Attachment_2_THST_Annual_Fire_Inspection_2022_0001.pdf
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- 140P4222Q0081
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| File | Type | Posted |
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| Sol_140P4222Q0081_Amd_0003.pdf | ||
| Revised_Price_Schedule_0002.docx | DOCX document | |
| Sol_140P4222Q0081_Amd_0002.pdf | ||
| 140P4222Q0081_Q___A_II_0002.docx | DOCX document | |
| Attachment_4_GEWA_THST_additional_alarm_info_0001.pdf | ||
| Sol_140P4222Q0081_Amd_0001.pdf | ||
| Attachment_3_photos_of_equipment_0001.pdf | ||
| Attachment_1_GEWA_Annual_Fire_Inspection_2022_0001.pdf | ||
| 140P4222Q0081_Q_A_0001.docx | DOCX document | |
| Price_Schedule.docx | DOCX document | |
| Statement_of_Work.docx | DOCX document | |
| Wage_Determination_WD_15-4331_Rev_21_-_GEWA.pdf | ||
| Sol_140P4222Q0081.pdf | ||
| Wage_Determination_WD_15-4281_Rev_24_-_THST.pdf |
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ANNUAL DRY SPRINKLER INSPECTION
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
PHONE DATECUSTOMER NAME
CUSTOMER # SHIP TO #
ADDRESS
CITY STATE ZIP
TYPE OF SERVICE
COUNTY
CONTACT
INSPECTED BY
PAGER
START TIME END TIME
VALVE SIZE
VALVE MAKE
VALVE MODEL
FIRE ALARM PANEL MAKE
MONITORING
ANNUNCIATOR RESETTABLE
YES [ ] NO [ ] YES [ ] NO [ ]
YES [ ] NO [ ] N/A [ ]
REGULAR [ ] EMERGENCY [ ]
TECHNICIAN NAME: NUMBER:
A1.0 Fire alarm panel in normal upon arrival? YES [ ] NO [ ] N/A [ ]
A1.1 Dry pipe-sprinkler system in normal condition upon arrival? YES [ ] NO [ ] N/A [ ]
A1.2 Alarm line valve in open position upon arrival? Sealed ❑? YES [ ] NO [ ] N/A [ ]
A1.3 Quick opening device valves open upon arrival? Sealed ❑? Make: YES [ ] NO [ ] N/A [ ]
A1.4 Air line valve in open position upon arrival? Sealed ❑? YES [ ] NO [ ] N/A [ ]
A1.5 Sprinkler system air gauge reading before testing: psi. Q.O.D. Reading before psi. YES [ ] NO [ ] N/A [ ]
A1.6 Sprinkler system supply guage reading before testing: psi.
A1.7 System gauges maintenance yr. YES [ ] NO [ ] N/A [ ]
A1.8 Priming water at proper level? YES [ ] NO [ ] N/A [ ]
A1.9 Spare sprinkler box property supplied with heads & wrenches? YES [ ] NO [ ] N/A [ ]
A1.10 Hydraulic name plate attached and legible? YES [ ] NO [ ] N/A [ ]
A1.11 All system signs in place? YES [ ] NO [ ] N/A [ ]
B1.0 Air supply functional upon arrival? (compressor, bottle, plant, nitrogen) YES [ ] NO [ ] N/A [ ]
B1.1 Compressor operational? (belt tension?) Cut in psi. Cut out psi. YES [ ] NO [ ] N/A [ ]
B1.2 Compressor oil level full? YES [ ] NO [ ] N/A [ ]
B1.3 Hi/Low air pressure switch supervisory/trouble activated property? In: psi. YES [ ] NO [ ] N/A [ ]
C1.0 Sprinkler main drain flow test with inch valve fully opened? YES [ ] NO [ ] N/A [ ]
C1.1 Sprinkler supply gauge with main drain flow? (Residual) psi. YES [ ] NO [ ] N/A [ ]
C1.2 Previous test readings? (Unknown ❑) Static psi. Residual psi. YES [ ] NO [ ] N/A [ ]
C1.3 Tamper supervisory/trouble activated property? YES [ ] NO [ ] N/A [ ]
C1.4 Control valve exercised? Lubed ❑? YES [ ] NO [ ] N/A [ ]
C1.5 Time to ring alarm from water motor gong? min sec YES [ ] NO [ ] N/A [ ]
C1.6 Time to ring alarm from pressure switch? min sec YES [ ] NO [ ] N/A [ ]
C1.7 Interior building alarms activated properly? YES [ ] NO [ ] N/A [ ]
C1.8 Exterior building alarms activated properly? YES [ ] NO [ ] N/A [ ]
C1.9 Exterior alarms properly identified? YES [ ] NO [ ] N/A [ ]
D1.0 Dry valve trip time Water to test Trip point air pressure psi.
D1.1 Interior of valve cleaned & in good condition? YES [ ] NO [ ] N/A [ ]
D1.2 All low points drained? How many? YES [ ] NO [ ] N/A [ ]
Continued on page 2.
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
SPR-ADS-0409 1
Date within acceptable range?
Via alarm test
D1.3 All drum drip valves left in proper position? YES [ ] NO [ ] N/A [ ]
D1.4 Dry pipe valve setup and left in normal condition? YES [ ] NO [ ] N/A [ ]
D1.5 Alarm line valve left sealed in open position? All valves left in normal condition? Sealed? YES [ ] NO [ ] N/A [ ]
D1.6 Exposed piping in good condition? YES [ ] NO [ ] N/A [ ]
D1.7 Sprinkler heads in good condition? YES [ ] NO [ ] N/A [ ]
D1.8 Fire Dept. connection maintained per NFPA-25? YES [ ] NO [ ] N/A [ ]
D1.9 Fire alarm control panel left in normal condition? YES [ ] NO [ ] N/A [ ]
D1.10 Did monitoring co. receive signal? Trouble? YES [ ] NO [ ] N/A [ ]Alarm?
Comments
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
ANNUAL DRY SPRINKLER INSPECTION
Single Source / Simplicity / Peace of Mind
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
Continued from page 1.
SPR-ADS-0409 2
D1.11
D1.12
Date of last 3 yr pressure test _________ Date of last 5 Yr Inspection_________
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
PHONE DATECUSTOMER NAME
CUSTOMER # SHIP TO #
ADDRESS
CITY STATE ZIP
TYPE OF SERVICE
COUNTY
CONTACT
INSPECTED BY
PAGER
START TIME END TIME
VALVE SIZE
VALVE MAKE
VALVE MODEL
FIRE ALARM PANEL MAKE
MONITORING
ANNUNCIATOR RESETTABLE
YES [ ] NO [ ] YES [ ] NO [ ]
YES [ ] NO [ ] N/A [ ]
REGULAR [ ] EMERGENCY [ ]
TECHNICIAN NAME: NUMBER:
A1.0 Fire alarm panel in normal upon arrival? YES [ ] NO [ ] N/A [ ]
A1.1 Dry pipe-sprinkler system in normal condition upon arrival? YES [ ] NO [ ] N/A [ ]
A1.2 Alarm line valve in open position upon arrival? Sealed ❑? YES [ ] NO [ ] N/A [ ]
A1.3 Quick opening device valves open upon arrival? Sealed ❑? Make: YES [ ] NO [ ] N/A [ ]
A1.4 Air line valve in open position upon arrival? Sealed ❑? YES [ ] NO [ ] N/A [ ]
A1.5 Sprinkler system air gauge reading before testing: psi. Q.O.D. Reading before psi. YES [ ] NO [ ] N/A [ ]
A1.6 Sprinkler system supply guage reading before testing: psi.
A1.7 System gauges maintenance yr. YES [ ] NO [ ] N/A [ ]
A1.8 Priming water at proper level? YES [ ] NO [ ] N/A [ ]
A1.9 Spare sprinkler box property supplied with heads & wrenches? YES [ ] NO [ ] N/A [ ]
A1.10 Hydraulic name plate attached and legible? YES [ ] NO [ ] N/A [ ]
A1.11 All system signs in place? YES [ ] NO [ ] N/A [ ]
B1.0 Air supply functional upon arrival? (compressor, bottle, plant, nitrogen) YES [ ] NO [ ] N/A [ ]
B1.1 Compressor operational? (belt tension?) Cut in psi. Cut out psi. YES [ ] NO [ ] N/A [ ]
B1.2 Compressor oil level full? YES [ ] NO [ ] N/A [ ]
B1.3 Hi/Low air pressure switch supervisory/trouble activated property? In: psi. YES [ ] NO [ ] N/A [ ]
C1.0 Sprinkler main drain flow test with inch valve fully opened? YES [ ] NO [ ] N/A [ ]
C1.1 Sprinkler supply gauge with main drain flow? (Residual) psi. YES [ ] NO [ ] N/A [ ]
C1.2 Previous test readings? (Unknown ❑) Static psi. Residual psi. YES [ ] NO [ ] N/A [ ]
C1.3 Tamper supervisory/trouble activated property? YES [ ] NO [ ] N/A [ ]
C1.4 Control valve exercised? Lubed ❑? YES [ ] NO [ ] N/A [ ]
C1.5 Time to ring alarm from water motor gong? min sec YES [ ] NO [ ] N/A [ ]
C1.6 Time to ring alarm from pressure switch? min sec YES [ ] NO [ ] N/A [ ]
C1.7 Interior building alarms activated properly? YES [ ] NO [ ] N/A [ ]
C1.8 Exterior building alarms activated properly? YES [ ] NO [ ] N/A [ ]
C1.9 Exterior alarms properly identified? YES [ ] NO [ ] N/A [ ]
D1.0 Dry valve trip time Water to test Trip point air pressure psi.
D1.1 Interior of valve cleaned & in good condition? YES [ ] NO [ ] N/A [ ]
D1.2 All low points drained? How many? YES [ ] NO [ ] N/A [ ]
Continued on page 2.
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
SPR-ADS-0409 1
Date within acceptable range?
D1.5 Alarm line valve left sealed in open position? All valves left in normal condition? Sealed? YES [ ] NO [ ] N/A [ ]
D1.6 Exposed piping in good condition? YES [ ] NO [ ] N/A [ ]
D1.7 Sprinkler heads in good condition? YES [ ] NO [ ] N/A [ ]
D1.8 Fire Dept. connection maintained per NFPA-25? YES [ ] NO [ ] N/A [ ]
D1.9 Fire alarm control panel left in normal condition? YES [ ] NO [ ] N/A [ ]
D1.10 Did monitoring co. receive signal? Trouble? YES [ ] NO [ ] N/A [ ]Alarm?
Comments
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
ANNUAL DRY SPRINKLER INSPECTION
Single Source / Simplicity / Peace of Mind
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
Continued from page 1.
SPR-ADS-0409 2
D1.11
D1.12
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
PHONE DATECUSTOMER NAME
CUSTOMER # SHIP TO #
ADDRESS
CITY STATE ZIP
TYPE OF SERVICE
COUNTY
CONTACT
INSPECTED BY
PAGER
START TIME END TIME
VALVE SIZE
VALVE MAKE
VALVE MODEL
FIRE ALARM PANEL MAKE
MONITORING
ANNUNCIATOR RESETTABLE
YES [ ] NO [ ] YES [ ] NO [ ]
YES [ ] NO [ ] N/A [ ]
REGULAR [ ] EMERGENCY [ ]
TECHNICIAN NAME: NUMBER:
A1.0 Fire alarm panel in normal upon arrival? YES [ ] NO [ ] N/A [ ]
A1.1 Dry pipe-sprinkler system in normal condition upon arrival? YES [ ] NO [ ] N/A [ ]
A1.2 Alarm line valve in open position upon arrival? Sealed ❑? YES [ ] NO [ ] N/A [ ]
A1.3 Quick opening device valves open upon arrival? Sealed ❑? Make: YES [ ] NO [ ] N/A [ ]
A1.4 Air line valve in open position upon arrival? Sealed ❑? YES [ ] NO [ ] N/A [ ]
A1.5 Sprinkler system air gauge reading before testing: psi. Q.O.D. Reading before psi. YES [ ] NO [ ] N/A [ ]
A1.6 Sprinkler system supply guage reading before testing: psi.
A1.7 System gauges maintenance yr. YES [ ] NO [ ] N/A [ ]
A1.8 Priming water at proper level? YES [ ] NO [ ] N/A [ ]
A1.9 Spare sprinkler box property supplied with heads & wrenches? YES [ ] NO [ ] N/A [ ]
A1.10 Hydraulic name plate attached and legible? YES [ ] NO [ ] N/A [ ]
A1.11 All system signs in place? YES [ ] NO [ ] N/A [ ]
B1.0 Air supply functional upon arrival? (compressor, bottle, plant, nitrogen) YES [ ] NO [ ] N/A [ ]
B1.1 Compressor operational? (belt tension?) Cut in psi. Cut out psi. YES [ ] NO [ ] N/A [ ]
B1.2 Compressor oil level full? YES [ ] NO [ ] N/A [ ]
B1.3 Hi/Low air pressure switch supervisory/trouble activated property? In: psi. YES [ ] NO [ ] N/A [ ]
C1.0 Sprinkler main drain flow test with inch valve fully opened? YES [ ] NO [ ] N/A [ ]
C1.1 Sprinkler supply gauge with main drain flow? (Residual) psi. YES [ ] NO [ ] N/A [ ]
C1.2 Previous test readings? (Unknown ❑) Static psi. Residual psi. YES [ ] NO [ ] N/A [ ]
C1.3 Tamper supervisory/trouble activated property? YES [ ] NO [ ] N/A [ ]
C1.4 Control valve exercised? Lubed ❑? YES [ ] NO [ ] N/A [ ]
C1.5 Time to ring alarm from water motor gong? min sec YES [ ] NO [ ] N/A [ ]
C1.6 Time to ring alarm from pressure switch? min sec YES [ ] NO [ ] N/A [ ]
C1.7 Interior building alarms activated properly? YES [ ] NO [ ] N/A [ ]
C1.8 Exterior building alarms activated properly? YES [ ] NO [ ] N/A [ ]
C1.9 Exterior alarms properly identified? YES [ ] NO [ ] N/A [ ]
D1.0 Dry valve trip time Water to test Trip point air pressure psi.
D1.1 Interior of valve cleaned & in good condition? YES [ ] NO [ ] N/A [ ]
D1.2 All low points drained? How many? YES [ ] NO [ ] N/A [ ]
Continued on page 2.
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
SPR-ADS-0409 1
Date within acceptable range?
Via alarm test
Sump pump will not handle main drain
D1.5 Alarm line valve left sealed in open position? All valves left in normal condition? Sealed? YES [ ] NO [ ] N/A [ ]
D1.6 Exposed piping in good condition? YES [ ] NO [ ] N/A [ ]
D1.7 Sprinkler heads in good condition? YES [ ] NO [ ] N/A [ ]
D1.8 Fire Dept. connection maintained per NFPA-25? YES [ ] NO [ ] N/A [ ]
D1.9 Fire alarm control panel left in normal condition? YES [ ] NO [ ] N/A [ ]
D1.10 Did monitoring co. receive signal? Trouble? YES [ ] NO [ ] N/A [ ]Alarm?
Comments
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
ANNUAL DRY SPRINKLER INSPECTION
Single Source / Simplicity / Peace of Mind
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
Continued from page 1.
SPR-ADS-0409 2
D1.11
D1.12
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
CUSTOMER NAME PHONE DATE
JOB # SHIP TO # PA G E R
ADDRESS START TIME END TIME
CITY STATE ZIP PUMP MAKE
COUNTY TYPE OF SERVICE
REGULAR [ ] EMERGENCY [ ]
PUMP MODEL PUMP SIZE
CONTACT MONITORING
YES [ ] NO [ ] N/A [ ]
INSPECTED BY
TECHNICIAN NAME:
ANNUNCIATOR
YES [ ] NO [ ]
RESETTABLE
YES [ ] NO [ ]
Diesel Fire Pumps Only
All Pumps - Controls
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date INS-AFP-0409-01
Relief-valve pressure appears properly adjusted. YES NO N/A
Control valves are properly tagged and identified.
Flow meter control valves are closed.
YES NO N/A
YES NO N/A
Control valves are locked/tampered. YES NO N/A
Bypass control valves are open.
Control valves are sealed/not tampered.
YES NO N/A
YES NO N/A
Test header valve swivel rotation is nonbinding. YES NO N/A
Test header valve handles are in good condition. YES NO N/A
Test header valves and caps are in good condition. YES NO N/A
Test header is in good condition. YES NO N/A
Test header control valve is closed. YES NO N/A
Packing glands appear properly adjusted. YES NO N/A
Fire pump shaft coupling appears properly aligned. YES NO N/A
Jockey pump controller is set on auto. YES NO N/A
Jockey pump controller power is on. YES NO N/A
Jockey pump is operational. YES NO N/A
Transfer-switch normal pilot light is on. YES NO N/A
Fire pump controller power is on. YES NO N/A
Condensate drain trap is clean. YES NO N/A
All valves, fittings and pipes are leak tight. YES NO N/A
Pressure-relief valve is free of damage. YES NO N/A
Casing relief valve is free of damage. YES NO N/A
Bearings and valves are lubricated. YES NO N/A
Solenoid valve is operating correctly. YES NO N/A
Cooling line strainer is clean. YES NO N/A
Coolant antifreeze protection is adequate. YES NO N/A
Diesel engine water hose is in good condition. YES NO N/A
Water-jacket piping is drip tight. YES NO N/A
Water-jacket heater appears to be working properly. YES NO N/A
Diesel engine water level is full. YES NO N/A
ANNUAL FIRE PUMP INSPECTION
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
JOB NAME DATE TECH
ADDRESS PUMP MANUFACTURER MODEL
CITY STATE ZIP S/N GPM
CONTROLLER MODEL MERCOID SETTING: FIRE PUMP
CUT IN: CUT OUT:
S/N VOLTAGE MERCOID SETTING: JOCKEY PUMP
CUT IN: CUT OUT:
STATIC _______________ (suction) _____________________ (discharge) ____________
CITY WATER PRESSURE ______________ (suction)__________________ (discharge) ____________
CHURN _______________ (suction)_____________________ (discharge) ____________
RPMS _______________ AMPS ________________
ELECTRIC MOTOR PUMP PRESSURE
AMPS RPMS SUCTION DISCHARGE NET FLOW # PITOT GPM %
Data Plate Ratings
PSI PCT OF OPERATION RPM IMP DIA.
CHURN
100%
150%
Pump shows less than 5% degradation from data plate rating Yes No
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date INS-AFP-0409-02
ANNUAL FIRE PUMP INSPECTION
ANNUAL WET SPRINKLER INSPECTION
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
PHONE DATECUSTOMER NAME
ADDRESS
CITY STATE ZIP
TYPE OF SERVICE
COUNTY
CONTACT
INSPECTED BY
START TIME END TIME
VALVE SIZE
VALVE MAKE
VALVE MODEL
FIRE ALARM PANEL MAKE
MONITORING
ANNUNCIATOR RESETTABLE
YES [ ] NO [ ] YES [ ] NO [ ]
YES [ ] NO [ ] N/A [ ]
REGULAR [ ] EMERGENCY [ ]
TECHNICIAN NAME: NUMBER:
A0.0 Is FACP in normal at start of inspection? YES [ ] NO [ ] N/A [ ]
A0.1 Total # of flow-switches on system List locations
A0.2 Flow-switches operational? YES [ ] NO [ ] N/A [ ]
A0.3 Total # of tamper switches on system List locations
A0.4 Tamper switches operational? YES [ ] NO [ ] N/A [ ]
A0.5 Total # of inspection test valves List locations
A0.6 Correct orifice on inspector’s test? YES [ ] NO [ ] N/A [ ]
A0.7 Alarm line valves in proper position? YES [ ] NO [ ] N/A [ ]
A1.0 Sprinkler supply gauge psi system gauge psi
A1.1 Main draw flow with inch valve open YES [ ] NO [ ] N/A [ ]
A1.2 Flow test supply psi system psi
A2.0 Sprinkler control valve locked tampered open
A2.1 Standpipe control valve locked tampered open
A2.2 Backflow control valve locked tampered open
A2.3 All control valves accessible? YES [ ] NO [ ] N/A [ ]
A2.4 Alarm valve and trim free from damage? YES [ ] NO [ ] N/A [ ]
A2.5 All control valves lubricated and exercised? YES [ ] NO [ ] N/A [ ]
A3.0 F.D.C. maintained per NFPA 25? YES [ ] NO [ ] N/A [ ]
A4.0 Interior/Exterior alarms operational? YES [ ] NO [ ] N/A [ ]
A4.1 Exterior alarms properly identified? YES [ ] NO [ ] N/A [ ]
A4.2 Time to alarm: W.M.G. Flow-switch Press-switch
A5.0 Correct percentage of heads/wrenches in spare box? YES [ ] NO [ ] N/A [ ]
A6.0 Heads appear free of leaks and damage? YES [ ] NO [ ] N/A [ ]
A6.1 Heads free of foreign material? YES [ ] NO [ ] N/A [ ]
A6.2 YES [ ] NO [ ] N/A [ ]
A6.3 Minimum 18” clearance from deflector to obstruction? YES [ ] NO [ ] N/A [ ]
A6.4 All proper escutcheon plates in place? YES [ ] NO [ ] N/A [ ]
A6.5 Standard heads less than 50 years old? Date YES [ ] NO [ ] N/A [ ]
A6.6 Fast Response heads less than 20 years old? Date YES [ ] NO [ ] N/A [ ]
A8.0 All dry barrel sprinkler heads less than 10 years old? Date_____________ YES [ ] NO [ ] N/A [ ]
Continued on page 2.
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
SPR-AWS-0409 1
JOB# SHIP TO # PA G E R
All sprinkler valve signs and hydraulic data plate in place?
A10.0
Exposed piping and hangers in good condition?
A11.0
System gauge maintenance Date
A12.0
Fire Pump manufacturer size
A12.1
Last capacity test Operational? YES [ ] NO [ ] N/A [ ]
A13.0
Alarm line valve sealed in open position? All valves in normal condition? YES [ ] NO [ ] N/A [ ]
A13.1
FACP left in normal condition? YES [ ] NO [ ] N/A [ ]
Did monitoring co. receive signal? Trouble? YES [ ] NO [ ] N/A [ ]
Alarm? YES [ ] NO [ ] N/A [ ]
Comments
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
ANNUAL WET SPRINKLER INSPECTION
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
SPR-AWS-0409 2
A9.0 YES [ ] NO [ ] N/A [ ]
A9.1 Last 5 Yr Internal Inspection? Date:_________________________
ANNUAL WET SPRINKLER INSPECTION
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
PHONE DATECUSTOMER NAME
ADDRESS
CITY STATE ZIP
TYPE OF SERVICE
COUNTY
CONTACT
INSPECTED BY
START TIME END TIME
VALVE SIZE
VALVE MAKE
VALVE MODEL
FIRE ALARM PANEL MAKE
MONITORING
ANNUNCIATOR RESETTABLE
YES [ ] NO [ ] YES [ ] NO [ ]
YES [ ] NO [ ] N/A [ ]
REGULAR [ ] EMERGENCY [ ]
TECHNICIAN NAME: NUMBER:
A0.0 Is FACP in normal at start of inspection? YES [ ] NO [ ] N/A [ ]
A0.1 Total # of flow-switches on system List locations
A0.2 Flow-switches operational? YES [ ] NO [ ] N/A [ ]
A0.3 Total # of tamper switches on system List locations
A0.4 Tamper switches operational? YES [ ] NO [ ] N/A [ ]
A0.5 Total # of inspection test valves List locations
A0.6 Correct orifice on inspector’s test? YES [ ] NO [ ] N/A [ ]
A0.7 Alarm line valves in proper position? YES [ ] NO [ ] N/A [ ]
A1.0 Sprinkler supply gauge psi system gauge psi
A1.1 Main draw flow with inch valve open YES [ ] NO [ ] N/A [ ]
A1.2 Flow test supply psi system psi
A2.0 Sprinkler control valve locked tampered open
A2.1 Standpipe control valve locked tampered open
A2.2 Backflow control valve locked tampered open
A2.3 All control valves accessible? YES [ ] NO [ ] N/A [ ]
A2.4 Alarm valve and trim free from damage? YES [ ] NO [ ] N/A [ ]
A2.5 All control valves lubricated and exercised? YES [ ] NO [ ] N/A [ ]
A3.0 F.D.C. maintained per NFPA 25? YES [ ] NO [ ] N/A [ ]
A4.0 Interior/Exterior alarms operational? YES [ ] NO [ ] N/A [ ]
A4.1 Exterior alarms properly identified? YES [ ] NO [ ] N/A [ ]
A4.2 Time to alarm: W.M.G. Flow-switch Press-switch
A5.0 Correct percentage of heads/wrenches in spare box? YES [ ] NO [ ] N/A [ ]
A6.0 Heads appear free of leaks and damage? YES [ ] NO [ ] N/A [ ]
A6.1 Heads free of foreign material? YES [ ] NO [ ] N/A [ ]
A6.2 YES [ ] NO [ ] N/A [ ]
A6.3 Minimum 18” clearance from deflector to obstruction? YES [ ] NO [ ] N/A [ ]
A6.4 All proper escutcheon plates in place? YES [ ] NO [ ] N/A [ ]
A6.5 Standard heads less than 50 years old? Date YES [ ] NO [ ] N/A [ ]
A6.6 Fast Response heads less than 20 years old? Date YES [ ] NO [ ] N/A [ ]
A8.0 All dry barrel sprinkler heads less than 10 years old? Date_____________ YES [ ] NO [ ] N/A [ ]
Continued on page 2.
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
SPR-AWS-0409 1
JOB# SHIP TO # PA G E R
All sprinkler valve signs and hydraulic data plate in place?
Readings at pump
Fire pump churn
A10.0
Exposed piping and hangers in good condition?
A11.0
System gauge maintenance Date
A12.0
Fire Pump manufacturer size
A12.1
Last capacity test Operational? YES [ ] NO [ ] N/A [ ]
A13.0
Alarm line valve sealed in open position? All valves in normal condition? YES [ ] NO [ ] N/A [ ]
A13.1
FACP left in normal condition? YES [ ] NO [ ] N/A [ ]
Did monitoring co. receive signal? Trouble? YES [ ] NO [ ] N/A [ ]
Alarm? YES [ ] NO [ ] N/A [ ]
Comments
“YOUR SIGNATURE WILL CONSTITUTE A BINDING CONTRACT AND ACCEPTANCE OF ALL OF THE TERMS AND CONDITIONS OF THIS SERVICE TICKET, INCLUDING THOSE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE. PLEASE TURN THE SERVICE TICKET OVER AND READ THEM.”
CUSTOMER: GUARDIAN FIRE PROTECTION SERVICES, LLC
Authorized Signature Date Authorized Signature Date
ANNUAL WET SPRINKLER INSPECTION
Guardian Fire Protection Services, LLC • 7668 Standish Place • Rockville, MD 20855 • Ph: 301.840.7100 • Fax: 301.330.8988
SPR-AWS-0409 2
A9.0 YES [ ] NO [ ] N/A [ ]
A9.1 Last 5 Yr Internal Inspection? Date:_________________________
| servicetrade_location_name: THOMAS STONE NATIONAL PARK |
| servicetrade_location_phone: (804) 224-1732 Ext:240 |
| servicetrade_job_dates: 06/15/2022 |
| CUSTOMER: |
| SHIP TO: |
| PAGER: |
| servicetrade_location_street: 6655 ROSE HILL RD. |
| START TIME: 6:50am |
| END TIME: |
| servicetrade_location_city: PORT TOBACCO |
| servicetrade_location_state: MD |
| servicetrade_location_postal_code: 20677 |
| servicetrade_job_assets-sprinkler-1-dry_valve_make: Victaulic - Visitors center |
| COUNTYRow1: |
| servicetrade_job_assets-sprinkler-1-dry_valve_model: S/756 |
| servicetrade_job_assets-sprinkler-1-dry_valve_size: 2 inch |
| Checkbox3: TRUE |
| Checkbox4: Off |
| servicetrade_job_assets-alarm-1-panel_make: Silent Knight |
| CONTACT: Beverly |
| Checkbox5: TRUE |
| Checkbox6: Off |
| Checkbox7: Off |
| servicetrade_job_technicians: Kevin Faulkner, Travon Cumberbatch |
| NumberTech: 302 |
| Checkbox8: Off |
| Checkbox9: TRUE |
| Checkbox10: Off |
| Checkbox11: TRUE |
| Checkbox12: TRUE |
| Checkbox39: Off |
| Checkbox66: Off |
| Checkbox15: TRUE |
| Checkbox42: Off |
| Checkbox69: Off |
| Checkbox1: Off |
| Checkbox16: TRUE |
| Checkbox43: Off |
| Checkbox70: Off |
| Checkbox2: Off |
| ValvesMake: |
| Checkbox17: Off |
| Checkbox44: Off |
| Checkbox71: TRUE |
| A1.2sealed.1.1.0: Off |
| Checkbox13: TRUE |
| Checkbox40: Off |
| Checkbox67: Off |
| Sprinkler system air gauge reading: 38 |
| QOD Reading: |
| Checkbox14: TRUE |
| Checkbox41: Off |
| Checkbox68: Off |
| Sprinkler system supply gauge reading: 95 |
| Compressor operational belt tension Cut in: 2020 |
| Checkbox18: TRUE |
| Checkbox45: Off |
| Checkbox72: Off |
| Checkbox21: TRUE |
| Checkbox48: Off |
| Checkbox75: Off |
| Checkbox22: TRUE |
| Checkbox49: Off |
| Checkbox76: Off |
| Checkbox23: TRUE |
| Checkbox50: Off |
| Checkbox77: Off |
| Checkbox19: TRUE |
| Checkbox46: Off |
| Checkbox73: Off |
| Checkbox20: TRUE |
| Checkbox47: Off |
| Checkbox74: Off |
| Min: 17 |
| Sec: 33 |
| Checkbox24: TRUE |
| Checkbox51: Off |
| Checkbox78: Off |
| Checkbox27: Off |
| Checkbox54: Off |
| Checkbox81: TRUE |
| Min_2.0.0: 9 |
| Checkbox28: TRUE |
| Checkbox55: Off |
| Checkbox82: Off |
| Sec_2: 3/4 |
| Checkbox29: TRUE |
| Checkbox56: Off |
| Checkbox83: Off |
| Min_2.0.2: 48 |
| Checkbox25: TRUE |
| Checkbox52: Off |
| Checkbox79: Off |
| C1.2check.0: Off |
| Min_2.1.0: |
| Min_2.1.1: |
| Checkbox26: Off |
| Checkbox53: TRUE |
| Checkbox80: Off |
| Checkbox30: TRUE |
| Checkbox57: Off |
| Checkbox84: Off |
| C1.2check.1: Off |
| Checkbox33: TRUE |
| Checkbox60: Off |
| Checkbox87: Off |
| Min_2.1.2: |
| Min_2.2.0: |
| Checkbox34: Off |
| Checkbox61: Off |
| Checkbox88: TRUE |
| Min_2.2.1: |
| Min_2.2.2: 3 |
| Checkbox35: TRUE |
| Checkbox62: Off |
| Checkbox89: Off |
| Checkbox31: TRUE |
| Checkbox58: Off |
| Checkbox85: Off |
| Checkbox32: Off |
| Checkbox59: Off |
| Checkbox86: TRUE |
| Checkbox36: Off |
| Checkbox63: Off |
| Checkbox90: TRUE |
| Min_2.3.0: Bump test |
| Min_2.3.1: Bump test |
| Min_2.3.2: 4 |
| Checkbox37: TRUE |
| Checkbox64: Off |
| Checkbox91: Off |
| Checkbox38: TRUE |
| Checkbox65: Off |
| Checkbox92: Off |
| AuthorizedSigDate.0.0: 06/15/2022 |
| AuthorizedSigDate.1.0: 06/15/2022 |
| Checkbox93: TRUE |
| Checkbox101: Off |
| Checkbox109: Off |
| Checkbox94: TRUE |
| Checkbox102: Off |
| Checkbox110: Off |
| Checkbox97: TRUE |
| Checkbox105: Off |
| Checkbox113: Off |
| Checkbox98: TRUE |
| Checkbox106: Off |
| Checkbox114: Off |
| Checkbox99: TRUE |
| Checkbox107: Off |
| Checkbox115: Off |
| Checkbox95: TRUE |
| Checkbox103: Off |
| Checkbox111: Off |
| Checkbox96: TRUE |
| Checkbox104: Off |
| Checkbox112: Off |
| D1.10Check.0.0: Off |
| Checkbox120: TRUE |
| Checkbox121: TRUE |
| Checkbox100: TRUE |
| Checkbox108: Off |
| Checkbox116: Off |
| Text1: 2020 |
| Text2: 2020 |
| comments: |
| AuthorizedSigDate.0.1: 06/15/2022 |
| AuthorizedSigDate.1.1: 06/15/2022 |
| 1: |
| servicetrade_location_name: THOMAS STONE NATIONAL PARK |
| servicetrade_location_phone: (804) 224-1732 Ext:240 |
| servicetrade_job_dates: 06/15/2022 |
| CUSTOMER: |
| SHIP TO: |
| PAGER: |
| servicetrade_location_street: 6655 ROSE HILL RD. |
| START TIME: 6:50am |
| END TIME: |
| servicetrade_location_city: PORT TOBACCO |
| servicetrade_location_state: MD |
| servicetrade_location_postal_code: 20677 |
| servicetrade_job_assets-sprinkler-1-dry_valve_make: Victaulic - Visitors center |
| COUNTYRow1: |
| servicetrade_job_assets-sprinkler-1-dry_valve_model: S756 |
| servicetrade_job_assets-sprinkler-1-dry_valve_size: 2 inch |
| Checkbox3: TRUE |
| Checkbox4: Off |
| servicetrade_job_assets-alarm-1-panel_make: Silent Knight |
| CONTACT: Beverly |
| Checkbox5: TRUE |
| Checkbox6: Off |
| Checkbox7: Off |
| servicetrade_job_technicians: Kevin Faulkner, Travon Cumberbatch |
| NumberTech: 302 |
| Checkbox8: Off |
| Checkbox9: TRUE |
| Checkbox10: Off |
| Checkbox11: TRUE |
| Checkbox12: TRUE |
| Checkbox39: Off |
| Checkbox66: Off |
| Checkbox15: TRUE |
| Checkbox42: Off |
| Checkbox69: Off |
| Checkbox1: Off |
| Checkbox16: TRUE |
| Checkbox43: Off |
| Checkbox70: Off |
| Checkbox2: Off |
| ValvesMake: |
| Checkbox17: Off |
| Checkbox44: Off |
| Checkbox71: TRUE |
| A1.2sealed.1.1.0: Off |
| Checkbox13: TRUE |
| Checkbox40: Off |
| Checkbox67: Off |
| Sprinkler system air gauge reading: 35 |
| QOD Reading: |
| Checkbox14: TRUE |
| Checkbox41: Off |
| Checkbox68: Off |
| Sprinkler system supply gauge reading: 83 |
| Compressor operational belt tension Cut in: 2020 |
| Checkbox18: TRUE |
| Checkbox45: Off |
| Checkbox72: Off |
| Checkbox21: TRUE |
| Checkbox48: Off |
| Checkbox75: Off |
| Checkbox22: TRUE |
| Checkbox49: Off |
| Checkbox76: Off |
| Checkbox23: TRUE |
| Checkbox50: Off |
| Checkbox77: Off |
| Checkbox19: TRUE |
| Checkbox46: Off |
| Checkbox73: Off |
| Checkbox20: TRUE |
| Checkbox47: Off |
| Checkbox74: Off |
| Min: 24 |
| Sec: 41 |
| Checkbox24: TRUE |
| Checkbox51: Off |
| Checkbox78: Off |
| Checkbox27: Off |
| Checkbox54: Off |
| Checkbox81: TRUE |
| Min_2.0.0: 14 |
| Checkbox28: TRUE |
| Checkbox55: Off |
| Checkbox82: Off |
| Sec_2: 3/4 |
| Checkbox29: TRUE |
| Checkbox56: Off |
| Checkbox83: Off |
| Min_2.0.2: 43 |
| Checkbox25: TRUE |
| Checkbox52: Off |
| Checkbox79: Off |
| C1.2check.0: Off |
| Min_2.1.0: |
| Min_2.1.1: |
| Checkbox26: Off |
| Checkbox53: TRUE |
| Checkbox80: Off |
| Checkbox30: TRUE |
| Checkbox57: Off |
| Checkbox84: Off |
| C1.2check.1: Off |
| Checkbox33: TRUE |
| Checkbox60: Off |
| Checkbox87: Off |
| Min_2.1.2: |
| Min_2.2.0: |
| Checkbox34: Off |
| Checkbox61: Off |
| Checkbox88: TRUE |
| Min_2.2.1: |
| Min_2.2.2: 3 |
| Checkbox35: TRUE |
| Checkbox62: Off |
| Checkbox89: Off |
| Checkbox31: TRUE |
| Checkbox58: Off |
| Checkbox85: Off |
| Checkbox32: Off |
| Checkbox59: Off |
| Checkbox86: TRUE |
| Checkbox36: Off |
| Checkbox63: Off |
| Checkbox90: TRUE |
| Min_2.3.0: Bump test |
| Min_2.3.1: Bump test |
| Min_2.3.2: 10 |
| Checkbox37: TRUE |
| Checkbox64: Off |
| Checkbox91: Off |
| Checkbox38: TRUE |
| Checkbox65: Off |
| Checkbox92: Off |
| AuthorizedSigDate.0.0: 06/15/2022 |
| AuthorizedSigDate.1.0: 06/15/2022 |
| 2: |
| servicetrade_location_name: THOMAS STONE NATIONAL PARK |
| servicetrade_location_phone: (804) 224-1732 Ext:240 |
| servicetrade_job_dates: 06/15/2022 |
| CUSTOMER: |
| SHIP TO: |
| PAGER: |
| servicetrade_location_street: 6655 ROSE HILL RD. |
| START TIME: 6:50am |
| END TIME: |
| servicetrade_location_city: PORT TOBACCO |
| servicetrade_location_state: MD |
| servicetrade_location_postal_code: 20677 |
| servicetrade_job_assets-sprinkler-1-dry_valve_make: Central |
| COUNTYRow1: |
| servicetrade_job_assets-sprinkler-1-dry_valve_model: D |
| servicetrade_job_assets-sprinkler-1-dry_valve_size: 3 inch |
| Checkbox3: TRUE |
| Checkbox4: Off |
| servicetrade_job_assets-alarm-1-panel_make: Firelite |
| CONTACT: Beverly |
| Checkbox5: TRUE |
| Checkbox6: Off |
| Checkbox7: Off |
| servicetrade_job_technicians: Kevin Faulkner, Travon Cumberbatch |
| NumberTech: 302 |
| Checkbox8: TRUE |
| Checkbox9: Off |
| Checkbox10: Off |
| Checkbox11: TRUE |
| Checkbox12: TRUE |
| Checkbox39: Off |
| Checkbox66: Off |
| Checkbox15: TRUE |
| Checkbox42: Off |
| Checkbox69: Off |
| Checkbox1: Off |
| Checkbox16: TRUE |
| Checkbox43: Off |
| Checkbox70: Off |
| Checkbox2: Off |
| ValvesMake: |
| Checkbox17: Off |
| Checkbox44: Off |
| Checkbox71: TRUE |
| A1.2sealed.1.1.0: Off |
| Checkbox13: TRUE |
| Checkbox40: Off |
| Checkbox67: Off |
| Sprinkler system air gauge reading: 43 |
| QOD Reading: |
| Checkbox14: TRUE |
| Checkbox41: Off |
| Checkbox68: Off |
| Sprinkler system supply gauge reading: 76 |
| Compressor operational belt tension Cut in: 2020 |
| Checkbox18: TRUE |
| Checkbox45: Off |
| Checkbox72: Off |
| Checkbox21: TRUE |
| Checkbox48: Off |
| Checkbox75: Off |
| Checkbox22: TRUE |
| Checkbox49: Off |
| Checkbox76: Off |
| Checkbox23: TRUE |
| Checkbox50: Off |
| Checkbox77: Off |
| Checkbox19: TRUE |
| Checkbox46: Off |
| Checkbox73: Off |
| Checkbox20: TRUE |
| Checkbox47: Off |
| Checkbox74: Off |
| Min: 36 |
| Sec: 50 |
| Checkbox24: TRUE |
| Checkbox51: Off |
| Checkbox78: Off |
| Checkbox27: Off |
| Checkbox54: Off |
| Checkbox81: TRUE |
| Min_2.0.0: 31 |
| Checkbox28: TRUE |
| Checkbox55: Off |
| Checkbox82: Off |
| Sec_2: 1 1/4 |
| Checkbox29: Off |
| Checkbox56: TRUE |
| Checkbox83: Off |
| Min_2.0.2: Sump pump |
| Checkbox25: Off |
| Checkbox52: TRUE |
| Checkbox79: Off |
| C1.2check.0: Off |
| Min_2.1.0: |
| Min_2.1.1: |
| Checkbox26: Off |
| Checkbox53: TRUE |
| Checkbox80: Off |
| Checkbox30: TRUE |
| Checkbox57: Off |
| Checkbox84: Off |
| C1.2check.1: Off |
| Checkbox33: TRUE |
| Checkbox60: Off |
| Checkbox87: Off |
| Min_2.1.2: |
| Min_2.2.0: 5 |
| Checkbox34: TRUE |
| Checkbox61: Off |
| Checkbox88: Off |
| Min_2.2.1: |
| Min_2.2.2: 3 |
| Checkbox35: TRUE |
| Checkbox62: Off |
| Checkbox89: Off |
| Checkbox31: TRUE |
| Checkbox58: Off |
| Checkbox85: Off |
| Checkbox32: TRUE |
| Checkbox59: Off |
| Checkbox86: Off |
| Checkbox36: TRUE |
| Checkbox63: Off |
| Checkbox90: Off |
| Min_2.3.0: Bump test |
| Min_2.3.1: Bump test |
| Min_2.3.2: 26 |
| Checkbox37: TRUE |
| Checkbox64: Off |
| Checkbox91: Off |
| Checkbox38: TRUE |
| Checkbox65: Off |
| Checkbox92: Off |
| AuthorizedSigDate.0.0: 06/15/2022 |
| AuthorizedSigDate.1.0: 06/15/2022 |
| servicetrade_customer_name: THOMAS STONE NATIONAL HISTORIC SITE |
| 3: |
| servicetrade_location_phone: (804) 224-1732 Ext:240 |
| servicetrade_job_dates: 06/15/2022 |
| SHIP TO: |
| START TIME: 6:50am |
| END TIME: |
| CONTACT: |
| servicetrade_job_technicians: Kevin Faulkner, Travon Cumberbatch |
| servicetrade_job_number: 25453394 |
| PA G E R: |
| servicetrade_customer_street: 6655 ROSE HILL RD. |
| servicetrade_customer_city: PORT TOBACCO |
| servicetrade_customer_state: MD |
| servicetrade_customer_postal_code: 20677 |
| PUMP MAKE: ITT A-C pump diesel |
| COUNTY: |
| PUMP MODEL: 6x4x12 FM |
| PUMP SIZE: 500 |
| INSAFP040901: |
| Check Box10: Yes |
| Check Box11: Off |
| Check Box12: Yes |
| Check Box13: Off |
| Check Box14: Off |
| Check Box15: Off |
| Check Box16: Yes |
| Check Box17: Off |
| Check Box18: Yes |
| Group1: Choice1 |
| Group2: Choice1 |
| Group3: Choice1 |
| Group4: Choice1 |
| Group5: Choice1 |
| Group6: Choice1 |
| Group7: Choice1 |
| Group8: Choice1 |
| Group9: Choice1 |
| Group10: Choice1 |
| Group11: Choice1 |
| Group12: Choice1 |
| Group13: Choice1 |
| Group14: choice3 |
| Group15: Choice1 |
| Group16: Choice1 |
| Group17: Choice1 |
| Group18: Choice1 |
| Group19: Choice1 |
| Group20: Choice1 |
| Group21: Choice1 |
| Group22: Choice1 |
| Group23: Choice1 |
| Group24: Choice1 |
| Group25: Choice1 |
| Group26: Choice1 |
| Group27: 3 |
| Group28: Choice1 |
| Group29: Choice1 |
| Group30: 3 |
| PUMP MANUFACTURER: ITT A-C |
| MODEL: 6x4x12FM |
| SN: 951-95514-01-1 |
| GPM: 500 |
| CONTROLLER: Joslyn Clark |
| MODEL_2: A7E2LN |
| SN_2: 7297442 |
| VOLTAGE: |
| undefined_30: |
| suction: |
| CITY WATER PRESSURE: |
| suction_2: 6 |
| undefined_31: 55 churn psi |
| suction_3: 6 |
| undefined_32: 1750 |
| RPMSRow3: 1725 |
| AMPSRow3: N/A |
| RPMSRow2: |
| AMPSRow2: |
| AMPSRow1: N/A |
| RPMSRow1: 1725 |
| NETRow4: |
| DISCHARGERow4: |
| DISCHARGERow3: 41 |
| SUCTIONRow3: 5 |
| DISCHARGERow2: |
| SUCTIONRow2: |
| SUCTIONRow1: 5 |
| FLOW Row4: |
| NETRow3: 36 |
| NETRow2: |
| DISCHARGERow1: 54 |
| PITOTRow4: |
| FLOW Row3: 1@10,14 |
| FLOW Row2: |
| NETRow1: 49 |
| PITOTRow3: 1 3/4" |
| PITOTRow2: |
| FLOW Row1: 1@21 |
| GPMRow4: |
| GPMRow3: 750 |
| GPMRow2: |
| PITOTRow1: 1 3/4" |
| Row4: |
| Row3: 150% |
| Row2: |
| GPMRow1: 500 |
| Row1: 100% |
| AMPSRow4: |
| RPMSRow4: |
| AMPSRow5: |
| RPMSRow5: |
| AMPSRow6: |
| RPMSRow6: |
| SUCTIONRow4: |
| PSIRow1: 54 |
| SUCTIONRow5: |
| DISCHARGERow5: |
| NETRow5: |
| SUCTIONRow6: |
| DISCHARGERow6: |
| FLOW Row5: |
| NETRow6: |
| FLOW Row6: |
| RPM100: Passed |
| RPMCHURN: Passed |
| PITOTRow5: |
| GPMRow5: |
| Row5: |
| PITOTRow6: |
| GPMRow6: |
| IMP DIA150: |
| IMP DIA100: |
| IMP DIACHURN: |
| Row6: |
| PSIRow2: 50 |
| PSIRow3: 40 |
| RPM150: Passed |
| CUT IN: 25 |
| CUT IN2: 70 |
| CUT OUT: 45 |
| CUT OUT2: 95 |
| DISCHARGE: |
| DISCHARGE2: 6 |
| DISCHARGE3: 61 |
| AMPS: N/A |
| Check Box1: Yes |
| Check Box2: Off |
| 4: |
| servicetrade_location_name: THOMAS STONE NATIONAL PARK |
| servicetrade_location_phone: (804) 224-1732 Ext:240 |
| servicetrade_job_dates: 06/15/2022 |
| servicetrade_job_number: 25453394 |
| SHIP TO: |
| PAGER: |
| servicetrade_location_street: 6655 ROSE HILL RD. |
| START TIME: 6:50am |
| END TIME: |
| servicetrade_location_city: PORT TOBACCO |
| servicetrade_location_state: MD |
| servicetrade_location_postal_code: 20677 |
| COUNTYRow1: |
| Checkbox3: TRUE |
| Checkbox4: Off |
| servicetrade_job_assets-alarm-1-panel_make: Silent Knight |
| Checkbox5: Off |
| Checkbox6: Off |
| Checkbox7: Off |
| servicetrade_job_technicians: Kevin Faulkner, Travon Cumberbatch |
| NumberTech: 302 |
| Checkbox8: Off |
| Checkbox9: TRUE |
| Checkbox10: Off |
| Checkbox11: TRUE |
| Checkbox12: TRUE |
| Checkbox39: Off |
| Checkbox66: Off |
| Checkbox16: TRUE |
| Checkbox43: Off |
| Checkbox70: Off |
| Checkbox13: TRUE |
| Checkbox40: Off |
| Checkbox67: Off |
| ValvesMake: 1 |
| Checkbox21: TRUE |
| Checkbox48: Off |
| Checkbox75: Off |
| Checkbox18: Off |
| Checkbox45: Off |
| Checkbox72: TRUE |
| Compressor operational belt tension Cut in: - |
| Sprinkler system supply gauge reading: 85 |
| Min: 2 |
| Checkbox22: TRUE |
| Checkbox49: Off |
| Checkbox76: Off |
| Sec: - |
| Min_2.0.0: 40 |
| Checkbox27: TRUE |
| Checkbox54: Off |
| Checkbox81: Off |
| Checkbox28: TRUE |
| Checkbox55: Off |
| Checkbox82: Off |
| Checkbox29: TRUE |
| Checkbox56: Off |
| Checkbox83: Off |
| Checkbox25: TRUE |
| Checkbox52: Off |
| Checkbox79: Off |
| Checkbox26: TRUE |
| Checkbox53: Off |
| Checkbox80: Off |
| Checkbox30: Off |
| Checkbox57: Off |
| Checkbox84: TRUE |
| Min_2.1.0: |
| Min_2.1.1: 30 seconds |
| Min_2.2.0: |
| Checkbox34: TRUE |
| Checkbox61: Off |
| Checkbox88: Off |
| Checkbox35: TRUE |
| Checkbox62: Off |
| Checkbox89: Off |
| Checkbox31: TRUE |
| Checkbox58: Off |
| Checkbox85: Off |
| Checkbox32: Off |
| Checkbox59: TRUE |
| Checkbox86: Off |
| Checkbox36: TRUE |
| Checkbox63: Off |
| Checkbox90: Off |
| Checkbox15: TRUE |
| Checkbox17: Off |
| Checkbox19: Off |
| Min_2.3.0: 2004 |
| Checkbox37: TRUE |
| Checkbox64: Off |
| Checkbox91: Off |
| Min_2.3.1: 2004 |
| Checkbox38: TRUE |
| Checkbox65: Off |
| Checkbox92: Off |
| Text1: |
| Checkbox1: Off |
| Checkbox2: Off |
| Checkbox14: TRUE |
| servicetrade_job_assets-sprinkler-1-control_valve_make: Firelock - Visitors center |
| servicetrade_job_assets-sprinkler-1-control_valve_model: S717 |
| servicetrade_job_assets-sprinkler-1-control_valve_size: 4 inch |
| servicetrade_contact_name: Beverly Bruce |
| servicetrade_job_assets-alarm-1-flow_switch_qty: 1 |
| Text Field777: At alarm valve |
| servicetrade_job_assets-alarm-1-tamper_switch_qty: 1 |
| Text Field778: At alarm valve |
| Text Field779: Storage room |
| Check Box777: Off |
| Check Box778: Yes |
| Check Box789: Off |
| Check Box779: Off |
| Check Box780: Off |
| Check Box790: Off |
| Check Box781: Off |
| Check Box783: Off |
| Check Box791: Off |
| AutSignDate.0.0: 06/15/2022 |
| AutSignDate.0.1: 06/15/2022 |
| Check Box3: Off |
| A10.0.0.0: 2020 |
| A10.0.0.1: |
| A10.0.1.0: |
| A10.0.1.1: |
| AutSignDate.1.0: 06/15/2022 |
| AutSignDate.1.1: 06/15/2022 |
| 5: |
| servicetrade_location_name: THOMAS STONE NATIONAL PARK |
| servicetrade_location_phone: (804) 224-1732 Ext:240 |
| servicetrade_job_dates: 06/15/2022 |
| servicetrade_job_number: 25453394 |
| SHIP TO: |
| PAGER: |
| servicetrade_location_street: 6655 ROSE HILL RD. |
| START TIME: 6:50am |
| END TIME: |
| servicetrade_location_city: PORT TOBACCO |
| servicetrade_location_state: MD |
| servicetrade_location_postal_code: 20677 |
| servicetrade_job_assets-sprinkler-1-control_valve_make: Pump house - Tank system |
| COUNTYRow1: |
| servicetrade_job_assets-sprinkler-1-control_valve_model: Grinnell check |
| servicetrade_job_assets-sprinkler-1-control_valve_size: 6 inch x 1 1/2 inch |
| Checkbox3: TRUE |
| Checkbox4: Off |
| servicetrade_job_assets-alarm-1-panel_make: Ademco keypad |
| servicetrade_contact_name: Beverly Bruce |
| Checkbox5: TRUE |
| Checkbox6: Off |
| Checkbox7: Off |
| servicetrade_job_technicians: Kevin Faulkner, Travon Cumberbatch |
| NumberTech: 302 |
| Checkbox8: Off |
| Checkbox9: TRUE |
| Checkbox10: Off |
| Checkbox11: TRUE |
| Checkbox12: TRUE |
| Checkbox39: Off |
| Checkbox66: Off |
| servicetrade_job_assets-alarm-1-flow_switch_qty: 1 |
| Text Field777: Inside pump house |
| Checkbox16: TRUE |
| Checkbox43: Off |
| Checkbox70: Off |
| servicetrade_job_assets-alarm-1-tamper_switch_qty: 1 |
| Text Field778: Inside pump house |
| Checkbox13: TRUE |
| Checkbox40: Off |
| Checkbox67: Off |
| ValvesMake: 1 |
| Text Field779: Inside pump house |
| Checkbox21: TRUE |
| Checkbox48: Off |
| Checkbox75: Off |
| Checkbox18: Off |
| Checkbox45: Off |
| Checkbox72: TRUE |
| Compressor operational belt tension Cut in: 6 |
| Sprinkler system supply gauge reading: 6 |
| Min: 1 |
| Checkbox22: TRUE |
| Checkbox49: Off |
| Checkbox76: Off |
| Sec: 6 |
| Min_2.0.0: 61 |
| Check Box777: Yes |
| Check Box778: Yes |
| Check Box789: Off |
| Check Box779: Off |
| Check Box780: Off |
| Check Box790: Off |
| Check Box781: Off |
| Check Box783: Off |
| Check Box791: Off |
| Checkbox27: TRUE |
| Checkbox54: Off |
| Checkbox81: Off |
| Checkbox28: Off |
| Checkbox55: Off |
| Checkbox82: TRUE |
| Checkbox29: TRUE |
| Checkbox56: Off |
| Checkbox83: Off |
| Checkbox25: Off |
| Checkbox52: Off |
| Checkbox79: TRUE |
| Checkbox26: TRUE |
| Checkbox53: Off |
| Checkbox80: Off |
| Checkbox30: Off |
| Checkbox57: Off |
| Checkbox84: TRUE |
| Min_2.1.0: |
| Min_2.1.1: 20 seconds |
| Min_2.2.0: |
| Checkbox34: Off |
| Checkbox61: TRUE |
| Checkbox88: Off |
| Checkbox35: TRUE |
| Checkbox62: Off |
| Checkbox89: Off |
| Checkbox31: TRUE |
| Checkbox58: Off |
| Checkbox85: Off |
| Checkbox32: TRUE |
| Checkbox59: Off |
| Checkbox86: Off |
| Checkbox36: TRUE |
| Checkbox63: Off |
| Checkbox90: Off |
| Checkbox15: Off |
| Checkbox17: Off |
| Checkbox19: TRUE |
| Min_2.3.0: |
| Checkbox37: Off |
| Checkbox64: Off |
| Checkbox91: TRUE |
| Min_2.3.1: 2019 |
| Checkbox38: TRUE |
| Checkbox65: Off |
| Checkbox92: Off |
| Text1: |
| Checkbox1: Off |
| Checkbox2: Off |
| Checkbox14: TRUE |
| AutSignDate.0.0: 06/15/2022 |
| AutSignDate.0.1: 06/15/2022 |
File details come from the government source that posted it. Updated .