors passed test? Yes No N/A

56. Horns and strobes operated properly? Yes No N/A

57. Supervisory signal devices, except tamper switches, passed test? Yes No N/A

58. Water flow devices passed test? Yes No N/A

59. Valve tamper switches passed test? Yes No N/A

60. Off-premises transmission equipment passed test? Yes No N/A

61. Guard’s tour equipment passed test? Yes No N/A

62. Interface equipment passed test? Yes No N/A

63. Special hazard equipment passed test and is operating properly? Yes No N/A

64. Sound pressure level for audible devices was measured with sound level meter? Yes No N/A

65. Sound pressure level for speakers was measured with sound level meter? Yes No N/A

66. Visible devices passed test and device locations are acceptable? Yes No N/A

Part IV – Maintenance

67. All components of the fire detection and alarm system have been maintained according to the manufacturer's instructions? Yes No N/A

Part V – Deficiency Notes and Additional Comments Any additional comments, test failures or other problems found with the fire detection and alarm system must be explained here. Also, note here any products noticed on the systems that have been the subject of a recall.

Item No. Comment

60 AES Radio not dialing to call center.

Part VI – Signatures I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

Contractor Information Contractor or Representative's Name:

Company:

Company Address:

Company Phone:

Date:

NPS Information Employee’s Name:

Employee Signature:

Park Division and/or Office:

Employee's Phone:

Nathan Sowle Community Fire Protection 1700 Soto St. Seaside, CA 93955 775-772-1755 10/10/2024

Asset ID No: Description:

Park: Site:

Location No: Name:

1310836 Fire Alarm, FACP

Furnace Creek Visitor Center51507

Annual Inspection and Testing of Automatic Fire Sprinkler System - Wet Pipe (Form AS-1A)

Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test an maintain other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply. These tasks include all applicable weekly, monthly and quarterly inspection, testing and maintenance tasks.

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form. Inspection, testing and maintenance are to be performed with water supplies (including fire pumps), in service, unless the impairment of NFPA 25 and the appropriate NPS Job Plan are followed.

Part I – GENERAL

1. Is building occupied? Yes No N/A

2. Has the occupancy classification and hazard of contents remained the same since the last inspection? Yes No N/A

3. Are all fire protection systems in service? Yes No N/A

4. Has the system remained in service without modification since the last inspection? Yes No N/A

5. Was the system free of actuation of devices or alarms since the last inspection? Yes No N/A

6. Control valves with locks or electrical supervision in correct (open or closed), position? Yes No N/A

7. Sprinkler wrench with spare sprinklers heads (at least two of each type of head found in system), located in spare head cabinet? Yes No N/A

8. Gauges ( Wet Pipe Only ) - Supply and system gauges show the same water pressure and are free from physical damage? Yes No N/A

9. Backflow prevention device valves in correct (open or closed position)? Yes No N/A

10. Backflow prevention device valves sealed, locked or supervised and accessible? Yes No N/A

11. Backflow prevention device relief port RPZ device not discharging? Yes No N/A

12. Pressure Reducing Valves: In open position, not leaking, maintaining downstream pressure per design criteria, and in good condition with hand wheels not broken? Yes No N/A

13. Hydraulic nameplate (calculated systems), securely attached to riser and legible? Yes No N/A

14. Hydraulic nameplate (calculated systems), securely attached to riser and legible? Yes No N/A

15. Fire Department Connections: Visible, accessible, couplings and swivels not damaged and rotate smoothly, plugs or caps in place and in good condition, identification signs(s) in place, check valve is not leaking, clapper is in place and operating properly and automatic drain valve in place and operating properly (if plugs or caps are not in place, inspect interior for obstructions)?

Yes No N/A

1310753 Fire Sprinkler System, Wet Pipe

Furnace Creek Visitor Center

51507

16. Alarm notification device (bell/horn), free from physical damage and obstruction? Yes No N/A

17. Visible sprinklers free from corrosion? Yes No N/A

18. Visible sprinklers free of obstructions? Yes No N/A

19. Visible sprinklers free o foreign materials including paint? Yes No N/A

20. All visible glass bulb sprinklers contain their heat sensitive liquid within bulb? Yes No N/A

21. Visible pipe In good condition, no external corrosion? Yes No N/A

22. Visible pipe has no mechanical damage and no leaks? Yes No N/A

23. Visible pipe properly aligned and has no external loads (wires, decorations, clothing hangers, etc.), applied? Yes No N/A

24. Visible pipe hangers and seismic braces not damaged or loose? Yes No N/A

25. Hose, hose couplings and nozzles on sprinkler system passed inspection in accordance with NFPA 1962? Yes No N/A

26. Adequate heat in areas with wet piping? Yes No N/A

27. Has an internal inspection of the pipe been performed by removing the flushing connection and one sprinkler near the end of the branch line within the last 5 years (if the answer is "No" conduct an internal inspection)?

28. Check valves internally inspected and all parts operate properly, move freely and are in good condition? Yes No N/A

29. Strainers filters, restricted orifices and diaphragm chambers on dry-pipe valves in good condition? Yes No N/A

30. Mechanical waterflow alarm devices passed tests by opening the inspector's test connection or bypass connection with alarms actuating and flow observed? Yes No N/A

Part III – FIFTH YEAR ONLY INSPECTION ( in addition to above items )

31. Check valves internally inspected and all parts operate properly, move freely and

32. Strainers filters, restricted orifices and diaphragm chambers on dry-pipe valves in

Part IV – ANNUAL TESTING

33. Mechanical waterflow alarm devices passed tests by opening the inspector's test

34. Post indicating valves opened until spring or torsion is felt in the rod, then closed back one-quarter turn? Yes No N/A

35. Main drain test of system downstream of backflow prevention device or pressure reducing valve - Static Pressure (psi).

_______ psi

36 . Main drain test of system downstream of backflow prevention device or pressure reducing valve - Residual Pressure (psi). _______ psi

37. Was flow observed? Yes No N/A

38. Are results comparable to previous tests? Yes No N/A

39. Electrical waterflow alarm devices passed test by opening the inspector's test

40. Are all sprinkler dated 1920 or later? Yes No N/A

41. Fast response sprinklers 20 or more years old replaced or successfully sample tested within last 10 years? Yes No N/A

42. Standard response sprinklers 50 or more years old replaced or successfully sample tested within last 10 years? Yes No N/A

43. Standard response sprinklers 75 or more years old replaced or successfully sample tested within last 5 years? Yes No N/A

44. Dry-type sprinklers replaced or successfully sample tested within last 10 years? Yes No N/A

45. All control valves operated through full range and returned to normal position? Yes No N/A

46. Backflow devices passed backflow test? Yes No N/A

47. Backflow devices passed full flow test? Yes No N/A

48. Pressure reducing valves passed partial flow test? Yes No N/A

Part IV – THIRD YEAR TESTING ( test to be done every third year )

49. Hose (more than 5 years old), connected to the system has been service tested in accordance with NFPA 1962. Water discharged and waterflow alarms operated? Yes No N/A

Part IVb – FIFTH YEAR TESTING ( test to be done every fifth year )

50. Sprinkler(s) rated above High temperature tested? Yes No N/A

51. Gauges checked by calibrated gauge or replaced? Yes No N/A

52. Pressure reducing valves passed full flow test? Yes No N/A

Part V – MAINTENANCE

53. If sprinklers have been replaced, were they proper replacements? Yes No N/A

54. Used hose was cleaned, drained and dried before being placed back in service?

Hose exposed to hazardous materials was disposed of or decontaminated in an approved manner?

55. Systems normally filled with fresh water were drained and refilled twice if raw water got into the system? Yes No N/A

56. If defective intake screen on pump with suction from open sources was discovered, was an obstruction investigation conducted?

Explain reason(s) and obstruction investigation findings in Part III.

57. If obstructive material discharged during waterflow tests was discovered, was an obstruction investigation conducted? Yes No N/A

58. If foreign materials were found in dry-pipe valves, check valves or pumps was an

59. If foreign material in water during drain test or plugging of inspector's test was discovered, was an obstruction investigation conducted? Yes No N/A

60. If plugging of pipe or sprinkler found during activation or alteration was discovered, was an obstruction investigation conducted? Yes No N/A

61. If failure to flush yard piping or surrounding public mains following new installation or repairs was discovered, was an obstruction investigation conducted? Yes No N/A

62. Is their record or history of broken water mains in the vicinity? Yes No N/A

63. If foreign materials were found in dry-pipe valves, check valves or pumps was an

64. Is there a practice of seasonal shut-down of system where system is returned to service after an extended period out or service? Yes No N/A

65. Is there reason to believe the system contains sodium silicate or its derivatives of highly corrosive fluxes in copper pipe system? Yes No N/A

66. If conditions were found that required flushing was flushing of system conducted? Yes No N/A

67. Operating stem of all OS&Y valves lubricated, completely closed, and replaced? Yes No N/A

68. Sprinklers and spray nozzles protecting commercial cooking equipment and ventilating systems replaced, except for bulb-type which show no signs of grease buildup?

Part VI – Deficiency Notes and Additional Comments Any deficiencies found, or other site or system specific problems, or general comments or concerns must be explained here.

Also, note here any products noticed on the systems that have been the subject of a recall.

Item No Comment

Part VII – Signatures

I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

Representative's Name:

Signature:

Park Division and Office:

Phone Number:

Employee’s Signature:

1700 Soto St, Seaside, CA, 93955

(775) 7720-1755

10/10/24

Asset ID No:

Description:

Fire Sprinkler System, Wet Pipe

51507 Furnace Creek Visitor Center

1310753

FC270 Furnace Creek Visitor CenterDEVA

Information on this form covers the minimum requirements of NFPA 72 for fire detection and alarm systems. Separate forms are available to inspect, test an maintain other fire protection systems.

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form.

1. Control panel fuses are satisfactory? Yes No N/A

2. Control panel interface equipment is satisfactory? Yes No N/A

3. Control panel lamps and LEDs are satisfactory? Yes No N/A

4. Control panel primary (main) power supply is satisfactory? Yes No N/A

5. Control panel trouble signals are satisfactory? Yes No N/A

6. Control panel lead-acid batteries are free of corrosion and leakage, connections are tight, and electrolyte levels is appropriate? Yes No N/A

7. Control panel nickel-cadmium batteries are free of corrosion and leakage and

8. Control panel dry-cell primary batteries are free of corrosion and leakage and

9. Control panel sealed lead-acid batteries are free of corrosion and leakage, connections are tight, and electrolyte level is appropriate? Yes No N/A

10. Control panel transient suppressors are satisfactory? Yes No N/A

11. Control panel trouble signals are satisfactory? Yes No N/A

12. Emergency voice/alarm communications equipment is satisfactory? Yes No N/A

13. Remote annunciators are satisfactory? Yes No N/A

14. Air-sampling initiating devices are satisfactory? Yes No N/A

15. Duct detectors are satisfactory? Yes No N/A

16. Electromechanical releasing devices are satisfactory? Yes No N/A

17. Fire extinguishing system switches are satisfactory? Yes No N/A

Control panel fuses are satisfactory? Yes No N/A

18. Fire suppression system switches are satisfactory? Yes No N/A

19. Fire alarm boxes are satisfactory? Yes No N/A

20. Heat detectors are satisfactory? Yes No N/A

21. Radiant energy fire detectors are satisfactory? Yes No N/A

22. Smoke detectors are satisfactory? Yes No N/A

23. Supervisory signal devices are satisfactory? Yes No N/A

24. Water flow devices are satisfactory? Yes No N/A

1310838

DEVA FC271 Furnace Creek Headquarters Building

Furnace Creek HQ 51508

Fire Alarm

25. Video image smoke and fire detectors are satisfactory? Yes No N/A

26. Projected beam smoke detectors are satisfactory? Yes No N/A

27. Guard’s tour equipment is satisfactory? Yes No N/A

28. Interface equipment is satisfactory? Yes No N/A

29. Alarm notification appliances are satisfactory? Yes No N/A

Part III – TESTING

30. Control equipment receives correct receipt of alarm?

31. Control equipment alarm notification appliances are satisfactory? Yes No N/A

32. Control equipment interface equipment passed simulation test? Yes No N/A

33. Control equipment lamps and LEDs are illuminated? Yes No N/A

34. Control equipment primary power supply passed test by disconnecting all secondary power? Yes No N/A

35. Control equipment transponders passed test? Yes No N/A

36. Engine-driven generator passed test? Yes No N/A

37. Lead-acid batteries passed charger test? Yes No N/A

38. Lead-acid batteries passed 30-minute discharge test? Yes No N/A

39. Lead-acid batteries passed load voltage test? Yes No N/A

40. Lead-acid batteries passed specific gravity test? Yes No N/A

41. Nickel-cadmium batteries passed 30-minute discharge test? Yes No N/A

42. Nickel-cadmium batteries passed load voltage test? Yes No N/A

43. Dry-cell batteries passed load voltage test? Yes No N/A

44. Sealed lead-acid batteries passed charger test? Yes No N/A

45. Sealed lead-acid batteries passed 30-minute discharge test? Yes No N/A

46. Sealed lead-acid batteries passed load voltage test? Yes No N/A

47. Emergency voice/alarm communications equipment passed tests? Yes No N/A

48. Remote annunciators passed test and are operating properly? Yes No N/A

49. Duct smoke detectors are properly sampling the airstream? Yes No N/A

50. Correct operation of Electromechanical Releasing devices was verified by removing the fusible link and operating the associated drive? Yes No N/A

51. Fire extinguishing system switches were operated and receipt of signal by the control panel was verified? Yes No N/A

52. Fire detectors passed test and are operating at the proper sensitivity and alarm response? Yes No N/A

53. Heat detectors passed test and are operating properly? Yes No N/A

54. Fire alarm boxes passed test and are operating properly? Yes No N/A

55. Radiant energy fire detectors passed test? Yes No N/A

56. Horns and strobes operated properly? Yes No N/A

57. Supervisory signal devices, except tamper switches, passed test? Yes No N/A

58. Water flow devices passed test? Yes No N/A

59. Valve tamper switches passed test? Yes No N/A

60. Off-premises transmission equipment passed test? Yes No N/A

61. Guard’s tour equipment passed test? Yes No N/A

62. Interface equipment passed test? Yes No N/A

63. Special hazard equipment passed test and is operating properly? Yes No N/A

64. Sound pressure level for audible devices was measured with sound level meter? Yes No N/A

65. Sound pressure level for speakers was measured with sound level meter? Yes No N/A

66. Visible devices passed test and device locations are acceptable? Yes No N/A

Part IV – Maintenance

67. All components of the fire detection and alarm system have been maintained according to the manufacturer's instructions? Yes No N/A

Part V – Deficiency Notes and Additional Comments Any additional comments, test failures or other problems found with the fire detection and alarm system must be explained

Item No. Comment

60 AES Radio not dialing out to call center.

Part VI – Signatures I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

Contractor or Representative's Name:

Employee Signature:

Park Division and/or Office:

Employee's Phone:

1700 Soto St. Seaside, CA 93955 775-772-1755

1310838 Fire Alarm, FACP

Furnace Creek HQ51508

Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test an maintain other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply. These tasks include all applicable weekly, monthly and quarterly inspection, testing and

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form. Inspection, testing and maintenance are to be performed with water supplies (including fire pumps), in service, unless the impairment of NFPA 25 and the appropriate NPS Job Plan are followed.

2. Has the occupancy classification and hazard of contents remained the same since the last inspection? Yes No N/A

6. Control valves with locks or electrical supervision in correct (open or closed), position? Yes No N/A

7. Sprinkler wrench with spare sprinklers heads (at least two of each type of head found in system), located in spare head cabinet? Yes No N/A

8. Gauges ( Wet Pipe Only ) - Supply and system gauges show the same water pressure and are free from physical damage? Yes No N/A

11. Backflow prevention device relief port RPZ device not discharging? Yes No N/A

12. Pressure Reducing Valves: In open position, not leaking, maintaining downstream

13. Hydraulic nameplate (calculated systems), securely attached to riser and legible? Yes No N/A

15. Fire Department Connections: Visible, accessible, couplings and swivels not damaged and rotate smoothly, plugs or caps in place and in good condition, identification signs(s) in place, check valve is not leaking, clapper is in place and operating properly and automatic drain valve in place and operating properly (if plugs or caps are not in place, inspect interior for obstructions)?

1310749 Fire Sprinkler System, Wet Pipe

Furnace Creek Headquarters Building

51508

16. Alarm notification device (bell/horn), free from physical damage and obstruction? Yes No N/A

17. Visible sprinklers free from corrosion? Yes No N/A

18. Visible sprinklers free of obstructions? Yes No N/A

19. Visible sprinklers free o foreign materials including paint? Yes No N/A

20. All visible glass bulb sprinklers contain their heat sensitive liquid within bulb? Yes No N/A

21. Visible pipe In good condition, no external corrosion? Yes No N/A

22. Visible pipe has no mechanical damage and no leaks? Yes No N/A

23. Visible pipe properly aligned and has no external loads (wires, decorations, clothing

24. Visible pipe hangers and seismic braces not damaged or loose? Yes No N/A

25. Hose, hose couplings and nozzles on sprinkler system passed inspection in accordance with NFPA 1962? Yes No N/A

26. Adequate heat in areas with wet piping? Yes No N/A

27. Has an internal inspection of the pipe been performed by removing the flushing connection and one sprinkler near the end of the branch line within the last 5 years (if the answer is "No" conduct an internal inspection)?

28. Check valves internally inspected and all parts operate properly, move freely and

29. Strainers filters, restricted orifices and diaphragm chambers on dry-pipe valves in

30. Mechanical waterflow alarm devices passed tests by opening the inspector's test

31. Check valves internally inspected and all parts operate properly, move freely and

Part IV – ANNUAL TESTING

34. Post indicating valves opened until spring or torsion is felt in the rod, then closed

35. Main drain test of system downstream of backflow prevention device or pressure reducing valve - Static Pressure (psi).

36 . Main drain test of system downstream of backflow prevention device or pressure reducing valve - Residual Pressure (psi). _______ psi

37. Was flow observed? Yes No N/A

38. Are results comparable to previous tests? Yes No N/A

39. Electrical waterflow alarm devices passed test by opening the inspector's test

40. Are all sprinkler dated 1920 or later? Yes No N/A

41. Fast response sprinklers 20 or more years old replaced or successfully sample

42. Standard response sprinklers 50 or more years old replaced or successfully sample tested within last 10 years? Yes No N/A

43. Standard response sprinklers 75 or more years old replaced or successfully sample tested within last 5 years? Yes No N/A

44. Dry-type sprinklers replaced or successfully sample tested within last 10 years? Yes No N/A

45. All control valves operated through full range and returned to normal position? Yes No N/A

46. Backflow devices passed backflow test? Yes No N/A

47. Backflow devices passed full flow test? Yes No N/A

48. Pressure reducing valves passed partial flow test? Yes No N/A

Part IV – THIRD YEAR TESTING ( test to be done every third year )

49. Hose (more than 5 years old), connected to the system has been service tested in accordance with NFPA 1962. Water discharged and waterflow alarms operated? Yes No N/A

Part IVb – FIFTH YEAR TESTING

50. Sprinkler(s) rated above High temperature tested? Yes No N/A

51. Gauges checked by calibrated gauge or replaced? Yes No N/A

52. Pressure reducing valves passed full flow test? Yes No N/A

53. If sprinklers have been replaced, were they proper replacements? Yes No N/A

54. Used hose was cleaned, drained and dried before being placed back in service?

Hose exposed to hazardous materials was disposed of or decontaminated in an approved manner?

55. Systems normally filled with fresh water were drained and refilled twice if raw water got into the system? Yes No N/A

56. If defective intake screen on pump with suction from open sources was discovered, Explain reason(s) and obstruction investigation findings in Part III.

57. If obstructive material discharged during waterflow tests was discovered, was an

58. If foreign materials were found in dry-pipe valves, check valves or pumps was an

59. If foreign material in water during drain test or plugging of inspector's test was

60. If plugging of pipe or sprinkler found during activation or alteration was discovered,

61. If failure to flush yard piping or surrounding public mains following new installation or repairs was discovered, was an obstruction investigation conducted? Yes No N/A

62. Is their record or history of broken water mains in the vicinity? Yes No N/A

63. If foreign materials were found in dry-pipe valves, check valves or pumps was an

64. Is there a practice of seasonal shut-down of system where system is returned to

65. Is there reason to believe the system contains sodium silicate or its derivatives of

66. If conditions were found that required flushing was flushing of system conducted? Yes No N/A

67. Operating stem of all OS&Y valves lubricated, completely closed, and replaced? Yes No N/A

68. Sprinklers and spray nozzles protecting commercial cooking equipment and

Any deficiencies found, or other site or system specific problems, or general comments or concerns must be explained here.

Also, note here any products noticed on the systems that have been the subject of a recall.

I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

Signature:

Park Division and Office:

Employee’s Signature:

(775) 772-1755

Asset ID No:

Description:

Fire Sprinkler System, Wet Pipe

FC271 Furnace Creek Headquarters Building

51508 Furnace Creek Headquarters Building

1310749

DEVA

Automatic Fire Sprinkler System - Dry Pipe (Form AS-2A)

Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test an maintain other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply. These tasks include all applicable weekly, monthly and quarterly inspection, testing and

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form. Inspection, testing and maintenance are to be performed with water supplies (including fire pumps), in service, unless the impairment of NFPA 25 and the appropriate NPS Job Plan are followed.

2. Has the occupancy classification and hazard of contents remained the same since the last inspection? Yes No N/A

6. Control valves with locks or electrical supervision in correct (open or closed), position? Yes No N/A

7. Dry-pipe valve enclosure maintaining a minimum of 40 degrees Fahrenheit and gauges in good condition showing normal air and water pressure? Yes No N/A

8. Dry-pipe valve free form physical damage, trim valves in appropriate (opened or closed) position, no leakage from valve seat, and all electrical components in service? Yes No N/A

11. Backflow prevention device relief port RPZ device not discharging? Yes No N/A

12. For freezer systems, is the gauge near the compressor reading the same as the gauge near the pre-action valve? Yes No N/A

13. Sprinkler wrench with spare sprinklers heads (at lest two of each type of head found in system), located in spare head cabinet? Yes No N/A

59176 Scotty's Castle Hacienda Building

10/29/24

554609

Fire Sprinkler System, Dry Pipe

SC01 Scotty's Castle Hacienda Building

15. Pressure Reducing Valves: In open position, not leaking, maintaining downstream

16. Fire Department Connections: Visible, accessible, couplings and swivels not damaged and rotate smoothly, plugs or caps in place and in good condition, identification signs(s) in place, check valve is not leaking, clapper is in place and operating properly?

17. Alarm notification device (bell/horn), free from physical damage and obstruction? Yes No N/A

18. Visible sprinklers free from corrosion? Yes No N/A

19. Visible sprinklers free of obstructions? Yes No N/A

20. Visible sprinklers free o foreign materials including paint? Yes No N/A

21. All visible glass bulb sprinklers contain their heat sensitive liquid within bulb? Yes No N/A

22. Visible pipe In good condition, no external corrosion? Yes No N/A

23. Visible pipe has no mechanical damage and no leaks? Yes No N/A

24. Visible pipe properly aligned and has no external loads (wires, decorations, clothing

25. Visible pipe hangers and seismic braces not damaged or loose? Yes No N/A

26. Dry-pipe valve(s) passed internal inspection? Yes No N/A

27. Adequate heat in areas with wet piping? Yes No N/A

28. Low temperature alarms functioning?

29. Interior of pipe through freezers free of ice blockage? Yes No N/A

30. Has an internal inspection of the pipe been performed by removing the flushing connection and one sprinkler near the end of the branch line within the last 5 years (if the answer is "No" conduct an internal inspection)?

31. Check valves internally inspected and all parts operate properly, move freely and are in good condition? Yes No N/A

34. Check valves internally inspected and all parts operate properly, move freely and are

35. Strainers filters, restricted orifices and diaphragm chambers on dry-pipe valves in

Part IV – TESTING

36. Mechanical waterflow alarm devices passed tests by opening the inspector's test connection or bypass connection with alarms actuating and flow observed? No N/A

37. Post indicating valves opened until spring or torsion is felt in the rod, then closed back one-quarter turn?

Yes

No N/A

38. Is the priming level correct and has the low air pressure signal passed its test? Yes No N/A

39. Main drain test of system downstream of backflow prevention device or pressure reducing valve - Annotate Static Pressure (psi).

Yes

40 . Main drain test of system downstream of backflow prevention device or pressure reducing valve - Annotate Residual Pressure (psi). _______ psi

41. Was flow observed? Yes No N/A

42. Are results comparable to previous tests? Yes No N/A

43. Electrical waterflow alarm devices passed test by opening the inspector's test

44. Are all sprinkler dated 1920 or later? Yes No N/A

45. Fast response sprinklers 20 or more years old replaced or successfully sample tested within last 10 years? Yes No N/A

46. Standard response sprinklers 50 or more years old replaced or successfully sample

47. Standard response sprinklers 75 or more years old replaced or successfully sample tested within last 5 years? Yes No N/A

48. Dry-type sprinklers replaced or successfully sample tested within last 10 years? Yes No N/A

49. All control valves operated through full range and returned to normal position? Yes No N/A

50. Low temperature alarms passed test? Yes No N/A

51. Dry-pipe valve(s) partial flow trip test - Annotate initial air pressure and water pressure (psi). _______ psi

52. Dry-pipe valve(s) partial flow trip test - Annotate tripping pressure air pressure and tripping time (sec.) _______ sec

53. Dry-pipe valve(s) partial flow trip test recorded pressures and times comparable to design values? Yes No N/A

54. Automatic air maintenance device passed test Yes No N/A

55. Backflow devices passed backflow test? Yes No N/A

56. Backflow devices passed full flow test? Yes No N/A

57. Pressure reducing valves passed partial flow test? Yes No N/A

Part IVa – TESTING

58. Dry-pipe full flow trip test record initial air pressure _______ (psi), and w ater pressure _______ (psi).

59. Dry-pipe full flow trip test record tripping air pressure _______ (psi), and tripping time _______ (sec.)

60. Dry-pipe full flow trip test record water delivery time _______ (min.), and tripping time _______ (sec.).

61. Dry-pipe full flow trip test above results comparable to design values? Yes No N/A

62. If sprinklers have been replaced, were they proper replacements? Yes No N/A

63. Any air leaks in dry-pipe system resulting in air pressure loss more than 10 psi/week repaired? Yes No N/A

64. Dry-pipe systems maintained in dry condition? Yes No N/A

65. Have low point drains been emptied? Yes No N/A

66. If defective intake screen on pump with suction from open sources was discovered, Explain reason(s) and obstruction investigation findings in Part VI.

67. If obstructive material discharged during waterflow tests was discovered, was an

68. If foreign materials were found in dry-pipe valves, check valves or pumps was an

69. If foreign material in water during drain test or plugging of inspector's test was

70. If plugging of pipe or sprinkler found during activation or alteration was discovered,

71. If failure to flush yard piping or surrounding public mains following new installation or repairs was discovered, was an obstruction investigation conducted? Yes No N/A

72. Is their record or history of broken water mains in the vicinity? Yes No N/A

73. If foreign materials were found in dry-pipe valves, check valves or pumps was an

74. Is there a practice of seasonal shut-down of system where system is returned to

75. Is there reason to believe the system contains sodium silicate or its derivatives of

76. If conditions were found that required flushing was flushing of system conducted? Yes No N/A

77. Operating stem of all OS&Y valves lubricated, completely closed, and replaced? Yes No N/A

78. Interior of dry-pipe valves cleaned? Yes No N/A

79. Low points drained prior to the onset of freezing weather? Yes No N/A

80. Sprinklers and spray nozzles protecting commercial cooking equipment and

Any deficiencies found, or other site or system specific problems, or general comments or concerns must be explained

I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

Contractor Information:

NPS Information:

Division and Office:

Previous Inspection:

Asset Work Order Summary (If not data appears below there are no active work order in FMSS for this Asset)

SC01 Scotty's Castle Hacienda Building

59176 Scotty's Castle Hacienda Building

Fire Sprinkler System, Dry Pipe554609

Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test an maintain other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply. These tasks include all applicable weekly, monthly and quarterly inspection, testing and

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form. Inspection, testing and maintenance are to be performed with water supplies (including fire pumps), in service, unless the impairment of NFPA 25 and the appropriate NPS Job Plan are followed.

6. Control valves with locks or electrical supervision in correct (open or closed), position? Yes No N/A gauge near the pre-action valve? Yes No N/A

62480 Scotty's Castle Power House & Pavilion

1321742

SC04 Scotty's Castle Power House & Pavilion

58. Dry-pipe full flow trip test record initial air pressure _______ (psi), and w ater pressure _______ (psi).

59. Dry-pipe full flow trip test record tripping air pressure _______ (psi), and tripping time _______ (sec.)

60. Dry-pipe full flow trip test record water delivery time _______ (min.), and tripping time _______ (sec.).

Any deficiencies found, or other site or system specific problems, or general comments or concerns must be explained

I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

SC04 Scotty's Castle Power House & Pavilion

62480 Scotty's Castle Power House & Pavilion

Fire Sprinkler System, Dry Pipe1321742

Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test an maintain other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply. These tasks include all applicable weekly, monthly and quarterly inspection, testing and

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form. Inspection, testing and maintenance are to be performed with water supplies (including fire pumps), in service, unless the impairment of NFPA 25 and the appropriate NPS Job Plan are followed.

6. Control valves with locks or electrical supervision in correct (open or closed), position? Yes No N/A gauge near the pre-action valve? Yes No N/A

59184 Scotty's Castle Stables

1552865

SC11 Scotty's Castle Stables

58. Dry-pipe full flow trip test record initial air pressure _______ (psi), and w ater pressure _______ (psi).

59. Dry-pipe full flow trip test record tripping air pressure _______ (psi), and tripping time _______ (sec.)

60. Dry-pipe full flow trip test record water delivery time _______ (min.), and tripping time _______ (sec.).

Any deficiencies found, or other site or system specific problems, or general comments or concerns must be explained

I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

SC11 Scotty's Castle Stables

59184 Scotty's Castle Stables

Fire Sprinkler System, Dry Pipe1552865

Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test an maintain other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply. These tasks include all applicable weekly, monthly and quarterly inspection, testing and

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form. Inspection, testing and maintenance are to be performed with water supplies (including fire pumps), in service, unless the impairment of NFPA 25 and the appropriate NPS Job Plan are followed.

6. Control valves with locks or electrical supervision in correct (open or closed), position? Yes No N/A gauge near the pre-action valve? Yes No N/A

59162 Scottys Castle & Annex (main castle building)

234445

SC2 Scottys Castle & Annex

_______ psi90 x

58. Dry-pipe full flow trip test record initial air pressure _______ (psi), and w ater pressure _______ (psi).

59. Dry-pipe full flow trip test record tripping air pressure _______ (psi), and tripping time _______ (sec.)

60. Dry-pipe full flow trip test record water delivery time _______ (min.), and tripping time _______ (sec.).

Any deficiencies found, or other site or system specific problems, or general comments or concerns must be explained

43 Alarm System not active

55 Backflow preventer assembly broke during testing

I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

SC2 Scottys Castle & Annex

59162 Scotty's Castle & Annex

Fire Sprinkler System, Dry Pipe234445

Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test an maintain other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply. These tasks include all applicable weekly, monthly and quarterly inspection, testing and

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form. Inspection, testing and maintenance are to be performed with water supplies (including fire pumps), in service, unless the impairment of NFPA 25 and the appropriate NPS Job Plan are followed.

6. Control valves with locks or electrical supervision in correct (open or closed), position? Yes No N/A gauge near the pre-action valve? Yes No N/A

59168 Chimes Tower

10/7/2024

1321639

SC3 Scottys Castle Chime Tower

58. Dry-pipe full flow trip test record initial air pressure _______ (psi), and w ater pressure _______ (psi).

59. Dry-pipe full flow trip test record tripping air pressure _______ (psi), and tripping time _______ (sec.)

60. Dry-pipe full flow trip test record water delivery time _______ (min.), and tripping time _______ (sec.).

Any deficiencies found, or other site or system specific problems, or general comments or concerns must be explained

I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at his time was left in operational condition upon completion of this inspection except as noted in Part III above.

10/07/24

1321639

59168

Scotty's Castle Chime Tower

SC3 Scottys Castle Chime Tower

Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test an maintain other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply. These tasks include all applicable weekly, monthly and quarterly inspection, testing and

Note: All questions are to be answered 'Yes', 'No', or 'N/A' (Non-applicable ). All 'No' answers, and additional comments, are to be explained in Part V of this form. Inspection, testing and maintenance are to be performed with water supplies (including fire pumps), in service, unless the impairment of NFPA 25 and the appropriate NPS Job Plan are followed.

6. Control valves with locks or electrical supervision in correct (open or closed), position? Yes No N/A gauge near the pre-action valve? Yes No N/A

14. Hydraulic nameplate (calculated systems), securely attached to riser and legib