2025-09-15_Fayetteville-VAMC-Bldg-29_FireScan.pdf

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J042--Fire Alarm Service
Solicitation number
36C25626Q0430
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This is a Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate for Fayetteville VAMC Building 29 located at 1100 N College Ave, Fayetteville, Arkansas 72703. The inspection was completed on September 15, 2025, by Veterans Fire and Life Safety (company contact Rod Davis, Manager) in compliance with The Joint Commission/VHA Standards and the latest Joint Commission/VHA Clarification Memorandum on EC & LS Standards.

The inspection covered 25 total devices across multiple categories including tamper switches (2 units, both passed), waterflow switches (1 unit, passed), heat detectors (2 units, both passed), pull stations (4 units, all passed), smoke detectors (4 units, 2 passed and 2 failed), horn/strobes (1 unit, passed), speakers (4 units, all passed), strobes (5 units, all passed), programmable relays (1 unit, passed), and special controls (1 unit, passed). Two new model smoke detectors in the North Central Room (ScanIDs 89471373 and 89471374) failed to report and did not send signals to the Fire Alarm Control Panel (FACP), requiring investigation and correction per NFPA 72 14.2.2.3.1. The proposed solution is to investigate these detectors on a Time and Materials basis. The facility contact is Travis Ryan (Safety Specialist) at 479-225-6412. All other tested devices, supervisory signal devices, and auxiliary functions passed their testing requirements. The report was generated by BuildingReports.com and downloaded on November 5, 2025.

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Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate

For

Fayetteville VAMC Bldg 29 1100 N College Ave

Fayetteville, AR 72703 Veterans Fire and Life Safety has performed this inspection and testing service in compliance with The Joint Commission/VHA Standards. The inspection/testing frequencies adhered to for this service have been performed in accordance with the latest Joint Commission/VHA Clarification Memorandum on EC & LS Standards.

Annual Inspection Inspection Completion Date Sep 15, 2025

Building: Fayetteville VAMC Bldg 29 Company: Vets Fire & Life Safety Contact: Travis Ryan Contact: Rod Davis

Title: Safety Specialist Title: Manager Fire Alarm Testing Report

Page of 1 20 Executive Summary

Vets Fire & Life Safety Download Date: 11/05/2025

Executive Summary Generated by: BuildingReports.com

Building Information Building: Fayetteville VAMC Bldg 29 Contact: Travis Ryan

Address: 1100 N College Ave Phone: 479-225-6412

Address: Fax:

City/State/ZIP Code: Fayetteville, AR 72703 Mobile:

Country: United States of America Email:

Inspection Performed By Company: Vets Fire & Life Safety Inspector: Rod Davis

Address: 7 Sherri Lane Phone: 314-696-7000

Address: Fax:

City/State/ZIP Code: St Peters, MO 63376 Mobile:

Country: United States of America Email: rod.davis@vflsc.com

Page of 2 20

Vets Fire & Life Safety Download Date: 11/05/2025

Inspection Completion Date: Sep 15, 2025 Building: Fayetteville VAMC Bldg 29 EC 02.03.05 EP 01 Annual test of supervisory signal devices: pressure supervisory; pressure tank, pressure supervisory for a dry pipe (both high and low conditions), steam pressure: water level supervisory signal initiating device; water temperature supervisory; room temperature supervisory and other supervisory initiating devices. Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Tamper Switch 2 2 0 2 0 2

EC 02.03.05 EP 02 Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(a) & (17)(11)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Waterflow Switch 1 1 0 1 0 1

EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Heat Detector 2 2 0 2 0 2

Pull Station 4 4 0 4 0 4

Smoke Detector 4 2 2 4 0 4

EC 02.03.05 EP 04 Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Horn/Strobe 1 1 0 1 0 1

Speaker 4 4 0 4 0 4

Strobe 5 5 0 5 0 5

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4

Devices Tested This

Quarter Pass Fail Tested YTD

(2025) Untested YTD

(2025) Total

Quantity Programmable Relay 1 1 0 1 0 1

Special Control 1 1 0 1 0 1

Total Device Count: 25

Page of 3 20

Vets Fire & Life Safety Download Date: 11/05/2025

Certification

Company: Vets Fire & Life Safety Building: Fayetteville VAMC Bldg 29

Inspector: Rod Davis Contact: Travis Ryan

Page of 4 20 Discrepancy Report

Vets Fire & Life Safety Download Date: 11/05/2025

Discrepancy Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 29 Control Panel: 1 The Discrepancy Report consolidates each discrepancy listed within the various Testing sections of your Inspection.

Discrepancies are listed by Category, and grouped by device type. The description of the problem is provided and where appropriate, code references are listed for your convenience. Any item that was inspected that is subject to a recall or part of a manufacturer's replacement/upgrade program is included.

Device Type Manufacturer ModelNumber Date Qty Items listed for Recall or Replacement/Upgrade

No items found during this inspection.

ScanID Location Problem Address Reference

EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Smoke Detector

89471373 1st Building 29 North Central Room New Model Smoke Detector

Failed to Report 1 NFPA72 14.2.2.3.1

89471374 1st Building 29 North Central Room New Model Smoke Detector

Failed to Report 1 NFPA72 14.2.2.3.1

Code References NFPA72 14.2.2.3.1 System deficiencies shall be corrected.

javascript:editViewDevice('89471373');

javascript:editViewDevice('89471374');

Page of 5 20 Proposed Solutions Report

Vets Fire & Life Safety Download Date: 11/05/2025

Proposed Solutions Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 29 Control Panel: 1 The Proposed Solution Report provides a solution for each discrepancy listed on the Discrepancy Report. Provide a check mark where indicated to approve repairs listed within the report. Items listed as T/M are available for repair on a Time and Materials basis.

ScanID Location Solution Model # Cost Fix

EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

Smoke Detector 89471373 1st Building 29 North Central Room New

Model Smoke Detector Investigate T/M

89471374 1st Building 29 North Central Room New Model Smoke Detector

Investigate T/M

Internal WO/PO #: (none) T/M

Page of 6 20 Notes & Recommendations

Vets Fire & Life Safety Download Date: 11/05/2025

Notes & Recommendations Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 29 Control Panel: 1 The Notes & Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection. Notes are grouped by Category.

Note Device Type Location Comment ScanID

EC 02.03.05 EP 01 Annual test of supervisory signal devices: pressure supervisory; pressure tank, pressure supervisory for a dry pipe (both high and low conditions), steam pressure: water level supervisory signal initiating device;

water temperature supervisory; room temperature supervisory and other supervisory initiating devices. Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

1 Tamper Switch 1st Building 29 Passed 46717426 Testing Done By Others

2 Tamper Switch 1st Building 29 Passed 46717428 Testing Done By Others

EC 02.03.05 EP 02 Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2022) Table

14.4.3.2 (17)(10)(a) & (17)(11)

3 Waterflow Switch 1st Building 29 Passed 46717431 Testing Done By Others

EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

4 Smoke Detector 1st Building 29 North Central Room New Model Smoke Detector

Failed to Report 89471373

Did Not Send Signal To FACP 5 Smoke Detector 1st Building 29 North Central Room New

Model Smoke Detector Failed to Report 89471374

Did Not Send Signal To FACP javascript:editViewDevice('46717426');

javascript:editViewDevice('46717428');

javascript:editViewDevice('46717431');

javascript:editViewDevice('89471373');

javascript:editViewDevice('89471374');

Page of 7 20 Inspection & Testing

Vets Fire & Life Safety Download Date: 11/05/2025

Inspection & Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 29 The Inspection & Testing section lists all of the items inspected in your building, which are then categorized by the applicable code reference. The most recent inspection is listed in the far right column and is based on the Finish Date of that inspection. The latest inspection uploaded in each previous quarter appears in the four columns to the left.

Passed=P, Failed=F, Replaced=R

EC 02.03.05 EP 01

Annual test of supervisory signal devices: pressure supervisory; pressure tank, pressure supervisory for a dry pipe (both high and low conditions), steam pressure: water level supervisory signal initiating device; water temperature supervisory; room temperature supervisory and other supervisory initiating devices. Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

Operate valve and verify signal receipt shall be verified to be within the first two revolutions of the hand wheel or within one-fifth of the travel distance, or per the manufacturer's published instructions. (NFPA 72-22 Table 14.4.3.2 (17)(10)(a)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Tamper Switch 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Tamper Switch 1st Building 29 46717426 1-1-3 68 08/20-P 09/15-P Tamper Switch 1st Building 29 46717428 1-1-3 68 08/20-P 09/15-P

Device Total: 2 Return to Executive Summary

Page of 8 20

Vets Fire & Life Safety Download Date: 11/05/2025

EC 02.03.05 EP 02

Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(a) & (17)(11)

Water shall be flowed through an inspector's test connection indicating the flow of water equal to that from a single sprinkler of the smallest orifice size installed in the system for wet-pipe systems, or an alarm test bypass connection for dry-pipe, pre-action, or deluge systems in accordance with NFPA 25-20. (NFPA 72-22 Table

14.4.3.2 (17)(11)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Waterflow Switch 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Waterflow Switch 1st Building 29 46717431 1-1-3 67 08/20-P 09/15-P

Device Total: 1 Return to Executive Summary

Page of 9 20

Vets Fire & Life Safety Download Date: 11/05/2025

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

Restorable: Perform heat test with a listed and labeled heat source or in accordance with the manufacturer's published instructions. Non-Restorable: Do not perform heat test. Test functionality mechanically and electrically.

(NFPA 72-22 Table 14.4.3.2 (17)(4)(a)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Heat Detector 2 2 0 2 2

Device Type Location ScanID Address Q3/24 Q3/25 Heat Detector 1st Building 29 63728754 1-1-3 08/06-P 08/27-P Heat Detector 1st Building 29 63728755 1-1-3 08/06-P 08/27-P

Device Total: 2 Return to Executive Summary

Page of 10 20

Vets Fire & Life Safety Download Date: 11/05/2025

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

Operate manual fire alarm boxes per the manufacturer's published instructions. Test both key-operated presignal and general alarm manual fire alarm boxes. (NFPA 72-22 Table 14.4.3.2 (17)(5)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Pull Station 4 4 0 4 4

Device Type Location ScanID Address Q3/24 Q3/25 Pull Station 1st Building 29 17315078 1-1-M90 08/06-P 08/27-P Pull Station 1st Building 29 17804821 1-1-L3 M90 08/06-P 08/27-P Pull Station 1st Building 29 17804824 1-1-L3 M64 08/06-P 08/27-P Pull Station 1st Building 29 Office 17804816 1-1-L3 M25 08/06-P 08/27-P

Device Total: 4 Return to Executive Summary

Page of 11 20

Vets Fire & Life Safety Download Date: 11/05/2025

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17)

Test smoke detectors in place to ensure smoke entry into the sensing chamber and an alarm response. (NFPA 72- 22 Table 14.4.3.2 (17)(7)(a)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Smoke Detector 4 2 2 4 4

Device Type Location ScanID Address Q3/24 Q3/25 Smoke Detector 1st Building 29 17804820 1-1-L3 D30 08/06-P 08/27-P Smoke Detector 1st Building 29 17804827 1-1-L3 D31 08/06-P 08/27-P Smoke Detector 1st Building 29 North Central Room

New Model Smoke Detector 89471374 1 08/10-F 08/27-F

Smoke Detector 1st Building 29 North Central Room New Model Smoke Detector

89471373 1 08/10-F 08/27-F

Page of 12 20

Vets Fire & Life Safety Download Date: 11/05/2025

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)

For periodic testing, verify the operation of the notification appliances. (NFPA 72-22 Table 14.4.3.2 (22)(1)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Horn/Strobe 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Horn/Strobe 1st Building 29 63728756 1-1 08/10-P 09/08-P

Page of 13 20

Vets Fire & Life Safety Download Date: 11/05/2025

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)

For periodic testing, verify the operation of the notification appliances. (NFPA 72-22 Table 14.4.3.2 (22)(2)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Speaker 4 4 0 4 4

Device Type Location ScanID Address Q3/24 Q3/25 Speaker 1st Building 29 17804826 1-1 08/06-P 09/08-P Speaker 1st Building 29 17804823 1-1 08/06-P 09/08-P Speaker 1st Building 29 17804830 1-1 08/06-P 09/08-P Speaker 1st Building 29 Office 17804818 1-1 08/06-P 09/08-P

Page of 14 20

Vets Fire & Life Safety Download Date: 11/05/2025

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)

For periodic testing, verify that each appliance flashes. (NFPA 72-22 Table 14.4.3.2 (22)(3)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Strobe 5 5 0 5 5

Device Type Location ScanID Address Q3/24 Q3/25 Strobe 1st Building 29 17804822 1-1 08/06-P 09/08-P Strobe 1st Building 29 17804825 1-1 08/06-P 09/08-P Strobe 1st Building 29 17804819 1-1 08/06-P 09/08-P Strobe 1st Building 29 17804829 1-1 08/06-P 09/08-P Strobe 1st Building 29 Office 17804817 1-1-none none 08/06-P 09/08-P

Device Total: 5 Return to Executive Summary

Page of 15 20

Vets Fire & Life Safety Download Date: 11/05/2025

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4

Test interface equipment connections by operating or simulating the equipment being supervised. Verify signals required to be transmitted are received at the control unit. (NFPA 72-22 Table 14.4.3.2 (20)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Programmable Relay 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Programmable Relay 1st Building 29 45935537 1-1-L3 M67 08/10-P 09/08-P

Page of 16 20

Vets Fire & Life Safety Download Date: 11/05/2025

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4

Test interface equipment connections by operating or simulating the equipment being supervised. Verify signals required to be transmitted are received at the control unit. (NFPA 72-22 Table 14.4.3.2 (20)) Devices Tested Q3/25 Pass Q3/25 Fail Q3/25 Tested YTD (2025) Total Quantity Special Control 1 1 0 1 1

Device Type Location ScanID Address Q3/24 Q3/25 Special Control 1st Building 29 17315077 1-1 08/10-P 09/08-P

Page of 17 20 Service Summary

Vets Fire & Life Safety Download Date: 11/05/2025

Service Summary Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 29 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Failed/Other Smoke Detector Tested/Cleaned 2

Total 2

Passed Heat Detector Tested 2 Horn/Strobe Tested 1 Programmable Relay Tested 1 Pull Station Tested 4 Smoke Detector Tested/Cleaned 2 Speaker Tested 4 Special Control Tested/Cleaned 1 Strobe Tested 5 Tamper Switch Annual 2 Waterflow Switch Annual 1

Total 23 Grand Total 25

Page of 18 20 Auxiliary Functions Testing

Vets Fire & Life Safety Download Date: 11/05/2025

Auxiliary Functions Testing Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 29 Control Panel: 1 The Auxiliary Functions Testing section lists each of the ancillary items, systems, and emergency equipment that are controlled by the system control unit. Items are grouped by Passed or Failed/Other. The items are listed by device type, and a check box is provided to indicate if the test conducted was simulated.

Type Location Comment ScanID Simulated

Passed Programmable Relay

1st Building 29 Passed 45935537 javascript:editViewDevice('45935537');

Page of 19 20 Inventory & Warranty Report

Vets Fire & Life Safety Download Date: 11/05/2025

Inventory & Warranty Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 29 Control Panel: 1 The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference.

Device or Type Category % of Inventory Quantity Heat Detector Initiating 8.00% 2

Horn/Strobe Indicating 4.00% 1

Programmable Relay Auxiliary 4.00% 1

Pull Station Initiating 16.00% 4

Smoke Detector Initiating 16.00% 4

Speaker Indicating 16.00% 4

Special Control Control 4.00% 1

Strobe Indicating 20.00% 5

Tamper Switch Supervisory 8.00% 2

Waterflow Switch Initiating 4.00% 1

Type Qty Model # Description Install Date

In Service - 1 Year to 2 Years Horn/Strobe 1 08/10/2024 Programmable Relay 1 08/10/2024 Special Control 1 08/10/2024 Heat Detector 2 08/06/2024 Pull Station 4 08/06/2024 Smoke Detector 4 08/06/2024 Speaker 4 08/06/2024 Strobe 5 08/06/2024

In Service - 25 Years or Older Tamper Switch 2 12/31/1969 Waterflow Switch 1 12/31/1969

Page of 20 20 Zone Address Report

Vets Fire & Life Safety Download Date: 11/05/2025

Zone Address Report Generated by: BuildingReports.com

Building: Fayetteville VAMC Bldg 29 Control Panel: 1 The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference.

Address Device Type Location Type ScanID 1 Horn/Strobe 1st Building 29 63728756 1 Speaker 1st Building 29 17804823 1 Speaker 1st Building 29 17804826 1 Speaker 1st Building 29 17804830 1 Special Control 1st Building 29 17315077 1 Strobe 1st Building 29 17804819 1 Strobe 1st Building 29 17804822 1 Strobe 1st Building 29 17804825 1 Strobe 1st Building 29 17804829 1 Speaker 1st Building 29 Office 17804818

1-3 Heat Detector 1st Building 29 63728754 1-3 Heat Detector 1st Building 29 63728755

1-3 67 Waterflow Switch 1st Building 29 46717431 1-3 68 Tamper Switch 1st Building 29 46717426 1-3 68 Tamper Switch 1st Building 29 46717428

1-L3 D30 Smoke Detector 1st Building 29 17804820 1-L3 D31 Smoke Detector 1st Building 29 17804827 1-L3 M25 Pull Station 1st Building 29 Office 17804816 1-L3 M64 Pull Station 1st Building 29 17804824 1-L3 M67 Programmable Relay 1st Building 29 45935537 1-L3 M90 Pull Station 1st Building 29 17804821

1-M90 Pull Station 1st Building 29 17315078 1-none none

Strobe 1st Building 29 Office 17804817 javascript:editViewDevice('63728756');

javascript:editViewDevice('17804823');

javascript:editViewDevice('17804826');

javascript:editViewDevice('17804830');

javascript:editViewDevice('17315077');

javascript:editViewDevice('17804819');

javascript:editViewDevice('17804822');

javascript:editViewDevice('17804825');

javascript:editViewDevice('17804829');

javascript:editViewDevice('17804818');

javascript:editViewDevice('63728754');

javascript:editViewDevice('63728755');

javascript:editViewDevice('46717431');

javascript:editViewDevice('46717426');

javascript:editViewDevice('46717428');

javascript:editViewDevice('17804820');

javascript:editViewDevice('17804827');

javascript:editViewDevice('17804816');

javascript:editViewDevice('17804824');

javascript:editViewDevice('45935537');

javascript:editViewDevice('17804821');

javascript:editViewDevice('17315078');

javascript:editViewDevice('17804817');

Fire/Life Safety System Inspection, Testing and/or Maintenance Certificate
Executive Summary
Discrepancy Report
Proposed Solutions Report
Notes & Recommendations
Inspection & Testing
Service Summary
Auxiliary Functions Testing
Inventory & Warranty Report
Zone Address Report

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