Attachment 16 - US Miles City VA - Fire Alarm v2 - Annual - 2025-03-25.pdf

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H942--Amendment 0003 | North Montana VA Fire Alarm and Fire Suppression MITMR
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36C25925Q0360
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This document is a Fire Alarm Annual Inspection Report for the US Miles City VA facility located at 210 South Winchester Miles City, MT 59301, conducted by Johnson Controls North America on 03/24/2025-03/25/2025. The comprehensive inspection covered multiple fire safety systems, including 282 total devices across categories such as annunciators, batteries, door holders, duct detectors, heat detectors, panels, pull stations, and smoke detectors. The inspection revealed one critical issue: the annunciator located in the Nurse Station was found to be nonfunctional, representing a functional failure. All other devices passed inspection, with 281 out of 282 total devices successfully tested. The inspection was performed by Caleb Dill (License: FPL-IEL-000802) and systematically documented device locations, types, addresses, and test results across multiple building areas including administrative spaces, nursing areas, hallways, equipment rooms, and various specialized zones within the facility.

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File Type Posted
Attachment 15 - Total Devices 20240207.xlsx XLSX spreadsheet
Attachment 14 - Simplex Device Failures.xlsx XLSX spreadsheet
36C25925Q0360 0003.docx DOCX document
Attachment 4 - 154A 2024 Annual Device Testing.docx DOCX document
Attachment 9 - Bldg 141 Fire Sprinkler Zone Layouts.pdf PDF
Attachment 3 - Fire Alarm and Fire Suppression MITMR Price Schedule_Amended.xlsx XLSX spreadsheet
Attachment 12 - Bldg 169 Fire Sprinkler Zone Layouts.pdf PDF
Attachment 8 - Bldg 154 Fire Sprinkler Zone Layouts.pdf PDF
Attachment 13 - Door inspections 2024.xlsx XLSX spreadsheet
Attachment 11 - BLDG 150 FIRE SPRINKLER ZONE PLANS.pdf PDF
Attachment 17 - US VA medical center Miles City fire sprinkler 3-11-25.pdf PDF
Attachment 10 - Bldg 154A Fire Sprinkler Zone Layouts.pdf PDF
Attachment 6 - 2024Annualalarms.docx DOCX document
Attachment 7 - Barcode Identification Placement.xlsx XLSX spreadsheet
Attachment 5 - 2024AnnualAlarms.pdf PDF
Attachment 3 - Fire Alarm and Fire Suppression MITMR Price Schedule_ Amended.xlsx XLSX spreadsheet
36C25925Q0360 0002.docx DOCX document
36C25925Q0360 0001.docx DOCX document
36C25925Q0360.docx DOCX document
Attachment 3 - Fire Alarm and Fire Suppression MITMR Price Schedule.xlsx XLSX spreadsheet
Attachment 1 - Statement of Work - Fire Alarm and Fire Suppression MITMR.docx DOCX document
Attachment 2 - VA Notice of Limitation of Subcontracting.docx DOCX document
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CUSTOMER NAME: US Miles City VA BUILDING NAME: US Miles City VA BUILDING ADDRESS: 210 South Winchester Miles City, MT 59301 INSPECTION TYPE: Fire Alarm v2 FREQUENCY: Annual

WORK ORDER: 58534886

INSPECTION START DATE: 03/24/2025

INSPECTION END DATE: 03/25/2025

INSPECTOR: Caleb Dill

INSPECTOR LICENSE: FPL-IEL-000802

ACCOUNT NAME: Johnson Controls North America

OFFICE ADDRESS:

OFFICE PHONE:

OFFICE LICENSE:

TIMEZONE: GMT-06:00

FIRE ALARM INSPECTION REPORT

DEVICE DEFICIENCIES

LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES

— Nurse Starion — Annunciator — — — 03/25/2025

FUNCTIONAL

FAILURE

FAILURE REASON: Annunciator nonfunctional

INSPECTION RESULTS SUMMARY

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT

Annunciator 1 0 1 0

Battery 3 3 0 0

Door Holder 36 36 0 0

Duct Detector 27 27 0 0

Heat Detector 2 2 0 0

Panel 3 3 0 0

Pull Station 55 55 0 0

Smoke Detector 155 155 0 0

TOTAL 282 281 1 0

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Address: 210 South Winchester Miles City, MT 59301

Fire Alarm v2 | 03/25/2025 Page 1 of 15

Panels/Initiating Devices

INSPECTION RESULTS SUMMARY

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT

Annunciator 1 0 1 0

Battery 3 3 0 0

Door Holder 36 36 0 0

Duct Detector 27 27 0 0

Heat Detector 2 2 0 0

Panel 3 3 0 0

Pull Station 55 55 0 0

Smoke Detector 155 155 0 0

FACP PANELS

# LOCATION DESCRIPTION MANUFACTURER MODEL DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Facp Simplex 4100U Panel — Caleb J Dill 03/25/2025 Passed

NAC PANELS

# LOCATION DESCRIPTION MANUFACTURER MODEL DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — First floor boiler room Simplex 4009 Panel — Caleb J Dill 03/25/2025 Passed

2 — Penthouse AHU room Simplex 4009 Panel — Caleb J Dill 03/25/2025 Passed

BATTERIES

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — First floor boiler room Battery — Caleb J Dill 03/25/2025 Passed

Quantity (Enter 2 if answering for a set) 2

Amp hour rating 25

Manufacturer Date Code FP200215

Voltage with charger 27.78

Voltage without charger 27.77

Load Voltage Test Results (%) 100

2 — Fourth floor nac power supply Battery — Caleb J Dill 03/25/2025 Passed

Quantity (Enter 2 if answering for a set) 2

Amp hour rating 18ah

Manufacturer Date Code CY161215

Voltage with charger 27.34

Voltage without charger 27.33

Load Voltage Test Results (%) 100

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 2 of 15

BATTERIES

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

3 — Main panel battery Battery — Caleb J Dill 03/25/2025 Passed

Quantity (Enter 2 if answering for a set) 2

Amp hour rating 110 ah

Manufacturer Date Code Cy170815

Voltage with charger 27.46

Voltage without charger 27.45

Load Voltage Test Results (%) 100

SMOKE DETECTORS

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Admin CEO room

226B M2-14 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

2 — Admin hall by room 125 M1-10 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

3 — Admin hall by room 135 M1-8 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

4 — Admin office M1-11 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

5 — Aud hallway outside chapel M1-57 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

6 — Aud hallway outside room 9 M1-62 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

7 — auditorium foyer M1-117 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

8 — Auditorium foyer M1-116 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

9 — Auditorium main room M1-110 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

10 — Auditorium main room M1-111 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

11 — AUD second floor west of stage M1-118 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

12 — Aud storage above entry M1-115 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

13 — Call outside

SPDSTG7

M1-91 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

14 — Chapel back hall M1-121 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

15 — Chapel chaplains office M1-124 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

16 — Chapel foyer M1-125 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

17 — Chapel sanctuary M1-122 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

18 — Chapel sanctuary M1-123 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

19 — Chemistry room

M2-11 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

20 — Clinic hall outside room 163a M1-24 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

21 — Clinic hall outside room 167 M1-26 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

22 — Clinic hall outside room 171 M1-27 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 3 of 15

SMOKE DETECTORS

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

23 — Clinic hall outside room 175 M1-28 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

24 — Clinic hallway M1-92 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

25 — Clinic nurses station M2-41 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

26 — Clinic waiting area M1-69 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

27 — East Hall by nurses station 210 M2-24 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

28 — East Hall by restroom M2-23 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

29 — East hall by room

117d M1-33 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

30 — East hall by room

118c M1- Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

31 — East hall by room

M2-20 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

32 — East hall by room

M2-21 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

33 — East hall by room

M2-22 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

34 — East hall by room

M2-50 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

35 — East hall by room

M2-55 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

36 — East Hall by room

M2-54 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

37 — East hall by room

M2-53 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

38 — East Hall by room

M2-52 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

39 — East Hall by room

M2-51 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

40 — East hall by stair 1 M1-68 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

41 — East Hall outside elevator vestibule

117E M1-12 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

42 — East hall outside room 105a M1-88 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

43 — East hall outside room 112 M1-67 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

44 — East hall outside room 402 M2-101 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

45 — East Hall outside room 409 M2-102 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

46 — East hall outside room 411 M2-103 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

47 — East Hall outside room 413 M2-104 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

48 — East Hall outside room 416 M2-105 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

49 — East Hall outside room 419 M2-109 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 4 of 15

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

50 — East Hall stair well one landing M2-110 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

51 — East time outside room 105D M1-90 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

52 — Elevator equipment room M2-120 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

53 — Entrance to CLC M1-37 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

54 — Fire command room M1-20 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

55 — Hall 341 by closet

228 a M2-57 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

56 — Hall by room 250 M2-250 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

57 — Hall by room 258 M2-71 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

58 — Hall five outside storage three M1-59 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

59 — Hematology room

M2-10 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

60 — He’s tile outside room 421 M2-46 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

61 — Hobby shop room

109 a M1-210 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

62 — Hobby shop storage 109 a M1-211 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

63 — Inside ADP room

M1-66 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

64 — Inside ADP room

M1-75 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

65 — Inside IRM room M1-212 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

66 — Inside IRM room M1-213 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

67 — In the store room

M1-13 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

68 — Irm room storage M1-215 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

69 — IRM room storage M1-214 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

70 — Kitchen hall by room 114 B M1-71 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

71 — Kitchen hall next to stair one M1-70 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

72 — Main elevator lobby M1-18 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

73 — Main elevator lobby M2-62 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

74 — Main lobby M1-21 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

75 — Main lobby M1-22 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

76 — Mechanical equipment room M1-76 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

77 — Microbiology room

M2-12 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

78 — NH East Hall by room 140 M1-94 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 5 of 15

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

79 — Northhall by visitors lounge 101 M1-95 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

80 — Nursing home door nine M1-142 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

81 — Nursing home East Hall by room 141

M1-58 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

82 — Nursing home East Hall by room 147

M1-61 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

83 — Nursing home in

West Hall by room

M1-43 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

84 — Nursing home North Hall by room 150 M1-41 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

85 — Nursing home North Hall by room 151 M1-141 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

86 — Nursing home nurses station

M1-44 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

87 — Nursing home outside room 121 M1-45 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

88 — Nursing home room 102 lounge M1-143 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

89 — Nursing home

South Hall by room 129 a

M1-50 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

90 — Nursing home

South Hall by room

M1-49 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

91 — Nursing home

South Hall by room

M1-55 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

92 — Nursing home

West Hall by room

M1-39 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

93 — Nursing home

West Hall by room

M1-42 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

94 — Nursing home

West Hall by room

M1-46 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

95 — Nursing home

West Hall by room

M1-47 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

96 — Passenger elevator lobby M2-15 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

97 — Passenger elevator lobby M2-108 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

98 — Phone equipment room M1-168 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

99 — Receptionist office room 226 M2-15 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

100 — Room 100 F sprinkler flow M1-148 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

101 — Room 451 above

FACP

M2-119 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 6 of 15

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

102 — Service elevator lobby M2-25 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

103 — Service elevator lobby M2-56 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

104 — Service elevator lobby M2-106 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

105 — Service elevator lobby 117 E M1-13 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

106 — Shipping hall by room 102 M1-89 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

107 — Shipping hall by room 199 M1-78 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

108 — Southhall by room

M2-28 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

109 — Southhall by room

M1-30 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

110 — Southhall by room

M2-29 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

111 — Southhall by room

M2-43 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

112 — Southhall by room

M2-49 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

113 — Southhall by room

M2-48 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

114 — Southhall by room

M2-44 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

115 — Southhall by room

M2-42 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

116 — South hall by room

M2-65 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

117 — South hall by room

M2-66 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

118 — South hall by room

M2-67 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

119 — Southhall by room

M2-64 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

120 — Southhall by room

M2-63 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

121 — Southhall by tub room 211 M2-27 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

122 — Southhall stairwell

2 landing M2-38 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

123 — Southhall stairwell

4 landing M2-70 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

124 — Stairwell one exit landing M2-111 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

125 — Top of passenger elevator shaft M2-137 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

126 — Top of service elevator shaft

M2-138 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

127 — Victory insurance office M2-116 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 7 of 15

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

128 — Victory insurance offices M2-112 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

129 — Victory insurance offices M2-113 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

130 — Victory insurance offices M2-114 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

131 — Victory insurance offices M2-115 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

132 — Warehouse room

M1-79 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

133 — Warehouse room

M1-80 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

134 — Warehouse room

M1-82 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

135 — Warehouse room

M1-83 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

136 — Warehouse room

M1-84 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

137 — Warehouse room

M1-85 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

138 — West hall by clinic office M2-31 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

139 — West hall by clinic waiting room M2-32 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

140 — West hall by room

M1-2 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

141 — West hall by room

M1-3 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

142 — West hall by room

M1-4 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

143 — West hall by room

M1-6 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

144 — West hall by room

M1-7 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

145 — West hall by room

226B M2-33 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

146 — West hall by room

M2-37 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

147 — West hall by room

M2-36 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

148 — West hall by room

M2-35 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

149 — West hall by room

M2-34 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

150 — West hall by room

M2-59 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

151 — West hall by room

M2-60 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

152 — West hall by room

M2-61 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

153 — West hall outside room 339 M2-58 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 8 of 15

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

154 — West hall stair three a landing M2-117 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

155 — West hall stair three be landing M2-118 Photo Smoke Detector — Caleb J Dill 03/25/2025 Passed

HEAT DETECTORS

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Elevator equipment room M2-121 Fixed temp Heat Detector — Caleb J Dill 03/25/2025 Passed

2 — Old boiler building north exit M1-2212 Fixed temp Heat Detector — Caleb J Dill 03/25/2025 Passed

DUCT DETECTORS

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Corredor by room

M2-69 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

2 — Dining room east M1-105 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

3 — Dining room west M1-106 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

4 — East hall at DBL doors M2-156 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

5 — Hall by room 112 a M1-145 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

6 — In room 451 M2-157 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

7 — Inside pharmacy M1-222 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

8 — Inside pharmacy M1-223 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

9 — Inside room 441 M2-128 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

10 — Kitchen rooftop

AHU East M1-174 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

11 — Kitchen rooftop

AHU West M1-175 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

12 — Mezzanine above auditorium M1-200 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

13 — Mezzanine above auditorium M1-201 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

14 — Mezzanine above auditorium M1-203 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

15 — Mezzanine above auditorium M1-202 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

16 — Mezzanine above auditorium M1-204 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

17 — Mezzanine above auditorium M1-205 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

18 — Nursing home penthouse M1-97 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

19 — Nursing home penthouse M1-98 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

20 — Outpatient AC equipment room M1-132 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 9 of 15

DUCT DETECTORS

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

21 — Outpatient AC equipment room M1-133 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

22 — Outside room 317 M2-167 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

23 — Outside room 355 M2-158 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

24 — South wing room

M1-130 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

25 — South wing room

M1-131 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

26 — SPD rooftop AHU M1-195 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

27 — SPD rooftop AHU M1-196 Photo Duct Detector — Caleb J Dill 03/25/2025 Passed

PULL STATIONS

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Admin south exit room 129 M1-99 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

2 — Aud hall south exit M1-126 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

3 — Auditorium East exit M1-112 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

4 — Auditorium second floor west of stage

M1-119 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

5 — Auditorium west exit M1-113 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

6 — Aud storage under stage

M1-114 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

7 — Carpenter shop M1-1071 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

8 — Carpenter shop crematorium M1-1073 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

9 — Carpenter shop garage M1-1072 Single action Pull Station — Caleb J Dill 03/25/2025 Passed

10 — Chapel rear south exit M1-120 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

11 — Clinic outside exam room 175 M1-29 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

12 — East hall by stairwell one exit M1-161 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

13 — East Hall stairwell one exit M1-160 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

14 — Hall five outside storage three M1-60 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

15 — Kitchen hall by office 114 A M1-72 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

16 — Laundry room for exit to dock M1-101 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

17 — Linen room east exit M1-93 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

18 — Mechanical equipment room 107 exterior door

M1-14 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 10 of 15

PULL STATIONS

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

19 — Northhall by DBL patient room 116

M1-48 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

20 — Northhall conference room

M1-56 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

21 — Nurses station M2-78 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

22 — Nurses station

M2-40 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

23 — Nursing home main entrance to nursing home

M1-140 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

24 — Nursing home outside room 125 M1-51 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

25 — Old boiler building classroom one M1-2207 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

26 — Old boiler building classroom one M1-2208 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

27 — Old boiler building classroom three M1-2210 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

28 — Old boiler building classroom two M1-2209 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

29 — Old boiler building highway patrol M1-2211 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

30 — Old boiler building main room M1-2205 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

31 — Old boiler building main room M1-2206 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

32 — Old boiler building north exit M1-2203 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

33 — Old boiler building south exit M1-2201 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

34 — Old boiler building upstairs M1-2204 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

35 — Outside entry vestibule M1-19 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

36 — Phone equipment room M1-169 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

37 — Shipping hall by room 100 M1-77 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

38 — South hall by room 263 M2-47 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

39 — Southhall stairwell

2 exit M1-163 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

40 — Southhall stairwell

4 exit M1-171 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

41 — Southhall stairwell

4 exit M1-170 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

42 — Stairwell 3B exit M1-164 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

43 — Stairwell 3B exit M1-165 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

44 — Stairwell 4 exit M1-25 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

45 — Stairwell one exit M1-162 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 11 of 15

PULL STATIONS

# LOCATION DESCRIPTION ADDRESS MAKE DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

46 — Stare one E. Hall M1-100 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

47 — Stare to exit South

Hall M1-9 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

48 — Warehouse room north exit M1-81 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

49 — West Corredor stairwell 3A exit M1-1 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

50 — West Corredor stare 3B exit

M1-5 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

51 — West hall 3A exit M2-72 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

52 — West hall stairwell

3A exit M2-68 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

53 — West hall stairwell

3A exit M2-39 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

54 — West whole stairwell 3B exit M1-166 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

55 — Whole 122G outside JN 122F M1-15 Dual action Pull Station — Caleb J Dill 03/25/2025 Passed

ANCILLARY FIRE ALARM DEVICES

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Nurse Starion Annunciator — Caleb J Dill 03/25/2025 Failed

Reason for failure: (Functional Failure) Annunciator nonfunctional

DOOR HOLDERS AND CLOSURES

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

2 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

3 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

4 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

5 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

6 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

7 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

8 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

9 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

10 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

11 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

12 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

13 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

14 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

15 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 12 of 15

DOOR HOLDERS AND CLOSURES

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

16 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

17 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

18 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

19 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

20 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

21 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

22 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

23 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

24 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

25 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

26 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

27 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

28 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

29 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

30 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

31 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

32 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

33 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

34 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

35 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

36 — Door holder Door Holder — Caleb J Dill 03/25/2025 Passed

Notification Devices

Bulk operator

All Devices in this section that are NOT listed below have been marked as: Passed

No devices were found for this section.

Inspector Signature

Inspector Name Caleb Dill Date 03/25/2025

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 13 of 15

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 Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 14 of 15

DEVICE NOTE IMAGE APPENDICES

Fire Alarm v2–Annual

Customer: US Miles City VA Building: US Miles City VA

Fire Alarm v2 | 03/25/2025 Page 15 of 15

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