Fire Dampers Test Marion.pdf

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Attached to
H212--NIHCS Fire Alarm & Suppression Testing Federal contract opportunity
Solicitation number
36C25026Q0088
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10

About this file

This is an NFPA Inspection and Testing report documenting a 6-year test performed on January 26, 2018, at VA Northern Indiana Health Care facilities located at 1700 East 38th Street, Marion, Indiana. The testing was conducted by Advanced Systems Group, a service organization based in Fort Wayne, Indiana (license #260-487-7814), and was approved by the VA as the responsible agency. The job number is 400718-058, and the report was signed by inspector Theron Butler on 1/26/2018.

The inspection covered 56 devices across three VA buildings (Buildings 138, 172, and 185), consisting primarily of dampers and electrical actuators located in mechanical rooms, penthouses, and individual patient rooms. All tested devices passed inspection except for one damper located in Building 185 Room A-100, which received a "NA" (not applicable) rating because it was inaccessible during the visual inspection; the customer was directed to provide an access hole closer to the unit to enable future testing. Notifications of testing completion were sent via email to the property contact (John Copus at john.copus@va.gov) and distributed to building occupants and building management. The testing was performed in accordance with applicable NFPA standards.

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Other files for this federal contract opportunity

Other files attached to H212--NIHCS Fire Alarm & Suppression Testing, newest first.
File Type Posted
36C25026Q0088 0005.docx DOCX document
36C25026Q0088 0004.docx DOCX document
Updated quantities- Marion Ft Wayne.xlsx XLSX spreadsheet
HOOD INFORMATION FORT WAYNE.docx DOCX document
Fire ext new fort wayne.xlsx XLSX spreadsheet
36C25026Q0088 0003.docx DOCX document
Fire Ext. Marion.xlsx XLSX spreadsheet
36C25026Q0088 0002.docx DOCX document
36C25026Q0088 0001.docx DOCX document
36C25026Q0088.docx DOCX document

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Text version

Date: Job Number:

Send Form: X

Sensitivity

Initial Acceptance x Other x x x x x

Other Other

400718-058

Contact:

Telephone:

THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS

THERON BUTLER

NFPA Inspection and Testing

Owner Representative Signature Date

Name of Inspector Signature Date

1/26/2018

Comments

BUILDING 185 ROOM A-100 DID A VISUAL INSPECTION DUE TO THE DAMPER BEING INACCESSABLE

DAMPER WASN’T TESTED AND CUSTOMER NEEDS TO PROVIDE ACCESS HOLE CLOSER TO UNIT

AHJ AHJ

Building Occupants Building Occupants

Building Management Building Management

NOTIFICATIONS THAT TESTING HAS STARTED NOTIFICATIONS THAT TESTING IS DONE

Monitoring Entity Monitoring Entity

TEST PREFORMED

Quarterly Anually

Semiannualy 6 YEAR TEST

Via UPS

Via E-mail

Account #:

Format:

Telephone: 260-487-7814 Telephone: 850-723-1571

Telephone: APPROVING AGENCY

MONITORING

Contact:

Fort Wayne, IN 46825 Marion, IN

License #: Contact: John Copus

Advanced Systems Group Name: VA Northern Indiana Health Care

Address: 7614 Opportunity Dr Address: 1700 East 38th Street

INSPECTION AND TESTING

e-mail address: john.copus@va.gov

1/26/2018 400718-058

SERVICE ORGANIZATION PROPERTY NAME (USER)

Name:

Advanced Systems Group 7614 Opportunity Drive Fort Wayne, IN 46825

Phone: (260) 487-7814 Fax: (260) 484-1610 mailto:john.copus@va.gov

ADDRESS DEVICE TYPE

B-1 DAMPER

B-2 DAMPER

B-3 DAMPER

B-4 DAMPER

1-1 DAMPER

1-3 DAMPER

1-3 DAMPER

1-4 DAMPER

1-5 DAMPER

1-6 DAMPER

1-7 DAMPER

1-8 DAMPER

2-1 DAMPER

2-2 DAMPER

2-3 ELEC ACTUATOR

2-4 ELEC ACTUATOR

2-5 ELEC ACTUATOR

P-1 DAMPER

P-2 DAMPER

P-3 DAMPER

P-4 DAMPER

P-5 ELEC ACTUATOR

P-6 ELEC ACTUATOR

P-7 DAMPER

P-8 DAMPER

B-1 DAMPER

1-1 DAMPER

1-2 DAMPER

1-3 DAMPER

1-4 DAMPER

2-1 DAMPER

2-2 DAMPER

1-1 DAMPER

1-2 DAMPER

1-3 DAMPER

1-4 DAMPER

1-5 DAMPER

1-6 DAMPER

1-7 DAMPER

1-8 DAMPER

1-9 DAMPER

1-10 DAMPER

2-1 DAMPER

2-2 DAMPER

2-3 DAMPER

2-4 DAMPER

2-5 DAMPER

2-6 DAMPER

2-7 DAMPER

2-8 DAMPER

BLDG 185 ROOM C-202

BLDG 185 ROOM C-233

BLDG 185 ROOM B-201C

BLDG 185 ROOM B-202

BLDG 172 PENTHOUSE AHU 4 (A4) X

X

X

X

X

BLDG 185 ROOM A-202 X

X

X

X

NFPA Inspection and Testing

XBLDG 185 ROOM B-233

X

X

X

X

X

X

X

X

X

NA

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

400718-058

INSPECTION AND TESTING

MESSAGE PASS FAIL

X

X

BLDG 172 MECH ROOM 129E NORTH END INSIDE E-2

BLDG 172 MECH ROOM 129E NORTH END INSIDE E-2

BLDG 172 MECH ROOM 129E NORTH END INSIDE E-2

BLDG 172 MECH ROOM 129E NORTH END INSIDE E-2

BLDG 172 OUTSIDE ROOM 17

BLDG 172 OUTSIDE ROOM 15

BLDG 172 IN ROOM 19A

BLDG 172 IN ROOM 19

BLDG 172 MECH ROOM 2E-250 INSIDE E-4 NORTH END

BLDG 172 MECH ROOM 2E-250 INSIDE E-4 NORTH END

BLDG 172 MECH ROOM 2E-250 INSIDE E-4 SOUTH END

BLDG 172 PENTHOUSE AHU 4 (A4)

BLDG 172 MECH ROOM 129E SOUTH END INSIDE B-2

BLDG 172 MECH ROOM 129E SOUTH END INSIDE B-2

BLDG 172 MECH ROOM 129E SOUTH END INSIDE B-2

BLDG 172 MECH ROOM 129E SOUTH END INSIDE B-2

BLDG 172 MECH ROOM 2E-250 INSIDE E-4 SOUTH END

BLDG 172 MECH ROOM 2E-250 INSIDE E-4 SOUTH END

BLDG 172 PENTHOUSE WEST WALL

BLDG 172 PENTHOUSE WEST WALL

BLDG 138 SPD TUNNEL 12"x12" CHEST HIGH

BLDG 172 PENTHOUSE AHU 4 (A4)

BLDG 172 PENTHOUSE AHU 4 (A4)

BLDG 172 PENTHOUSE AHU 4 (A4) EAST END

BLDG 172 PENTHOUSE AHU 4 (A4) EAST END

BLDG 138 ROOM 207

BLDG 185 ROOM A-100

BLDG 185 ROOM A-102A

BLDG 138 ROOM 278A

BLDG 138 ROOM 103 BY WINDOW

BLDG 138 ROOM 103 BY WINDOW

BLDG 138 ROOM 102

BLDG 138 ROOM 102

BLDG 185 ROOM C-201C

BLDG 185 ROOM B-101C

BLDG 185 ROOM B-102

BLDG 185 ROOM B-133

BLDG 185 ROOM A-200

BLDG 185 ROOM C-116

BLDG 185 ROOM C-133

BLDG 185 ROOM C-102

BLDG 185 ROOM C-101C

BLDG 185 ROOM B-116

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