Attachment_8_-_2023_Fire_Sprinkler_Test_Reports_Combined_0001.pdf
PDF 12 MB Posted
- Attached to
- GLAC FIRE ALARM & SPRINKLER INSPECTIONS Federal contract opportunity
- Solicitation number
- 140P1426Q0090
About this file
This is a collection of 2023 Fire Sprinkler Test Reports for Glacier National Park. The document compiles annual inspection and testing records for water-based sprinkler systems across park facilities, documenting compliance with fire safety requirements. The reports detail inspection dates, system locations, test results, pressure readings, flow rates, and any deficiencies or maintenance actions required. Each report entry includes the date of inspection, identification of the sprinkler system tested, specific performance metrics, and certification information verifying that systems meet applicable fire safety standards. The combined reports serve as supporting documentation demonstrating the completion of annual fire sprinkler testing and inspection services referenced in solicitation 140P1426Q0090 for Glacier National Park's fire protection system maintenance program.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment_6_-_Amendment_0001_Q_As_0001.docx | DOCX document | |
| Sol_140P1426Q0090_Amd_0001.pdf | ||
| Attachment_7_-_2023_Fire_Alarm_Tests_Combined_0001.pdf | ||
| Sol_140P1426Q0090.pdf | ||
| Attachment_2_-_Price_Schedule.xlsx | XLSX spreadsheet | |
| Attachment_4_-_Wage_Determination_-_Flathead_Co_.pdf | ||
| Attachment_5_-_Wage_Determination_-_Glacier_Co_.pdf | ||
| Attachment_3_-_2026_Fire_Alarm_and_Sprinkler_Inspections_Schedule.pdf | ||
| Attachment_1_-_Scope_of_Work.docx | DOCX document |
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Text version
Dry Fire Sprinkler System Inspection Report
Location Code: LDWUVVJ
Contact: Personnel on Site
Contact Address: 128 W Glacier
West Glacier, MT 59936
Phone:
Email:
Property Evaluated: Glacier National Park (Business)
128 W Glacier
West Glacier, MT 59936
Description: Dry (41-55 Apartments Bldg 94)
Work Order: SV2303170970@@1
Company: Western States Fire Protection Co.
Address: 5562 Alloy South, Suite A
Missoula, MT 59808
Company Phone: 406-728-5242
Company Fax: 406-543-6071
Inspector: Drake Watson
FPL-IEL-LIC-0037969
Date of Work: 5/2/2023
Frequency: Annual
Tag: FJ0434
Deficiency Summary
Status: Open
4. Has there been an internal inspection of the piping within the last 5 years?
Due for 5 year inspection
Status: Open
b. Low air pressure signal passed the test?
Low air signal did not transmit to the alarm panel.
Status: Open
b. Did the electric alarms operate during testing?
Flow signal did not transmit to alarm panel.
Status: Open
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge?
Change during 5 year
Status: Open
i. Have all QRs been replaced or a sample tested based on the appropriate interval?
Dated 2000
General Comments
These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
There are no general comments for this submission
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 1 of 7
Western States Fire Protection Co.
5562 Alloy South, Suite A Missoula, MT 59808 Phone: 406-728-5242
Dry Fire Sprinkler System Inspection Report
Tag FJ0434 Inspection Frequency: Annual Property Being Evaluated:
Glacier National Park (Business) Owner:
Personnel on Site Owner's Phone Number:
Property Address:
128 W Glacier, West Glacier, MT, 59936
1. General A. (To be filled out by the Owner or Owner's Representative) Has the Owners section been answered on another inspection report that will be submitted with this inspection report? Yes No
Answers to the following questions should be for all fire and life safety systems and not limited to the scope of the present inspection form.
1. Has the occupancy, machinery, or operations remained the same since the last inspection? Yes No
2. Has the system(s) remained in service without modifications or repairs since the last inspection? Yes No
3. If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced? Yes No N/A
4. Has there been an internal inspection of the piping within the last 5 years? Yes No N/A 4a. Date last checked (Checking is recommended at least every 5 years) N/A
5. Have fire pumps had a curve test completed in the past 12 months? Yes No N/A
6. Are gravity, surface, or pressure tanks protected from freezing? Yes No N/A
7. Are any sprinkler heads or other sprinkler system components exposed to harsh conditions (ie.
Corrosive atmospheres, extreme temperatures, etc.) Yes No N/A
8. Do any systems contain low-point drains, excluding wet systems? (Please note - Low point drains should be emptied of condensation on a regular basis) Yes No N/A
8a. How many low point drains? 1 8b. What are the general locations of low point drains? Riser
9. Does the valve room have adequate heat to maintain a minimum of 40 F? Yes No N/A The above answers are verified as accurate and current by the undersigned Owner or Owner’s Representative for all fire and life safety systems.
Owner Signature
Printed John Title Date 5/2/2023 B. (To be answered by the inspector)
a. Is System in service upon arrival? Yes No
b. Was the alarm panel free of alarm and trouble signals upon arrival? (If no, please explain in comments) Yes No N/A
c. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? Yes No N/A
2. Control Valves
a. Do Control Valves appear to be free of damage/leaks? Yes No
b. Are all control valves sealed, secured, or supervised in the open position? Yes No
Control Valves:
No. of Valves:
Type: Additional Info:
Easily Accessible?
Signs? Valve in proper position?
Secured? Supervision Operational?
Backflow 2 OS&Y Yes No Yes No N/A Yes No Yes No
N/A Yes No N/A
3. Water Supplies
a. Water Supply Source City Private
Pressure Fire Pump & Tank Pressure Fire Pump & City Pressure Fire Pump & Pond
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 2 of 7
Missoula, MT 59808 Phone: 406-728-5242
Main Drain Test Pipe Size
Static Pressure Before
Flow Pressure
Static Pressure
After
Test Pipe Location Time to Restore Pressure
Results
Main Drain 2” 60 50 55 Riser 2 sec Pass Fail N/A
4. Tanks, Pumps, Fire Dept. Connections
a. Appears that the F.D.C. is in satisfactory condition, couplings free, caps or plugs in place and check valves tight? Yes No N/A
b. Are fire department connections visible, accessible, and identification sign(s) in place? Yes No N/A
c. Has the five years hydrostatic test been performed on piping from the fire department connection to the fire department check valve? Yes No N/A
d. Date Unknown
e. Do fire pumps, gravity, surface and pressure tanks appear to be in good external condition and properly maintained? Yes No N/A
5. Dry Systems
a. No. of Systems 1
b. Is the Hydraulic Name Plate, if required, securely attached and legible? Yes No N/A
c. Are the air pressure and/or priming water levels normal? Yes No N/A
d. Do Valve and Trim appear to be free of damage/leaks and in good condition? Yes No N/A
e. Does Valve and Trim appear to be in its appropriate open or closed positions at time of inspection? Yes No N/A
f. Have all control valves been fully operated and returned to normal their position? Yes No N/A
g. Is the enclosure around the dry valve heated to a minimum of 40F at the time of inspection? Yes No N/A
h. Did the pressure gauge on QOD indicate the same pressure as the air gauge on the system side of the dry valve? Yes No N/A
i. Does the QOD appear to be free from leakage at the time of inspection? Yes No N/A
j. Has there been an air leakage test of the system(s) within the last 3 years? Yes No Leakage Test Date Unknown
6. Trip Test
a. Were dry systems trip tests performed during this inspection? Yes No N/A
b. Low air pressure signal passed the test? Yes No N/A
c. Date of last full trip test? 5/2/2023
d. Did the air compressor operate satisfactorily? Yes No N/A
e. Were readily accessible and visible low points drained during this inspection? Yes No N/A
f. Did all the dry valves operate satisfactorily during this inspection? Yes No N/A
g. Does the intermediate chamber appear to be free from leakage at the time of inspection? Yes No N/A
System: Make, Model, Size, and Location
Test Type Air (psi) Water (psi) Trip (psi) Trip Time (sec)
Water Delivery (sec)
Reliable EX DPV N/A Partial Full 35 65 50 7 13
7. After Tests Not applicable
a. Does the air pressure maintained appear to be at proper setting for system? Yes No N/A
b. Have all known drum drip/low point drains been drained and inspected during the inspection? Yes No N/A
8. Alarms
a. Did the water motor gong operate during testing? Yes No N/A
b. Did the electric alarms operate during testing? Yes No N/A
c. Did alarms activate within appropriate time? Yes No N/A
d. Did the supervisory alarms operate during testing? Yes No N/A
e. Was the alarm panel clear of alarm and trouble signals upon departure? (If no, please explain in comments) Yes No N/A
9. Systems, Sprinklers, and Piping (Inspected from ground level)
a. Do all gauges appear to be in good condition and read within normal range? Yes No N/A
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 3 of 7
Missoula, MT 59808 Phone: 406-728-5242
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge? Yes No N/A
c. Do sprinklers generally appear to be free of damage, corrosion, paint, loading and visible obstruction, and appear to be installed in the correct orientation? Yes No N/A
d. Do escutcheons and cover plates for recessed, flush, and concealed sprinklers generally appear to be installed? Yes No N/A
e. Are extra sprinklers available on the premises in a head cabinet, along with the appropriate head wrench? Yes No N/A
f. Is a list of the installed sprinklers kept in the spare head cabinet? Yes No N/A Make/Model of Heads: See Photos
g. Does the exterior condition of fire sprinkler system appear to be satisfactory? Yes No N/A
h. Have all dry sprinklers been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date N/A
i. Have all QRs been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date 2000
j. Have all SRs known to be more than 50 years old been replaced or a sample tested? Yes No N/A Install or last sample test date N/A
k. Have all sprinklers known to be more than 75 Years old been replaced or sample tested? Yes No N/A Install or last sample test date N/A
l. Do all known high-temp and sprinklers subject to harsh conditions appear to be less than 5 years old? Yes No N/A
Install or last sample test date N/A
m. Does the hose valve(s) on the sprinkler system appear to be in satisfactory condition? Yes No N/A
n. Do all visible pipe supports/hangers and seismic bracing appear to be in good condition? Yes No N/A
10. Observations These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Please see the summary section at the top of the form for the comments.
11. Adjustments or Corrections Made:
12. List Changes in the Occupancy Hazard or Fire Protection Equipment, as Advised by the Owner in Section 1A
13. Inspector Information:
Test Verification:
Inspected By Drake Watson Inspector Signature
Inspector License: FPL-IEL-LIC-0037969 Date of Work 5/2/2023 Inspection Notes
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 4 of 7
Missoula, MT 59808 Phone: 406-728-5242
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 5 of 7
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 6 of 7
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 7 of 7
Contact: Personnel on Site
Contact Address: 128 W Glacier
West Glacier, MT 59936
Phone:
Email:
Property Evaluated: Glacier National Park (Business)
128 W Glacier
West Glacier, MT 59936
Description: Dry (99-113 Apartments)
Work Order: SV2303170970@@1
Company: Western States Fire Protection Co.
Address: 5562 Alloy South, Suite A
Missoula, MT 59808
Company Phone: 406-728-5242
Company Fax: 406-543-6071
Inspector: Drake Watson
FPL-IEL-LIC-0037969
Date of Work: 5/2/2023
Frequency: Annual
Tag: FJ0434
Deficiency Summary
Status: Open
4. Has there been an internal inspection of the piping within the last 5 years?
Due for 5 year
Status: Open
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge?
Change during 5 year
Status: Open
i. Have all QRs been replaced or a sample tested based on the appropriate interval?
Dated 1998
General Comments
These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 1 of 6
Missoula, MT 59808 Phone: 406-728-5242
Dry Fire Sprinkler System Inspection Report
Tag FJ0434 Inspection Frequency: Annual Property Being Evaluated:
Glacier National Park (Business) Owner:
Personnel on Site Owner's Phone Number:
Property Address:
128 W Glacier, West Glacier, MT, 59936
1. General A. (To be filled out by the Owner or Owner's Representative) Has the Owners section been answered on another inspection report that will be submitted with this inspection report? Yes No
Answers to the following questions should be for all fire and life safety systems and not limited to the scope of the present inspection form.
1. Has the occupancy, machinery, or operations remained the same since the last inspection? Yes No
2. Has the system(s) remained in service without modifications or repairs since the last inspection? Yes No
3. If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced? Yes No N/A
4. Has there been an internal inspection of the piping within the last 5 years? Yes No N/A 4a. Date last checked (Checking is recommended at least every 5 years) N/A
5. Have fire pumps had a curve test completed in the past 12 months? Yes No N/A
6. Are gravity, surface, or pressure tanks protected from freezing? Yes No N/A
7. Are any sprinkler heads or other sprinkler system components exposed to harsh conditions (ie.
Corrosive atmospheres, extreme temperatures, etc.) Yes No N/A
8. Do any systems contain low-point drains, excluding wet systems? (Please note - Low point drains should be emptied of condensation on a regular basis) Yes No N/A
8a. How many low point drains? 1 8b. What are the general locations of low point drains? IT east side exterior
9. Does the valve room have adequate heat to maintain a minimum of 40 F? Yes No N/A The above answers are verified as accurate and current by the undersigned Owner or Owner’s Representative for all fire and life safety systems.
Owner Signature
Printed John Title Date 5/2/2023 B. (To be answered by the inspector)
a. Is System in service upon arrival? Yes No
b. Was the alarm panel free of alarm and trouble signals upon arrival? (If no, please explain in comments) Yes No N/A
c. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? Yes No N/A
2. Control Valves
a. Do Control Valves appear to be free of damage/leaks? Yes No
b. Are all control valves sealed, secured, or supervised in the open position? Yes No
Control Valves:
No. of Valves:
Type: Additional Info:
Easily Accessible?
Signs? Valve in proper position?
Secured? Supervision Operational?
Backflow 2 OS&Y Yes No Yes No N/A Yes No Yes No
N/A Yes No N/A
3. Water Supplies
a. Water Supply Source City Private
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 2 of 6
Missoula, MT 59808 Phone: 406-728-5242
Main Drain Test Pipe Size
Static Pressure Before
Flow Pressure
Static Pressure
After
Test Pipe Location Time to Restore Pressure
Results
Main Drain 2” 60 55 59 Riser 2 sec Pass Fail N/A
4. Tanks, Pumps, Fire Dept. Connections
a. Appears that the F.D.C. is in satisfactory condition, couplings free, caps or plugs in place and check valves tight? Yes No N/A
b. Are fire department connections visible, accessible, and identification sign(s) in place? Yes No N/A
c. Has the five years hydrostatic test been performed on piping from the fire department connection to the fire department check valve? Yes No N/A
d. Date
e. Do fire pumps, gravity, surface and pressure tanks appear to be in good external condition and properly maintained? Yes No N/A
5. Dry Systems
a. No. of Systems 1
b. Is the Hydraulic Name Plate, if required, securely attached and legible? Yes No N/A
c. Are the air pressure and/or priming water levels normal? Yes No N/A
d. Do Valve and Trim appear to be free of damage/leaks and in good condition? Yes No N/A
e. Does Valve and Trim appear to be in its appropriate open or closed positions at time of inspection? Yes No N/A
f. Have all control valves been fully operated and returned to normal their position? Yes No N/A
g. Is the enclosure around the dry valve heated to a minimum of 40F at the time of inspection? Yes No N/A
h. Did the pressure gauge on QOD indicate the same pressure as the air gauge on the system side of the dry valve? Yes No N/A
i. Does the QOD appear to be free from leakage at the time of inspection? Yes No N/A
j. Has there been an air leakage test of the system(s) within the last 3 years? Yes No Leakage Test Date Unknown
6. Trip Test
a. Were dry systems trip tests performed during this inspection? Yes No N/A
b. Low air pressure signal passed the test? Yes No N/A
c. Date of last full trip test? 5/10/2022
d. Did the air compressor operate satisfactorily? Yes No N/A
e. Were readily accessible and visible low points drained during this inspection? Yes No N/A
f. Did all the dry valves operate satisfactorily during this inspection? Yes No N/A
g. Does the intermediate chamber appear to be free from leakage at the time of inspection? Yes No N/A
System: Make, Model, Size, and Location
Test Type Air (psi) Water (psi) Trip (psi) Trip Time (sec)
Water Delivery (sec)
Reliable N/A Partial Full 28 60 7 N/A N/A
7. After Tests Not applicable
a. Does the air pressure maintained appear to be at proper setting for system? Yes No N/A
b. Have all known drum drip/low point drains been drained and inspected during the inspection? Yes No N/A
8. Alarms
a. Did the water motor gong operate during testing? Yes No N/A
b. Did the electric alarms operate during testing? Yes No N/A
c. Did alarms activate within appropriate time? Yes No N/A
d. Did the supervisory alarms operate during testing? Yes No N/A
e. Was the alarm panel clear of alarm and trouble signals upon departure? (If no, please explain in comments) Yes No N/A
9. Systems, Sprinklers, and Piping (Inspected from ground level)
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 3 of 6
Missoula, MT 59808 Phone: 406-728-5242
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge? Yes No N/A
c. Do sprinklers generally appear to be free of damage, corrosion, paint, loading and visible obstruction, and appear to be installed in the correct orientation? Yes No N/A
d. Do escutcheons and cover plates for recessed, flush, and concealed sprinklers generally appear to be installed? Yes No N/A
e. Are extra sprinklers available on the premises in a head cabinet, along with the appropriate head wrench? Yes No N/A
f. Is a list of the installed sprinklers kept in the spare head cabinet? Yes No N/A Make/Model of Heads: See Photos
g. Does the exterior condition of fire sprinkler system appear to be satisfactory? Yes No N/A
h. Have all dry sprinklers been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date N/A
i. Have all QRs been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date N/A
j. Have all SRs known to be more than 50 years old been replaced or a sample tested? Yes No N/A Install or last sample test date N/A
k. Have all sprinklers known to be more than 75 Years old been replaced or sample tested? Yes No N/A Install or last sample test date N/A
l. Do all known high-temp and sprinklers subject to harsh conditions appear to be less than 5 years old? Yes No N/A
Install or last sample test date N/A
m. Does the hose valve(s) on the sprinkler system appear to be in satisfactory condition? Yes No N/A
n. Do all visible pipe supports/hangers and seismic bracing appear to be in good condition? Yes No N/A
10. Observations These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Please see the summary section at the top of the form for the comments.
11. Adjustments or Corrections Made:
12. List Changes in the Occupancy Hazard or Fire Protection Equipment, as Advised by the Owner in Section 1A
13. Inspector Information:
Test Verification:
Inspected By Drake Watson Inspector Signature
Inspector License: FPL-IEL-LIC-0037969 Date of Work 5/2/2023
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 4 of 6
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 5 of 6
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 6 of 6
Contact: Personnel on Site
Contact Address: 128 W Glacier
West Glacier, MT 59936
Phone:
Email:
Property Evaluated: Glacier National Park (Business)
128 W Glacier
West Glacier, MT 59936
Description: Dry (201 Paint Shop Building)
Work Order: SV2303170970@@1
Company: Western States Fire Protection Co.
Address: 5562 Alloy South, Suite A
Missoula, MT 59808
Company Phone: 406-728-5242
Company Fax: 406-543-6071
Inspector: Drake Watson
FPL-IEL-LIC-0037969
Date of Work: 5/2/2023
Frequency: Annual
Tag: FJ0434
Deficiency Summary
Status: Open
4. Has there been an internal inspection of the piping within the last 5 years?
Due for 5 year
Status: Open
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge?
Change during 5 year
General Comments
These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 1 of 7
Missoula, MT 59808 Phone: 406-728-5242
Dry Fire Sprinkler System Inspection Report
Tag FJ0434 Inspection Frequency: Annual Property Being Evaluated:
Glacier National Park (Business) Owner:
Personnel on Site Owner's Phone Number:
Property Address:
128 W Glacier, West Glacier, MT, 59936
1. General A. (To be filled out by the Owner or Owner's Representative) Has the Owners section been answered on another inspection report that will be submitted with this inspection report? Yes No
Answers to the following questions should be for all fire and life safety systems and not limited to the scope of the present inspection form.
1. Has the occupancy, machinery, or operations remained the same since the last inspection? Yes No
2. Has the system(s) remained in service without modifications or repairs since the last inspection? Yes No
3. If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced? Yes No N/A
4. Has there been an internal inspection of the piping within the last 5 years? Yes No N/A 4a. Date last checked (Checking is recommended at least every 5 years) N/A
5. Have fire pumps had a curve test completed in the past 12 months? Yes No N/A
6. Are gravity, surface, or pressure tanks protected from freezing? Yes No N/A
7. Are any sprinkler heads or other sprinkler system components exposed to harsh conditions (ie.
Corrosive atmospheres, extreme temperatures, etc.) Yes No N/A
8. Do any systems contain low-point drains, excluding wet systems? (Please note - Low point drains should be emptied of condensation on a regular basis) Yes No N/A
8a. How many low point drains? 1 8b. What are the general locations of low point drains? IT
9. Does the valve room have adequate heat to maintain a minimum of 40 F? Yes No N/A The above answers are verified as accurate and current by the undersigned Owner or Owner’s Representative for all fire and life safety systems.
Owner Signature
Printed John Title Date 5/2/2023 B. (To be answered by the inspector)
a. Is System in service upon arrival? Yes No
b. Was the alarm panel free of alarm and trouble signals upon arrival? (If no, please explain in comments) Yes No N/A
c. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? Yes No N/A
2. Control Valves
a. Do Control Valves appear to be free of damage/leaks? Yes No
b. Are all control valves sealed, secured, or supervised in the open position? Yes No
Control Valves:
No. of Valves:
Type: Additional Info:
Easily Accessible?
Signs? Valve in proper position?
Secured? Supervision Operational?
Backflow 2 OS&Y Yes No Yes No N/A Yes No Yes No
N/A Yes No N/A
3. Water Supplies
a. Water Supply Source City Private
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 2 of 7
Missoula, MT 59808 Phone: 406-728-5242
Main Drain Test Pipe Size
Static Pressure Before
Flow Pressure
Static Pressure
After
Test Pipe Location Time to Restore Pressure
Results
Main Drain 1.25” 55 45 50 Riser 2 sec Pass Fail N/A
4. Tanks, Pumps, Fire Dept. Connections
a. Appears that the F.D.C. is in satisfactory condition, couplings free, caps or plugs in place and check valves tight? Yes No N/A
b. Are fire department connections visible, accessible, and identification sign(s) in place? Yes No N/A
c. Has the five years hydrostatic test been performed on piping from the fire department connection to the fire department check valve? Yes No N/A
d. Date Unknown
e. Do fire pumps, gravity, surface and pressure tanks appear to be in good external condition and properly maintained? Yes No N/A
5. Dry Systems
a. No. of Systems 1
b. Is the Hydraulic Name Plate, if required, securely attached and legible? Yes No N/A
c. Are the air pressure and/or priming water levels normal? Yes No N/A
d. Do Valve and Trim appear to be free of damage/leaks and in good condition? Yes No N/A
e. Does Valve and Trim appear to be in its appropriate open or closed positions at time of inspection? Yes No N/A
f. Have all control valves been fully operated and returned to normal their position? Yes No N/A
g. Is the enclosure around the dry valve heated to a minimum of 40F at the time of inspection? Yes No N/A
h. Did the pressure gauge on QOD indicate the same pressure as the air gauge on the system side of the dry valve? Yes No N/A
i. Does the QOD appear to be free from leakage at the time of inspection? Yes No N/A
j. Has there been an air leakage test of the system(s) within the last 3 years? Yes No Leakage Test Date Unknown
6. Trip Test
a. Were dry systems trip tests performed during this inspection? Yes No N/A
b. Low air pressure signal passed the test? Yes No N/A
c. Date of last full trip test? 2021
d. Did the air compressor operate satisfactorily? Yes No N/A
e. Were readily accessible and visible low points drained during this inspection? Yes No N/A
f. Did all the dry valves operate satisfactorily during this inspection? Yes No N/A
g. Does the intermediate chamber appear to be free from leakage at the time of inspection? Yes No N/A
System: Make, Model, Size, and Location
Test Type Air (psi) Water (psi) Trip (psi) Trip Time (sec)
Water Delivery (sec)
3” LPC DPV N/A Partial Full 35 55 8 N/A N/A
7. After Tests Not applicable
a. Does the air pressure maintained appear to be at proper setting for system? Yes No N/A
b. Have all known drum drip/low point drains been drained and inspected during the inspection? Yes No N/A
8. Alarms
a. Did the water motor gong operate during testing? Yes No N/A
b. Did the electric alarms operate during testing? Yes No N/A
c. Did alarms activate within appropriate time? Yes No N/A
d. Did the supervisory alarms operate during testing? Yes No N/A
e. Was the alarm panel clear of alarm and trouble signals upon departure? (If no, please explain in comments) Yes No N/A
9. Systems, Sprinklers, and Piping (Inspected from ground level)
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 3 of 7
Missoula, MT 59808 Phone: 406-728-5242
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge? Yes No N/A
c. Do sprinklers generally appear to be free of damage, corrosion, paint, loading and visible obstruction, and appear to be installed in the correct orientation? Yes No N/A
d. Do escutcheons and cover plates for recessed, flush, and concealed sprinklers generally appear to be installed? Yes No N/A
e. Are extra sprinklers available on the premises in a head cabinet, along with the appropriate head wrench? Yes No N/A
f. Is a list of the installed sprinklers kept in the spare head cabinet? Yes No N/A Make/Model of Heads: N/A
g. Does the exterior condition of fire sprinkler system appear to be satisfactory? Yes No N/A
h. Have all dry sprinklers been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date N/A
i. Have all QRs been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date 2016
j. Have all SRs known to be more than 50 years old been replaced or a sample tested? Yes No N/A Install or last sample test date N/A
k. Have all sprinklers known to be more than 75 Years old been replaced or sample tested? Yes No N/A Install or last sample test date N/A
l. Do all known high-temp and sprinklers subject to harsh conditions appear to be less than 5 years old? Yes No N/A
Install or last sample test date N/A
m. Does the hose valve(s) on the sprinkler system appear to be in satisfactory condition? Yes No N/A
n. Do all visible pipe supports/hangers and seismic bracing appear to be in good condition? Yes No N/A
10. Observations These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Please see the summary section at the top of the form for the comments.
11. Adjustments or Corrections Made:
12. List Changes in the Occupancy Hazard or Fire Protection Equipment, as Advised by the Owner in Section 1A
13. Inspector Information:
Test Verification:
Inspected By Drake Watson Inspector Signature
Inspector License: FPL-IEL-LIC-0037969 Date of Work 5/2/2023
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 4 of 7
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 5 of 7
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 6 of 7
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 7 of 7
Contact: Personnel on Site
Contact Address: 128 W Glacier
West Glacier, MT 59936
Phone:
Email:
Property Evaluated: Glacier National Park (Business)
128 W Glacier
West Glacier, MT 59936
Description: Dry (Apgar Transit Building #1584)
Work Order: SV2303170970@@1
Company: Western States Fire Protection Co.
Address: 5562 Alloy South, Suite A
Missoula, MT 59808
Company Phone: 406-728-5242
Company Fax: 406-543-6071
Inspector: Drake Watson
FPL-IEL-LIC-0037969
Date of Work: 5/1/2023
Frequency: Annual
Tag: FJ0434
Deficiency Summary
Status: Open
4. Has there been an internal inspection of the piping within the last 5 years?
Due for 5 year inspection
Status: Open
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge?
Change during 5 year inspection
General Comments
These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 1 of 7
Missoula, MT 59808 Phone: 406-728-5242
Dry Fire Sprinkler System Inspection Report
Tag FJ0434 Inspection Frequency: Annual Property Being Evaluated:
Glacier National Park (Business) Owner:
Personnel on Site Owner's Phone Number:
Property Address:
128 W Glacier, West Glacier, MT, 59936
1. General A. (To be filled out by the Owner or Owner's Representative) Has the Owners section been answered on another inspection report that will be submitted with this inspection report? Yes No
Answers to the following questions should be for all fire and life safety systems and not limited to the scope of the present inspection form.
1. Has the occupancy, machinery, or operations remained the same since the last inspection? Yes No
2. Has the system(s) remained in service without modifications or repairs since the last inspection? Yes No
3. If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced? Yes No N/A
4. Has there been an internal inspection of the piping within the last 5 years? Yes No N/A 4a. Date last checked (Checking is recommended at least every 5 years) N/A
5. Have fire pumps had a curve test completed in the past 12 months? Yes No N/A
6. Are gravity, surface, or pressure tanks protected from freezing? Yes No N/A
7. Are any sprinkler heads or other sprinkler system components exposed to harsh conditions (ie.
Corrosive atmospheres, extreme temperatures, etc.) Yes No N/A
8. Do any systems contain low-point drains, excluding wet systems? (Please note - Low point drains should be emptied of condensation on a regular basis) Yes No N/A
8a. How many low point drains? 2 8b. What are the general locations of low point drains? Boiler rooms in restrooms.
9. Does the valve room have adequate heat to maintain a minimum of 40 F? Yes No N/A The above answers are verified as accurate and current by the undersigned Owner or Owner’s Representative for all fire and life safety systems.
Owner Signature
Printed Jeremy Title Date 5/1/2023 B. (To be answered by the inspector)
a. Is System in service upon arrival? Yes No
b. Was the alarm panel free of alarm and trouble signals upon arrival? (If no, please explain in comments) Yes No N/A
c. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? Yes No N/A
2. Control Valves
a. Do Control Valves appear to be free of damage/leaks? Yes No
b. Are all control valves sealed, secured, or supervised in the open position? Yes No
Control Valves:
No. of Valves:
Type: Additional Info:
Easily Accessible?
Signs? Valve in proper position?
Secured? Supervision Operational?
Backflow 2 BFV Yes No Yes No N/A Yes No Yes No
N/A Yes No N/A
3. Water Supplies
a. Water Supply Source City Private
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 2 of 7
Missoula, MT 59808 Phone: 406-728-5242
Main Drain Test Pipe Size
Static Pressure Before
Flow Pressure
Static Pressure
After
Test Pipe Location Time to Restore Pressure
Results
Main Drain 2” 137 55 76 Riser 2 sec Pass Fail N/A
4. Tanks, Pumps, Fire Dept. Connections
a. Appears that the F.D.C. is in satisfactory condition, couplings free, caps or plugs in place and check valves tight? Yes No N/A
b. Are fire department connections visible, accessible, and identification sign(s) in place? Yes No N/A
c. Has the five years hydrostatic test been performed on piping from the fire department connection to the fire department check valve? Yes No N/A
d. Date Unknown
e. Do fire pumps, gravity, surface and pressure tanks appear to be in good external condition and properly maintained? Yes No N/A
5. Dry Systems
a. No. of Systems 1
b. Is the Hydraulic Name Plate, if required, securely attached and legible? Yes No N/A
c. Are the air pressure and/or priming water levels normal? Yes No N/A
d. Do Valve and Trim appear to be free of damage/leaks and in good condition? Yes No N/A
e. Does Valve and Trim appear to be in its appropriate open or closed positions at time of inspection? Yes No N/A
f. Have all control valves been fully operated and returned to normal their position? Yes No N/A
g. Is the enclosure around the dry valve heated to a minimum of 40F at the time of inspection? Yes No N/A
h. Did the pressure gauge on QOD indicate the same pressure as the air gauge on the system side of the dry valve? Yes No N/A
i. Does the QOD appear to be free from leakage at the time of inspection? Yes No N/A
j. Has there been an air leakage test of the system(s) within the last 3 years? Yes No Leakage Test Date Unknown
6. Trip Test
a. Were dry systems trip tests performed during this inspection? Yes No N/A
b. Low air pressure signal passed the test? Yes No N/A
c. Date of last full trip test? 5/10/2022
d. Did the air compressor operate satisfactorily? Yes No N/A
e. Were readily accessible and visible low points drained during this inspection? Yes No N/A
f. Did all the dry valves operate satisfactorily during this inspection? Yes No N/A
g. Does the intermediate chamber appear to be free from leakage at the time of inspection? Yes No N/A
System: Make, Model, Size, and Location
Test Type Air (psi) Water (psi) Trip (psi) Trip Time (sec)
Water Delivery (sec)
Tyco 4” N/A Partial Full 35 137 16 N/A N/A
7. After Tests Not applicable
a. Does the air pressure maintained appear to be at proper setting for system? Yes No N/A
b. Have all known drum drip/low point drains been drained and inspected during the inspection? Yes No N/A
8. Alarms
a. Did the water motor gong operate during testing? Yes No N/A
b. Did the electric alarms operate during testing? Yes No N/A
c. Did alarms activate within appropriate time? Yes No N/A
d. Did the supervisory alarms operate during testing? Yes No N/A
e. Was the alarm panel clear of alarm and trouble signals upon departure? (If no, please explain in comments) Yes No N/A
9. Systems, Sprinklers, and Piping (Inspected from ground level)
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 3 of 7
Missoula, MT 59808 Phone: 406-728-5242
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge? Yes No N/A
c. Do sprinklers generally appear to be free of damage, corrosion, paint, loading and visible obstruction, and appear to be installed in the correct orientation? Yes No N/A
d. Do escutcheons and cover plates for recessed, flush, and concealed sprinklers generally appear to be installed? Yes No N/A
e. Are extra sprinklers available on the premises in a head cabinet, along with the appropriate head wrench? Yes No N/A
f. Is a list of the installed sprinklers kept in the spare head cabinet? Yes No N/A Make/Model of Heads: See Photos
g. Does the exterior condition of fire sprinkler system appear to be satisfactory? Yes No N/A
h. Have all dry sprinklers been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date N/A
i. Have all QRs been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date 2006
j. Have all SRs known to be more than 50 years old been replaced or a sample tested? Yes No N/A Install or last sample test date N/A
k. Have all sprinklers known to be more than 75 Years old been replaced or sample tested? Yes No N/A Install or last sample test date N/A
l. Do all known high-temp and sprinklers subject to harsh conditions appear to be less than 5 years old? Yes No N/A
Install or last sample test date N/A
m. Does the hose valve(s) on the sprinkler system appear to be in satisfactory condition? Yes No N/A
n. Do all visible pipe supports/hangers and seismic bracing appear to be in good condition? Yes No N/A
10. Observations These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Please see the summary section at the top of the form for the comments.
11. Adjustments or Corrections Made:
12. List Changes in the Occupancy Hazard or Fire Protection Equipment, as Advised by the Owner in Section 1A
13. Inspector Information:
Test Verification:
Inspected By Drake Watson Inspector Signature
Inspector License: FPL-IEL-LIC-0037969 Date of Work 5/1/2023
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 4 of 7
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 5 of 7
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 6 of 7
Missoula, MT 59808
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 7 of 7
Contact: Personnel on Site
Contact Address: 128 W Glacier
West Glacier, MT 59936
Phone:
Email:
Property Evaluated: Glacier National Park (Business)
128 W Glacier
West Glacier, MT 59936
Description: Dry (Archive Building #37 (Museum
Office))
Work Order: SV2303170970@@1
Company: Western States Fire Protection Co.
Address: 5562 Alloy South, Suite A
Missoula, MT 59808
Company Phone: 406-728-5242
Company Fax: 406-543-6071
Inspector: Drake Watson
FPL-IEL-LIC-0037969
Date of Work: 5/2/2023
Frequency: Annual
Tag: FJ0434
Deficiency Summary
Status: Open
4. Has there been an internal inspection of the piping within the last 5 years?
Due for 5 year inspection
Status: Open
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge?
Change during 5 year
General Comments
These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 1 of 6
Missoula, MT 59808 Phone: 406-728-5242
Dry Fire Sprinkler System Inspection Report
Tag FJ0434 Inspection Frequency: Annual Property Being Evaluated:
Glacier National Park (Business) Owner:
Personnel on Site Owner's Phone Number:
Property Address:
128 W Glacier, West Glacier, MT, 59936
1. General A. (To be filled out by the Owner or Owner's Representative) Has the Owners section been answered on another inspection report that will be submitted with this inspection report? Yes No
Answers to the following questions should be for all fire and life safety systems and not limited to the scope of the present inspection form.
1. Has the occupancy, machinery, or operations remained the same since the last inspection? Yes No
2. Has the system(s) remained in service without modifications or repairs since the last inspection? Yes No
3. If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced? Yes No N/A
4. Has there been an internal inspection of the piping within the last 5 years? Yes No N/A 4a. Date last checked (Checking is recommended at least every 5 years) N/A
5. Have fire pumps had a curve test completed in the past 12 months? Yes No N/A
6. Are gravity, surface, or pressure tanks protected from freezing? Yes No N/A
7. Are any sprinkler heads or other sprinkler system components exposed to harsh conditions (ie.
Corrosive atmospheres, extreme temperatures, etc.) Yes No N/A
8. Do any systems contain low-point drains, excluding wet systems? (Please note - Low point drains should be emptied of condensation on a regular basis) Yes No N/A
8a. How many low point drains? 1 8b. What are the general locations of low point drains? IT in back corner
9. Does the valve room have adequate heat to maintain a minimum of 40 F? Yes No N/A The above answers are verified as accurate and current by the undersigned Owner or Owner’s Representative for all fire and life safety systems.
Owner Signature
Printed Jeremy Title Date 5/2/2023 B. (To be answered by the inspector)
a. Is System in service upon arrival? Yes No
b. Was the alarm panel free of alarm and trouble signals upon arrival? (If no, please explain in comments) Yes No N/A
c. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? Yes No N/A
2. Control Valves
a. Do Control Valves appear to be free of damage/leaks? Yes No
b. Are all control valves sealed, secured, or supervised in the open position? Yes No
Control Valves:
No. of Valves:
Type: Additional Info:
Easily Accessible?
Signs? Valve in proper position?
Secured? Supervision Operational?
System 1 BFV Yes No Yes No N/A Yes No Yes No
N/A Yes No N/A
3. Water Supplies
a. Water Supply Source City Private
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 2 of 6
Missoula, MT 59808 Phone: 406-728-5242
Main Drain Test Pipe Size
Static Pressure Before
Flow Pressure
Static Pressure
After
Test Pipe Location Time to Restore Pressure
Results
Main Drain 1.25” 66 50 65 Riser 2 sec Pass Fail N/A
4. Tanks, Pumps, Fire Dept. Connections
a. Appears that the F.D.C. is in satisfactory condition, couplings free, caps or plugs in place and check valves tight? Yes No N/A
b. Are fire department connections visible, accessible, and identification sign(s) in place? Yes No N/A
c. Has the five years hydrostatic test been performed on piping from the fire department connection to the fire department check valve? Yes No N/A
d. Date N/A
e. Do fire pumps, gravity, surface and pressure tanks appear to be in good external condition and properly maintained? Yes No N/A
5. Dry Systems
a. No. of Systems 1
b. Is the Hydraulic Name Plate, if required, securely attached and legible? Yes No N/A
c. Are the air pressure and/or priming water levels normal? Yes No N/A
d. Do Valve and Trim appear to be free of damage/leaks and in good condition? Yes No N/A
e. Does Valve and Trim appear to be in its appropriate open or closed positions at time of inspection? Yes No N/A
f. Have all control valves been fully operated and returned to normal their position? Yes No N/A
g. Is the enclosure around the dry valve heated to a minimum of 40F at the time of inspection? Yes No N/A
h. Did the pressure gauge on QOD indicate the same pressure as the air gauge on the system side of the dry valve? Yes No N/A
i. Does the QOD appear to be free from leakage at the time of inspection? Yes No N/A
j. Has there been an air leakage test of the system(s) within the last 3 years? Yes No Leakage Test Date Unknown
6. Trip Test
a. Were dry systems trip tests performed during this inspection? Yes No N/A
b. Low air pressure signal passed the test? Yes No N/A
c. Date of last full trip test? 5/2/2023
d. Did the air compressor operate satisfactorily? Yes No N/A
e. Were readily accessible and visible low points drained during this inspection? Yes No N/A
f. Did all the dry valves operate satisfactorily during this inspection? Yes No N/A
g. Does the intermediate chamber appear to be free from leakage at the time of inspection? Yes No N/A
System: Make, Model, Size, and Location
Test Type Air (psi) Water (psi) Trip (psi) Trip Time (sec)
Water Delivery (sec)
Victaulic NXT S/768 2.5” N/A Partial Full 29 66 9 7 10
7. After Tests Not applicable
a. Does the air pressure maintained appear to be at proper setting for system? Yes No N/A
b. Have all known drum drip/low point drains been drained and inspected during the inspection? Yes No N/A
8. Alarms
a. Did the water motor gong operate during testing? Yes No N/A
b. Did the electric alarms operate during testing? Yes No N/A
c. Did alarms activate within appropriate time? Yes No N/A
d. Did the supervisory alarms operate during testing? Yes No N/A
e. Was the alarm panel clear of alarm and trouble signals upon departure? (If no, please explain in comments) Yes No N/A
9. Systems, Sprinklers, and Piping (Inspected from ground level)
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242 Page 3 of 6
Missoula, MT 59808 Phone: 406-728-5242
b. Are all of the gauges dated within 5 years or compared to a calibrated gauge? Yes No N/A
c. Do sprinklers generally appear to be free of damage, corrosion, paint, loading and visible obstruction, and appear to be installed in the correct orientation? Yes No N/A
d. Do escutcheons and cover plates for recessed, flush, and concealed sprinklers generally appear to be installed? Yes No N/A
e. Are extra sprinklers available on the premises in a head cabinet, along with the appropriate head wrench? Yes No N/A
f. Is a list of the installed sprinklers kept in the spare head cabinet? Yes No N/A Make/Model of Heads: N/A
g. Does the exterior condition of fire sprinkler system appear to be satisfactory? Yes No N/A
h. Have all dry sprinklers been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date N/A
i. Have all QRs been replaced or a sample tested based on the appropriate interval? Yes No N/A Install or last sample test date N/A
j. Have all SRs known to be more than 50 years old been replaced or a sample tested? Yes No N/A Install or last sample test date 1990
k. Have all sprinklers known to be more than 75 Years old been replaced or sample tested? Yes No N/A Install or last sample test date N/A
l. Do all known high-temp and sprinklers subject to harsh conditions appear to be less than 5 years old? Yes No N/A
Install or last sample test date N/A
m. Does the hose valve(s) on the sprinkler system appear to be in satisfactory condition? Yes No N/A
n. Do all visible pipe supports/hangers and seismic bracing appear to be in good condition? Yes No N/A
10. Observations These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.
Please see the summary section at the top of the form for the comments.
11. Adjustments or Corrections Made:
12. List Changes in the Occupancy Hazard or Fire Protection Equipment, as Advised by the Owner in Section 1A
13. Inspector Information:
Test Verification:
Inspected By Drake Watson Inspector Signature
Inspector License: FPL-IEL-LIC-0037969 Date of Work 5/2/2023
Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242Western States Fire Protection Co., 5562 Alloy South, Suite A, Missoula, MT, 59808 Phone: 406-728-5242…
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