Attachment 2 Lake Baldwin Fire Extinguisher Report.pdf

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Attached to
J042--FY24 Fire Extinguisher Insp/Test/Maint Open Market SDVOSB Set-Aside
Solicitation number
36C24824Q0658
Issued by

About this file

This document contains a fire extinguisher inspection report for the Orlando VA Healthcare System. The report details 182 fire extinguishers at the Orlando VA Building 500 that were inspected on February 28, 2023. Inspection results show that all extinguishers passed inspection and are in working order. The report provides location, description, model, barcode, inspection date and results for each extinguisher. It also includes schedules for upcoming maintenance, listing the number of extinguishers due for maintenance in the next 3 years, next year and this year. Johnson Controls performed the inspection under contract number 36C24824Q0658, with inspection to occur monthly and maintenance to be provided on an open market SDVOSB set-aside basis.

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FIRE EXTINGUISHER

Customer Information

Name Orlando VA Building 500

Building Information

Name Orlando VA Building 500

Address 5201 Raymond St Orlando, FL 32803

Inspection Information

Name Fire Extinguisher

SR# 001029720

Frequency Monthly

Timezone GMT-05:00

Start Date 02/28/2023

Account Information

Name Johnson Controls North America

Address 50 Technology Drive, Westminster, MA, US, 1441

Phone

Office License

Date 02/28/2023

Inspector License

Contact Information

Name Tony Salley

Role Building Management

E-Mail Anthony.salley@va.gov

Phone 3212281638

INSPECTION RESULTS SUMMARY

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT

ABC Extinguisher 168 168 0 0

Clean Agent Rechargeable 1 1 0 0

Extinguisher - Clean Agent 1 1 0 0

Extinguisher - CO2 11 11 0 0

Extinguisher - Liquid 1 1 0 0

TOTAL 182 182 0 0

COMING 5 YEAR MAINTENANCE DUE

DEVICE TYPE TOTAL IN THE NEXT 3 YEARS NEXT YEAR DUE THIS YEAR

Extinguisher - Liquid 1 1 0 0

Extinguisher - CO2 11 3 0 0

5 YEAR MAINTENANCE DUE IN 3 YEARS

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

Address: 5201 Raymond St Orlando, FL 32803

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 1 of 17

EXTINGUISHER - LIQUID

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 5yr HYDRO

Main 1 st fl Kitchen — AC628552 Jose Romero

02/28/2023 Passed K Class Stor Press 6 Liter — 02/18/2021

EXTINGUISHER - CO2

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE ANNUAL

CONDUCTIVITY TEST LAST 5yr HYDRO

3133 Spare — A-39138431 Jose Romero

02/28/2023 Passed Co2 10 lbs — — 02/18/2021

3133 Spare — AC-603868 Jose Romero

02/28/2023 Passed Co2 5 lbs — — 02/18/2021

3133 Spare — Z786830 Jose Romero

02/28/2023 Passed Co2 10 lbs — — 02/18/2021

COMING 6 YEAR MAINTENANCE DUE

DEVICE TYPE TOTAL IN THE NEXT 3 YEARS NEXT YEAR DUE THIS YEAR

ABC Extinguisher 168 15 1 22

Clean Agent Rechargeable 1 0 0 0

Extinguisher - Clean Agent 1 0 0 0

6 YEAR MAINTENANCE DUE THIS YEAR

ABC EXTINGUISHER

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

Bldg 522 1st — AP976062 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 1st — AD-673472 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/17/2017 —

Bldg 522 2 nd fl — H15926499 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — 02/17/2016 —

Bldg 522 2nd fl — AP967320 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/17/2017 —

Main 2nd fl 25 — R609628 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/22/2016 —

— 517 — AP976580 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 08/31/2017 —

— 517 — WT366200 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 08/31/2017 —

Bldg 510 A — AP976999 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 2 of 17

ABC EXTINGUISHER

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

501 A — AK752037 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

501 A — AP907269 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Main 1 st fl A — AP977000 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Main 1 st fl A — R616711 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2010 02/18/2016 —

Main 1 st fl A — X539398 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs 02/18/2010 02/18/2017 —

Main 1 st fl A — AK729463 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Main 2nd fl engineering A — AP967322 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/22/2017 —

Main 2nd fl engineering A — AP976582 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/22/2017 —

Bldg 522 Dining — AP976063 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 Gr — AP976583 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 Gr — AP979388 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 Guard house — AP976066 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 Lobby — YR49684 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/17/2016 —

— Purple team FACP — AP977002 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 08/31/2017 —

6 YEAR MAINTENANCE DUE NEXT YEAR

ABC EXTINGUISHER

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

Main 1 st fl A — AB-915153 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2018 —

6 YEAR MAINTENANCE DUE IN 3 YEARS

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 3 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

Main 2nd fl 22 — BV795699 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/22/2019 —

Bldg 510 A — RM-274851 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2019 02/18/2014

3136 A — A34070608 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2020 —

3136 A — BV799572 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2019 —

3136 A — BV800076 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2019 —

3129 A — BW703020 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — BA 820115 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2012 02/18/2019 —

Main 1 st fl A — BV800082 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — BV800507 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — BV800079 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — BV799577 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — BV800508 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — BV795703 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 2nd fl engineering A — Ax558295 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/22/2019 —

Bldg 522 Kitchen — BW703674 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2013 02/17/2019 —

COMING 12 YEAR MAINTENANCE DUE

DEVICE TYPE TOTAL IN THE NEXT 3 YEARS NEXT YEAR DUE THIS YEAR

ABC Extinguisher 168 2 0 1

Clean Agent Rechargeable 1 0 0 0

Extinguisher - Clean Agent 1 0 0 0

12 YEAR MAINTENANCE DUE THIS YEAR

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 4 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

Main 1 st fl A — PN-565373 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2010

12 YEAR MAINTENANCE DUE IN 3 YEARS

ABC EXTINGUISHER

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

Bldg 510 A — RM-274851 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2019 02/18/2014

3133 A — SG-868851 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2021 02/18/2014

DEVICE DEFICIENCIES

No device deficiencies in this inspection.

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 5 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

Bldg 522 1st — XB874177 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/17/2017

Bldg 522 1st — AP976062 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 1st — AD-673472 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/17/2017 —

Bldg 522 1st — ZT848242 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/17/2019

Bldg 522 2nd fl — H15926490 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — — 02/17/2016

Bldg 522 2nd fl — YT974464 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — —

Bldg 522 2 nd fl — H15926499 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — 02/17/2016 —

Bldg 522 2nd fl — AP967320 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/17/2017 —

Main 2nd fl 22 — BV795699 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/22/2019 —

Main 2nd fl 23a — XB874184 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 2nd fl 25 — R609628 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/22/2016 —

— 517 — AP976580 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 08/31/2017 —

— 517 — WT366200 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 08/31/2017 —

Bldg 510 A — AP976999 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Bldg 510 A — RM-274851 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2019 02/18/2014

Bldg 510 A — zj 989798 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

3133 A — YH314675 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2019

3133 A — WM952731 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2019

3133 A — A27600564 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — 02/18/2021 —

Main 4th fl A — BK226990 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs 02/18/2012 02/18/2021 —

Roof A — BK226987 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs 02/18/2012 02/18/2021 —

22 3133 A — A35690434 Jose Romero 02/28/2023 Passed

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 6 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

ABC - Stor Press Refill 5 lbs 02/18/2014 02/18/2021 —

3133 A — SG-868851 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2021 02/18/2014

Main 3rd fl A — A37721535 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — 02/18/2021 —

3133 A — A22433907 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2021 —

3133 A — A27722656 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 2.5 lbs 02/18/2014 02/18/2021 —

3133 A — A22433891 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2021 —

3133 A — VV87192 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

3133 A — XB874138 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

3133 A — A22433908 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2021 —

Main 4th fl A — VS252896 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2016

3133 A — WG-927270 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

Roof A — E73323616 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2021 —

3133 A — XB874154 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

3133 A — CC-490151 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

3133 A — Vp 154480 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2016

Bldg 3134 A — VS252882 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2016

Bldg 3134 A — XB874160 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2019

Bldg 3135 A — VP163090 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Bldg 3132 A — XB874118 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

3136 A — A34070608 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2020 —

3136 A — BV799572 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2019 —

3136 A — BV800076 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2019 —

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 7 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

3129 A — WT366216 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

3129 A — BW703020 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

518 A — VS252696 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2016

518 A — VS252676 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2017

3128 A — VS252710 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2016

501 A — AK752037 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Hurricane shed A — H413742 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — — 02/18/2021

501 A — XB874112 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

501 A — VY 366882 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

501 A — XB874148 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

501 A — YU061054 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2019

501 A — XB862239 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

501 A — AP907269 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Golf cart shed A — ZK-573679 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2017

Main 1 st fl A — YW832322 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

Main 1 st fl A — BA 820115 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2012 02/18/2019 —

Main 1 st fl A — XB874149 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl A — BV800082 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — AP977000 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Main 1 st fl A — XB874145 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl A — XB874173 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

65 Main 1 st fl A — XB874130 Jose Romero 02/28/2023 Passed

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 8 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl A — NV-552958 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2021 02/18/2021

Main 1 st fl A — BV800507 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — XB874170 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl A — E63483723 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2017 — —

Main 1 st fl A — F97097327 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2020 — —

Main 1 st fl A — F97097344 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2020 — —

Main 1 st fl A — F97097326 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2020 — —

Main 1 st fl A — VY-103397 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — — 02/18/2016

Main 1 st fl A — F97097292 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2020 — —

Main 1 st fl A — XB874171 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl A — XB874185 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl A — VY-112279 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2016

Main 1 st fl A — BV800079 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — XB874131 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

Main 1 st fl A — R616711 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2010 02/18/2016 —

Main 1 st fl A — A746057 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

Main 1 st fl A — PN-565373 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2010

Main 1 st fl A — X539398 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs 02/18/2010 02/18/2017 —

Main 1 st fl A — BV799577 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — XB874169 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl A — E63549903 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2017 — —

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 9 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

Main 1 st fl A — J731750 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

Main 1 st fl A — E63549921 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2017 — —

Main 1 st fl A — E63549915 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2017 — —

Main 1 st fl A — E63549904 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2017 — —

Main 1 st fl A — C9471764 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs 02/18/2017 — —

Main 1 st fl A — E63483721 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2017 — —

Main 1 st fl A — BV800508 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — AK729463 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2017 —

Main 1 st fl A — BV795703 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2013 02/18/2019 —

Main 1 st fl A — D226122 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

Main 1 st fl A — AB-915153 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/18/2011 02/18/2018 —

Portable A — YU2/0821 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 2.5 lbs — — 02/18/2019

Main 1 st fl A — ZN13691 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2021

Portable A — H525790 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 2.5 lbs — — 02/18/2021

Main 1 st fl A — XB874166 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 2nd fl engineering A — Ax558295 Jose Romero

02/28/2023 Passed

ABC - Stor Press Refill 10 lbs — 02/22/2019 —

Main 2nd fl engineering A — AP967322 Jose Romero

02/28/2023 Passed

ABC - Stor Press Refill 10 lbs — 02/22/2017 —

Main 2nd fl engineering A — AP976582 Jose Romero

02/28/2023 Passed

ABC - Stor Press Refill 10 lbs — 02/22/2017 —

Main 2nd fl engineering A — XB874174 Jose Romero

02/28/2023 Passed

ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 2nd fl engineering A — XB874175 Jose Romero

02/28/2023 Passed

ABC - Stor Press Refill 10 lbs — — 02/22/2018

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 10 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

Main 3rd fl A — XB874141 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 3rd fl A — XB874180 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 3rd fl A — XB874151 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 2nd fl A — E63483719 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/22/2017 — —

Main 2nd fl A — XB874126 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 2nd fl A — H503644 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2021

Main 2nd fl A — XB874164 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

502 boiler A — WZ897892 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

502 boiler A — XB874172 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

508 A — YU04957 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — — 02/22/2016

508 A — XB874079 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2016

Main 1 st fl A — XB874163 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 1 st fl A — WT366255 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 2nd fl A — XB874158 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 2nd fl A — YW825227 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2019

Main 2nd fl A — XB874178 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Main 4th fl A — — Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — — 08/31/2021

Main 1 st fl B — XR909935 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — — 02/18/2019

Bldg 522 BBQ — XG82963 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — — 02/17/2018

— Boiler room — XS22216 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 2.5 lbs — — 08/31/2021

Bldg 522 Dining — XB874147 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/17/2018

128 Bldg 522 Dining — AP976063 Jose Romero 02/28/2023 Passed

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 11 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 Gr — AP976583 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 Gr — XB874155 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/17/2018

Bldg 522 Gr — AP979388 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 Gr — XB874153 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/17/2018

Bldg 522 Guard house — AP976066 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2011 02/17/2017 —

Bldg 522 Kitchen — BW703674 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/17/2013 02/17/2019 —

Bldg 522 Lobby — YR49684 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/17/2016 —

— New — G44969462 Jose Romero

02/28/2023 Passed

— New — G4496942 Jose Romero

02/28/2023 Passed

— New — G44969496 Jose Romero

02/28/2023 Passed

— New — G44969488 Jose Romero

02/28/2023 Passed

— New — G44969474 Jose Romero

02/28/2023 Passed

— New — G44969495 Jose Romero

02/28/2023 Passed

— New — g44969477 Jose Romero

02/28/2023 Passed

— New — g44969484 Jose Romero

02/28/2023 Passed

— New — G35882892 Jose Romero

02/28/2023 Passed

— New — G44969240 Jose Romero

02/28/2023 Passed

— New — G44969471 Jose Romero

02/28/2023 Passed

— New — G44969470 Jose Romero

02/28/2023 Passed

— New — G44969505 Jose Romero

02/28/2023 Passed

— New — G44969473 Jose Romero

02/28/2023 Passed

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 12 of 17

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

— New — G44969478 Jose Romero

02/28/2023 Passed

— New — G44969463 Jose Romero

02/28/2023 Passed

— New — G44969479 Jose Romero

02/28/2023 Passed

— New — H15926488 Jose Romero

02/28/2023 Passed

— New — H15926494 Jose Romero

02/28/2023 Passed

— New — H15926491 Jose Romero

02/28/2023 Passed

— New — H15926497 Jose Romero

02/28/2023 Passed

— New — H15926493 Jose Romero

02/28/2023 Passed

— New — H15926492 Jose Romero

02/28/2023 Passed

— New — H15926496 Jose Romero

02/28/2023 Passed

— Orange — XB874150 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl Orange — XB874157 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl Purple — XB874183 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

— Purple team FACP — AP977002 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 08/31/2017 —

Roof Roof — XB874128 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

Car wash Shed — H412528 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs — — 02/18/2019

3133 Spares — A22433910 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — 02/18/2021 —

Main 1 st fl Teal — XB874129 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

Main 1 st fl Teal — XB-190755 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/18/2018

EXTINGUISHER - LIQUID

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 5yr HYDRO

1 Main 1 st fl Kitchen — AC628552 Jose Romero 02/28/2023 Passed

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 13 of 17

EXTINGUISHER - LIQUID

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 5yr HYDRO

K Class Stor Press 6 Liter — 02/18/2021

CLEAN AGENT RECHARGEABLE

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

— New — H17802300 Jose Romero

02/28/2023 Passed

EXTINGUISHER - CO2

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE ANNUAL

CONDUCTIVITY TEST LAST 5yr HYDRO

— New — G17790632 Jose Romero

02/28/2023 Passed

— New — G17790620 Jose Romero

02/28/2023 Passed

— New — G17790625 Jose Romero

02/28/2023 Passed

— New — G17790627 Jose Romero

02/28/2023 Passed

— New — G17790650 Jose Romero

02/28/2023 Passed

— New — G17790630 Jose Romero

02/28/2023 Passed

— New — G17790618 Jose Romero

02/28/2023 Passed

— New — G17790631 Jose Romero

02/28/2023 Passed

3133 Spare — A-39138431 Jose Romero

02/28/2023 Passed Co2 10 lbs — — 02/18/2021

3133 Spare — AC-603868 Jose Romero

02/28/2023 Passed Co2 5 lbs — — 02/18/2021

3133 Spare — Z786830 Jose Romero

02/28/2023 Passed Co2 10 lbs — — 02/18/2021

EXTINGUISHER - CLEAN AGENT

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

— Teal team iT — X624573 Jose Romero

02/28/2023 Passed Halotron 2.5 lbs 08/31/2008 — —

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 14 of 17

Inspector Signature

Inspector Name Jose Romero Date 02/28/2023

Fire Extinguisher–Monthly

Customer: Orlando VA Building 500 Building: Orlando VA Building 500

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 15 of 17

Terms And Conditions

1. Limitation of Liability; Limitations Of Remedy. It is understood and agreed by the Customer that Company is not an insurer and that insurance coverage, if any, shall be obtained by the Customer and that amounts payable to Company hereunder are based upon the value of the services and the scope of liability set forth in this agreement and are unrelated to the value of the Customer's property and the property of others located on the premises. Customer agrees to look exclusively to the Customer's insurer to recover for injuries or damage in the event of any loss or injury and that Customer releases and waives all right of recovery against Company arising by way of subrogation. Company makes no guaranty or Warranty, including any implied warranty of merchantability or fitness for a particular purpose that equipment or services supplied by Company will detect or avert occurrences or the consequences there from that the equipment or service was designed to detect or avert.<br />It is impractical and extremely difficult to fix the actual damages, if any, which may proximately result from failure on the part of Company to perform any of its obligations under this agreement. Accordingly, Customer agrees that, Company shall be exempt from liability for any loss, damage or injury arising directly or indirectly from occurrences, or the consequences therefrom, which the equipment or service was designed to detect or avert. Should Company be found liable for any loss, damage or injury arising from a failure of the equipment or service in any respect, Company's liability shall be limited to an amount equal to the agreement price (as increased by the price for any additional work) or where the time and material payment term is selected, Customer's time and material payments to Company. Where this agreement covers multiple sites, liability shall be limited to the amount of the payments allocable to the site where the incident occurred. Such sum shall be complete and exclusive. If Customer desires Company to assume greater liability, the parties shall amend this agreement by attaching a rider setting forth the amount of additional liability and the additional amount payable by the Customer for the assumption by Company of such greater liability, provided however that such rider shall in no way be interpreted to hold Company as an insurer. IN NO EVENT SHALL COMPANY BE LIABLE FOR ANY DAMAGE, LOSS, INJURY, OR ANY OTHER CLAIM ARISING FROM ANY SERVICING, ALTERATIONS, MODIFICATIONS, CHANGES, OR MOVEMENTS OF THE COVERED SYSTEM(S) OR ANY OF ITS COMPONENT PARTS BY THE CUSTOMER OR ANY THIRD PARTY. COMPANY SHALL NOT BE LIABLE FOR INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO DAMAGES ARISING FROM THE USE, LOSS OF THE USE, PERFORMANCE, OR FAILURE OF THE COVERED SYSTEM(S) TO PERFORM. The limitations of liability set forth in this agreement shall inure to the benefit of all parents, subsidiaries and affiliates of Company, whether direct or indirect, Company's employees, agents, officers and directors.

2. Limited Warranty. COMPANY WARRANTS THAT ITS WORKMANSHIP AND MATERIAL FURNISHED UNDER THIS AGREEMENT WILL BE FREE FROM DEFECTS FOR A PERIOD OF NINETY

(90) DAYS FROM THE DATE OF FURNISHING. Where Company provides product or equipment of others, Company will warrant the product or equipment only to the extent warranted by such third party. EXCEPT AS EXPRESSLY SET FORTH HEREIN, COMPANY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE SERVICES PERFORMED OR THE PRODUCTS, SYSTEMS OR EQUIPMENT, IF ANY, SUPPORTED HEREUNDER. COMPANY MAKES NO WARRANTY OR REPRESENTATION, AND UNDERTAKES NO OBLIGATION TO ENSURE BY THE SERVICES PERFORMED UNDER THIS AGREEMENT, THAT COMPANY'S PRODUCTS OR THE SYSTEMS OR EQUIPMENT OF THE CUSTOMER WILL CORRECTLY HANDLE THE PROCESSING OF CALENDAR DATES BEFORE OR

AFTER DECEMBER 31, 1999.

3. Indemnity. Customer agrees to indemnify, hold harmless and defend Company against any and all losses, damages, costs, including expert fees and costs, and expenses including reasonable defense costs, arising from any and all third party claims for personal injury, death, property damage or economic loss, including specifically any damages resulting from the exposure of workers to Hazardous Conditions whether or not Customer pre-notifies Company of the existence of said hazardous conditions, arising in any way from any act or omission of Customer or Company relating in any way to this agreement, including but not limited to the Services under this agreement, whether such claims are based upon contract, warranty, tort (including but not limited to active or passive negligence), strict liability or otherwise. Company reserves the right to select counsel to represent it in any such action.

4. Hazardous Materials. Customer represents that, except to the extent that Company has been given written notice of the following hazards prior to the execution of this agreement, to the best of Customer's knowledge there is no:

a. "permit confined space," as defined by OSHA, or space in which work must be performed that, because of its construction, location, contents or work activity therein, accumulation of a hazardous gas, vapour, dust or fume or the creation of a risk of infectious disease

b. need for air monitoring, respiratory protection, or other medical risk

c. asbestos, asbestos-containing material, formaldehyde or other potentially toxic or otherwise hazardous material contained in or on the surface of the floors, walls, ceilings, insulation or other structural components of the area of any building

d. All of the above are hereinafter referred to as "Hazardous Conditions". Company shall have the right to rely on the representations listed above. If hazardous conditions are encountered by Company during the course of Company's work, the discovery of such conditions shall constitute an event beyond Company's control and Company shall have no obligation to further perform in the area where the hazardous conditions exist until the area has been made safe by Customer as certified in writing by an independent testing agency, and Customer shall pay disruption expenses and re-mobilization expenses as determined by Company. This agreement does not provide for the cost of capture, containment or disposal of any hazardous waste materials, or hazardous materials, encountered in any of the Covered System(s) and/or during performance of the Services. Said materials shall at all times remain the responsibility and property of Customer. Company shall not be responsible for the testing, removal or disposal of such hazardous materials.

5. Equipment Disconnections. This represents Company's notice to you that the system(s)/device(s) listed on the face of this agreement as temporarily or permanently disconnected are no longer in service and, thus, cannot detect, perform and/or report

6. General. Unless otherwise specified, work shall be performed during company's regular business hours,, exclusive of Saturdays, Sundays and Company holidays. All work is subject to review and rebilling in accordance with the terms and conditions of Customer's agreement/contract with Company, if one is in effect. Company shall not be responsible for failure to render services due to causes beyond its control, including but not limited to material shortages, work stoppages, fires, civil disobedience or unrest, severe weather, fire or any other cause beyond the control of Company. Customer is aware that the Limitation of Liability and other provisions set forth in any existing agreement/contract, if one is in effect, or set forth above, apply to services performed and materials supplied. The terms of this agreement shall govern notwithstanding any inconsistent or additional terms and conditions in any purchase order or other document submitted by Customer.

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 16 of 17

DEVICE NOTE IMAGE APPENDICES

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 17 of 17

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