Attachment_1_GEWA_Annual_Fire_Inspection_2022_0001.pdf

TERMS: Net 30 days. Interest will be charged on past due accounts at the rate of 1.5% per month (annual interest rate – 18%) or the maximum permissible by law whichever is the lesser. In the event we incur expenses for collection, reasonable collection charges including attorney’s fees, will be added to the balance due and the buyer shall pay all such charges. We accept payment by VISA and MasterCard.

Sales Total Tax Total

Net Amount

555.00 0.00

555.00

INVOICE____________________________

Invoice Number:

02ST25471447

Invoice Date:

06/21/2022

Service Location:

George Washington Birthplace National Monument 01022G0246 2500758 1732 Popes Creek Road Colonial Beach, VA 22443

10343-A Kings Acre Road Ashland, VA 23005

Phone: (804) 459-2200 Fax: (804) 459-2201

Customer Number:

01022G0246

Bill To:

George Washington Birthplace National Monument 1732 Popes Creek Rd.

Colonial Beach, VA 22443

Please remit payment to: VSC Fire & Security, Inc., 10343B Kings Acres Road, Ashland, VA 23005 AR@vscfire.com

INVOICE DATE CUSTOMER PO PAYMENT TERMS PROJECT ID

06/21/2022 Net 30 02ST25471447

ITEM ID DESCRIPTION QTY UNIT PRICE EXT PRICE

STWI Sprinkler Inspection, Backflow - $555 1 555.00 555.00

Location Name: George Washington Birthplace National Monument 01022G0246 2500758

Address: 1732 Popes Creek Road Job # 25471447

George Washington Birthplace National Monument 01022G0246 2500758

VSC Fire & Security Richmond

10343 Kings Acres Road Ashland

VA

23005-8059

(804) 459-2200 www.VSCFire.com

Important : Deficiencies, comments and explanations of any FAIL or NEGATIVE responses are indicated on the Work Acknowledgment attachment for this Inspection/Test.

Frequency Annual Inspection Type Water-Based Fire Protection System Inspection

Current State accepted NFPA Standard Edition: Virginia-NFPA 25, 2017 Edition, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems

Technician's Name: James Johnston Jr Inspection Date 06/06/22 11:49:08 AM

Location Location Name George Washington Birthplace National Monument 01022G0246 2500758

Street Address 1732 Popes Creek Road

City Colonial Beach State VA Zip Code 22443

Billing Customer

Name George Washington Birthplace National Monument

Street Address 1732 Popes Creek Rd.

City Colonial Beach State VA Zip Code 22443

Contact Information Name Walter Rose Phone 540-993-3516

Email walter_rose@nps.gov

Notifications This inspection test requires disabling/restoring a Fire System and/or notifying a Monitoring Service. This inspection test does not require disabling/restoring a Fire System and/or notifying a Monitoring Service.

The inspected equipment does not communicate to an outside source.

Date(s) put on test: 6/6/22 Time(s) put on test: 8:00

Date(s) restored: 6/6/22 Time(s) restored: 1:00

Monitoring Company and Operator Name(s) notified of test and restoral:

Walter called

Name(s) of Owner, Owner's Rep., Occupants and/or Tenants notified of test, restoral and any deficiencies:

Walter

Local Emergency Services, AHJ, or Insurance Rep. notified of test, restoral, or any impairments, if required:

N/A https://www.vscfire.com/

TECHNICIAN'S COMMENTS

Any known adverse conditions noted which existed prior to this inspection and test:

Issues regarding restoral, or conditions which preclude restoral of Fire Protection Equipment/System(s):

N/A N/A

Systems and Components Summary Component Type Total Number Deficient

Wet Riser System 1 0

Dry Pipe Riser System 1 0

Preaction System 0 0

Deluge System 0 0

Standpipe System 0 0

Antifreeze System 0 0

Foam System 0 0

Fire Pump 0 0

Fire Department Connection 1 0

Control Valve 4 0

Quick Opening Device 0 0

Auxiliary Drains 4 0

Hose Connections 0 0

Pressure Relief/Reg. Valve 0 0

Private Fire Hydrant 0 0

Water Storage Tank 0 0

Water-based Alarm/Supervisory Device Summary Device Type Total Number Deficient

Water Flow Device (Vane Type & Pressure Switch) 2 0

Control Valve Supervisory Tamper Switch 4 0

Low/High Air Supervisory Pressure Switch 1 0

Fire Pump Power Loss Supervision 0 0

Fire Pump Running Supervision 0 0

Fire Pump Phase Reversal Supervision 0 0

Low Temperature Supervision Device 0 0

Low Water Level Supervision Device 0 0

Detection Devices (Water‐Based System Activation) 0 0

Dated Service Requirements Summary

(YES = Service Due) Results Due Date Dry pipe valve 3 year full flow trip test due? No 2024

Are check valves and backflow assemblies due for 5 year internal inspection? ** No 2026

Are gauges due for 5 year calibration or replacement? ** No 2026

Is a 5 year internal obstruction inspection due? ** No 2026

Is a 5 year hydrostatic test of FDC piping due? ** No 2026

Dry pipe and Preaction systems due for 3 year air leak test? ** No 2024

Is an annual ice obstruction inspection due? (freezers) ** N/A

Sprinklers in Harsh Environments 5 Year Sample Test due? ** N/A

Dry‐type sprinklers 10 year sample test due? ** N/A

Fast Response sprinklers 20 year/10 year sample test due? ** No 2025

Are fire sprinklers due for a 50 year sample test?** N/A

Annual Pipe and Sprinkler Inspection Date Last Annual Inspection: 2022-06-06

As per NFPA 25, only pipe and sprinklers which are visible from floor level inspected PASS|FAIL|N/A Pipe, hangers, seismic bracing free of damage, loading, corrosion and missing components? Pass

Sprinklers free of foreign materials, damage, corrosion, misalignment and of proper type? Pass

Spare sprinklers and appropriate wrenches present? Fail

Wet Riser Systems

Riser Information & Inspection ID # Area / Location Manufacture Model Size

Mechanical Room Rasco WWFD 3”

Visual inspection of riser and components acceptable?

Pass Hydraulic Data Plate present and legible, if applicable?

Pass

Water Motor Gong and/or Riser Electric Bell in good condition and functional, if applicable?

N/A Inspection Tag Color?

Alarm Line Seal #(s), if applicable N/A

Riser Main Drain Test Main Drain Size Static Pressure Residual Pressure Static Pressure Return Time (sec) Drain Test

Acceptable?

1 1/4" 50 45 55 2 Yes

Additional Comments None

Dry Pipe Riser Systems

Riser Information & Inspection ID # Area / Location Manufacture Model Size

Mechanical Room Victaulic S/756 3''

Visual inspection of riser and components acceptable?

Pass Hydraulic Data Plate present and legible, if applicable?

Pass

Water Motor Gong and/or Riser Electric Bell in good condition and functional, if applicable?

N/A Inspection Tag Color?

Dry System Air Gauge Pressure:

25 Air supply satisfactory?

Pass Priming water drained to proper level?

Yes

Alarm Line Seal #(s), if applicable 254387, 494252, 254388

Annual / 3 Year Trip Test Results Note: Trip Test Result section only to be completed during the required Annual or 3 Year Trip Test

Trip Test Type: Annual

Air Pressure Prior To Test Air Pressure At Valve Trip Valve Trip Time (3 Year

Only) Time Water Delivery At ITC

25 Did not trip.

Riser Main Drain Test Main Drain Size Static Pressure Residual Pressure Static Pressure Return Time (sec) Drain Test

Acceptable?

1 1/4" 50 35 45 2 Yes

Additional Comments None

Dry Pipe/Preaction/Deluge Auxiliary Drain List

ID # / Area / Location Panel Type Visual Inspection

Pass / Fail / NI Drained?

Yes/No/NI

Dry System Other: Pass Yes

Collections Office Drum Drip Pass Yes

Collections Office ITC Pass Yes

Storage Room Drum Drip Pass Yes

Supervisory Device List

[ ] Visual Inspection only performed this date. x Visual Inspection and Functional Test performed this date.

Zone or Address ID # / Area / Location Device Type Pass / Fail

20 Dry System Hi/Low Gas/Air Pressure Pass

Control Valve List

[ ] Visual Inspection only performed this date. x Visual Inspection and Functional Test performed this date.

ID # / Area / Location Manufacturer Type Size Seal # Pass / Fail / NI

Backflow #1 Kennedy OS&Y 3" 512803 Pass Backflow #2 Kennedy OS&Y 3" 512804 Pass Dry System Victaulic Butterfly 3" 512805 Pass Wet System Victualic Butterfly 3" 512806 Pass

Supervisory Tamper Switch Device List

[ ] Visual Inspection only performed this date. x Visual Inspection and Functional Test performed this date.

Zone or Address ID # / Area / Location Pass / Fail

17 Backflow #1 Pass

17 Backflow #2 Pass

16 Dry System Pass

15 Wet System Pass

Waterflow Device List

[ ] Visual Inspection only performed this date. x Visual Inspection and Functional Test performed this date.

Zone or Address ID # / Area / Location Device Type Pass / Fail

19 Dry System Pressure Switch Pass

18 Wet System Paddle Switch Pass

Fire Department Connection Inspection and Information

Fire Department Connection PASS/FAIL criteria is based on the following considerations and observations, where possible:

• Connection is visible, accessible and interior free of visible foreign material

• Couplings/Swivels rotate freely and are not damaged

• Plugs, Caps and Gaskets are in place, in good condition and undamaged

• Identification signs are in place and legible

• FDC Check Valve is not leaking (as evidenced by no standing or running water in, or from, the connection)

• Automatic Drain is in place and operating properly

ID # / Area / Location Pass / Fail / NI

Note : A Fire Department Connection Automatic Drain which has been designed, installed and accepted by the AHJ in a manner that renders it inaccessible cannot be inspected per NFPA 25, and therefore that component of the Fire Department Connection, if installed inaccessible, is excluded from this inspection.

Outside Riser Room Pass

Comments None

Date Service Requirements Summary Deficiencies

Question Due Date Severity Issue

Spare sprinklers and appropriate wrenches present? deficient Need spare chrome pendants in head box.

Backflow Prevention Device Test Report

Rev 1-9-19 25471447

10343 Kings Acres Road Ashland

VA

23005-8059

10343 Kings Acres Road Ashland

VA

10343 Kings Acres Road Ashland

VA

10343 Kings Acres Road Ashland

VA

WORK ACKNOWLEDGEMENT

Your Technician:

James Johnston Jr

On site 6/6/2022 at 11:48am

From VSC Fire & Security, Inc.

10343 Kings Acres Road

Ashland, VA 23005-8059

(804) 459-2200

Job No. 25471447

Type Inspection

PO No.

Job For George Washington Birthplace

National Monument

01022G0246 2500758

1732 Popes Creek Road

Colonial Beach, VA 22443

Completed Services

Sprinkler Inspection

Backflow Test

Deficiencies

NEW

Inopera bl e

D I S C O V E R E D

0 6 /0 6 /2 0 2 2

1 0 : 5 1 A M

Mechanical Room

Description:

Dry system failed to trip. Had to take faceplate off to reset valve. System is not functioning properly. System has been impaired and customer wants quote on repairing valve and replacing valve.

NEW

D efi ci ent

D I S C O V E R E D

0 6 /0 6 /2 0 2 2

1 0 : 5 3 A M

Ames 2000SS 1401470704 Mechanical Room

Description:

Fire Backflow #1 check failed. 0.0 https://s3.amazonaws.com/production-attachments/524406262737217_3f1f2f228f1c39f3eaa9c57bd1f32cfb.jpg https://s3.amazonaws.com/production-attachments/524406022564993_749d12d249022abb226b3271868b6222.jpg https://s3.amazonaws.com/production-attachments/524404640648193_d1d7379b2f40f200900703a210ec4c4c.jpg

Comments

No Comments

Disclaimers and Warranties

General: VSC Fire & Security, Inc. warrants that the Products furnished hereunder will be free from defects in materials and workmanship for a period of one (1) year from the date of furnishing. Products or services not in conformance with the above warranty shall be repaired, replaced, re-performed or subject to refund, at VSC Fire & Security, Inc.'s election, as Customer’s sole remedy.

Terms of Payment: Monthly invoices will be rendered representing the value of materials delivered to the site and work performed. All such invoices are payable in full within thirty

NEW

D efi ci ent

D I S C O V E R E D

0 6 /0 6 /2 0 2 2

1 2 : 1 6 P M

Description:

Fire panel has multiple issues with devices reporting incorrectly to different keypads. Tampers report as supervisory to 1 keypad, alarms to 1 and fault to another. Waterflow reports as tamper to keypad in mechanical room and alarm to the keypads in the office.

NEW

D efi ci ent

D I S C O V E R E D

0 6 /0 7 /2 0 2 2

9 : 4 3 A M

Description:

Spare sprinklers and appropriate wrenches present?: Fail Comment: Need spare chrome pendants in head box.

https://s3.amazonaws.com/production-attachments/524487835520385_bc8e61f6d82ebabe76ddad2e042a5003.jpg https://s3.amazonaws.com/production-attachments/524487776972417_f1d8640f4b8cf15f982a804126d93857.jpg https://s3.amazonaws.com/production-attachments/524487722765441_cc9612c859370077f1b82bf84c0a26e2.jpg https://s3.amazonaws.com/production-attachments/524487673040257_517efdad2993748f2ee33607b5dbc4c5.jpg https://s3.amazonaws.com/production-attachments/524487623593537_55d3a09bc223afd280f626f1662a6cab.jpg https://s3.amazonaws.com/production-attachments/524487575326273_8a95a6efd909295703fd0311e56f0476.jpg