4PG SS FM200 (AS)(D).pdf

PDF 198 KB Posted

Attached to
H912--FY23 Multi-Campus Fire Protection Inspection, Monitoring, and Testing SVC
Solicitation number
36C24823Q0040
Issued by

About this file

This document contains a federal fire protection system inspection report and related federal contract opportunity notice. The inspection report details an inspection of fire suppression cylinders at a VA facility in Orlando, Florida, noting cylinder details, pressures, and conditions. It identifies minor deficiencies to address, including missing signage and labels. The related federal contract opportunity is a presolicitation notice for a five-year multi-campus fire protection inspection, monitoring, and testing services contract at multiple sites within the Orlando VA Healthcare System. The contract will be set aside for Service-Disabled Veteran-Owned Small Businesses. The notice provides information on the solicitation number, opportunity type, requiring agency, and period of performance.

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Text version

Customer: Date of Service:

Inspector: SR#:

Task#:

# Cylinder type Cylinder Mfr.

Serial

Number Last Test

Date Stamped Wt. (A)

Total Wt. (B) Cylinder Fill / Capacity (A-

B)

Cylinder Pressure

Condition Liquid Level

Indicator Temperature

Last 5 Yr.

External

Inspection Date

Rack #

1 4BW450 FIKE 1257395 10/21/2019 783 373 410 390 GOOD 19" 72 1/21/2020

2 4BW450 FIKE 1464516 10/21/2019 153 77 76 377 GOOD 14" 72 1/21/2020

Johnson Controls Fire Protection LP see attached photos.

3/26/21

48545126

75891089 Warren H. Shipley

VA - Lake Nona - Superstructure Room 4K307B

12. Cylinder Inspection

Cylinder Inspection Comments:

13. List Changes in Occupancy, Hazard, or Fire Protection System in Section 2:

14. Deficiencies and Recommendations:

Address

City, State Zip

Phone#

Special Hazards Inspection Report

15. Deficiencies and Recommendations were discussed with Customer / Customer Representative:

If No, explain:

Panel 'Trouble' bell does not have a sign, Pull station by main entrance is missing the label 'suppression release'

Scott Reed, Dalton Allison

Print Name:

3/26/2021

Inspector Name (Print):

Warren H. Shipley

3/26/2021

Signature:

emailed to Scott.Reed@va.gov, Dalton.Allison@va.gov

IMPORTANT NOTICE TO CUSTOMER: Customer acknowledges and agrees that, in the absence of a Service Agreement between parties, services hereunder are performed pursuant to the terms and conditions on the reverse side of this Inspection Report. Customer further agrees that the services have been completed to Customer's satisfaction and that the system is in good working order and repair, unless services performed were of a temporary nature, in which case Customer acknowledges that part of customer's system may have been bypassed or is otherwise inoperable until services can be completed. CUSTOMER'S ATTENTION IS DIRECTED TO THE LIMITATION OF LIABILITY, WARRANTY, INDEMNITY AND OTHER CONDITIONS ON THE REVERSE SIDE.

Acceptance of customer or customer's representative

Date:Inspector Signature:Date:

Yes No N/A jshiplw Highlight jshiplw Highlight

File details come from the government source that posted it. Updated .