LVD Bldg 90 Annual Device Testing - April 2025.rtf

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

LV90

4951 Arroyo Rad

Livermore, CA 94550

This inspection was performed in accordance with NFPA 101, EDITION 2024, LIFE SAFETY CODE, NFPA 72, EDITION 2022, FIRE ALARM SYSTEMS and NFPA 90A, EDITION 2022, AIR CONDITIONING/VENTILATING SYSTEMS.

This inspection and testing service has been performed 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 May 26, 2025 Building: LV90 Company: scDataCom Contact: Doug Gambrell Contact: Lara Gianmarkho Title: Manager Title: Fire Alarm Technician scDataCom

Download Date: 05/28/2025

Executive Summary Generated by: BuildingReports.com

Building Information Building: LV90 Contact: Doug Gambrell Address: 4951 Arroyo Rad Phone: 4403192479 Address:

Fax:

City/State/ZIP Code: Livermore, CA 94550 Mobile:

Country: United States of America Email: d.gambrell@scdatacom.net

Inspection Performed By Company: scDataCom Inspector: Lara Gianmarkho Address: 2700 Gregory St Ste 180 Phone: 650-362-4841 Address:

Fax:

City/State/ZIP Code: Savannah, GA 31404 Mobile:

Country: United States of America Email: gmarko@redwoodcityalarms.com

System Control Unit Manufacturer: EST Inspection Date: 05/26/2025 IDC Style:

Model Number: 3CPU Install Date: 05/25/2017 SLC Style:

Software Version:

Version Date: 05/26/2017 NAC Style:

Location: 1st Corridor Outside A-113 - FACP CAB_6 Current Protection:

Inspection Completion Date: May 26, 2025 Building: LV90

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 Tamper Switch Waterflow Switch

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 Duct Detector Heat Detector Pull Station Smoke Detector

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 Bell Indicating Device Releasing Device Speaker/Strobe Strobe

EC 02.03.05 EP 18

Operation of fire and smoke dampers to verify full closure. NFPA 90A-2024: 5.4.8; NFPA 80-2022: 19.5; NFPA 105-2022: 7.6.2 Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Damper Control

EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment. NFPA 90A (2024) 6.4.1 Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Duct Detector

LS 02.01.34 EP 02

Protected master fire alarm control panel Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Control Panel

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 Battery Expander Panel Power Supply Programmable Relay Special Control Total Device Count: 157

Certification Company: scDataCom Building: LV90 Inspector: Lara Gianmarkho Contact: Doug Gambrell file_0.jpg

Signed: May 27, 2025 Signed:

Inspection & Testing

Building: LV90 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 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) 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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Tamper Switch

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Tamper Switch 1st Front Of Building PIV 45211836

1-PIV

05/22-P 09/30-P 05/07-P Tamper Switch 1st Room A-108 12202777 05/22-P 09/30-P 05/07-P Tamper Switch 2nd Mechanical Room 1163598

1-SG 2 WF

05/22-P 09/30-P 05/07-P Device Total: 3

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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Waterflow Switch

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Waterflow Switch 1st Room C-111 Fire Sprinkler 12202779 05/22-P 09/30-P 05/07-P Waterflow Switch 1st Room A-108 12202776 05/22-P 09/30-P 05/07-P Device Total: 2

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 duct smoke detectors that use sampling tubes to ensure that they will properly sample the airstream in the duct using a method acceptable to the manufacturer or in accordance with their published instructions. (NFPA 72-22 Table 14.4.3.2 (17)(7)(e)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Duct Detector

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Duct Detector 1st B-105 above tile right corner 45206293

1-2 DS6

04/11-P

05/07-P Duct Detector 1st A 124 physical therapy office A 125 above tile right corner 12202762

1-2 DS7

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 1163597

1-SG2 DS4 252

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202812

1-DS 3

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202770

1-DS 5

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202766

1-DS 9 282

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202760

1-DS 5

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202761

1-DS 5

04/11-P

05/07-P Duct Detector 2nd Mechanical Room A-202 1163589

1-2 DS2

04/11-P

05/07-P Device Total: 9

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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Heat Detector

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Heat Detector 2nd Mechanical Room ROOF ACCESS ROOM 12202780 04/11-P

05/26-P Device Total: 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) 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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Pull Station

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Pull Station 1st Office Space Exit Outside C-101 1162949 1-1 F3 04/11-P

05/07-P Pull Station 1st Office Space Exit Outside C-112 1162945 1-1 F4 04/11-P

05/07-P Pull Station 1st Corridor Outside C-108 1162951 1-1 F5 04/11-P

05/07-P Pull Station 1st Corridor Outside B-133 1163585 1-1 F1 04/11-P

05/07-P Pull Station 1st Corridor Outside B-150 1162954 1-1 F2 04/11-P

05/07-P Pull Station 1st Corridor Exit Outside B-178 1162958 1-1 F6 04/11-P

05/07-P Pull Station 1st Corridor Outside A-131 1162962 1-3 F5 04/11-P

05/07-P Pull Station 1st Dining Room Exit by A-124 1162976 1-3 F4 04/11-P

05/07-P Pull Station 1st Dining Room Exit by Fireplace 1162947 1-3 F3 04/11-P

05/07-P Pull Station 1st Dining Room Exit by A-116 1162972 1-3 F2 04/11-P

05/07-P Pull Station 1st Main Entrance 1162946 1-3 F6 04/11-P

05/07-P Pull Station 1st Corridor Exit Outside A-113 1162968 1-3 F1 04/11-P

05/07-P Pull Station 2nd Stair 1 Entrance 8999236

1-SG1 F1

04/11-P

05/26-P Pull Station 2nd Corridor Outside B-233 8999240 04/11-P

05/07-P Pull Station 2nd Entrance To Stair 3 1162938

1-SG1 F3

04/11-P

05/07-P Pull Station 2nd Main Hallway Outside Room B-278 8999237

1-SG1 F2

04/11-P

05/07-P Pull Station 2nd Main Hallway Outside Room A-201 45206084

1-SG2 S6

04/11-P

05/07-P Device Total: 17

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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Smoke Detector

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Smoke Detector 1st Elevator Lobby Outside Dining A-117 8999235 1-3 S1 04/11-P

05/26-P Smoke Detector 1st Corridor Partition Doors by B-Wing 8999225 04/11-P

05/07-P Smoke Detector 1st Corridor Partition Doors by B-Wing Outside B-100 12202735 1-3 S3 04/11-P

05/07-P Smoke Detector 1st Office Space Outside C-101 12202747 1-1 S18 04/11-P

05/07-P Smoke Detector 1st Office Space Outside C-112 12202748 1-1 S16 04/11-P

05/07-P Smoke Detector 1st Corridor Outside C-108 12202746 1-1 S22 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-160 8999234 1-1 S16 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-133 12202741 1-1 S7 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-123 12202740 1-1 S6 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-115 12202739 1-1 S5 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-111 12202738 1-1 S4 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-109 8999231 1-1 S3 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-100 by Reception 12202736 1-1 S1 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-105 12202737 1-1 S2 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-141 12202742 1-1 S10 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-147 12202743 1-1 S11 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-150 8999229 1-1 13 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-152 8999228 1-1 S12 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-156 8999227 1-1 S14 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-162 12202744 1-1 S15 04/11-P

05/07-P Smoke Detector 1st Corridor Outside B-171 12202745 1-1 S22 04/11-P

05/07-P Smoke Detector 2nd Main Elevator Lobby 12202749

1-SG2 S5

04/11-P

05/26-P Smoke Detector 2nd Mechanical Room 12202772

1-SG2 S4

04/11-P

05/26-P Smoke Detector 2nd Mechanical Room 12202773

1-SG2 S5

04/11-P

05/26-P Smoke Detector 2nd Corridor Outside B-229 12202650 1-1 S25 04/11-P

05/07-P Smoke Detector 2nd Corridor Outside B-223 12202649 1-1 S24 04/11-P

05/07-P Smoke Detector 2nd Corridor Outside B-215 12202648 1-1 S23 04/11-P

05/07-P Smoke Detector 2nd Corridor Outside B-211 12202647 1-1 S22 04/11-P

05/07-P Smoke Detector 2nd Corridor Outside B-209 12202646 1-1 S21 04/11-P

05/07-P Smoke Detector 2nd Corridor Outside B-205 12202644 1-1 S20 04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside Room B-236 8999238

1-SG1 S18

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside Room B-239 12202651

1-SG1 S17

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside Room B-246 12202652

1-SG1 S16

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside B-250 12202653

1-SG1 S14

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside Room B-254 12202654

1-SG1 S15

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside B-256 12202655

1-SG1 S13

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside B-260 12202656

1-SG2 S12

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside Room B-264 12202657

1-SG2 S11

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside Room B-268 12202658

1-SG2 S10

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside B-277 12202659

1-SG2 S9

04/11-P

05/07-P Smoke Detector 2nd nurse station 12202643 1-NAC A3 / SPK 2 6-Feb 04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside Nurses Station 12202642

1-SG2 S8

04/11-P

05/07-P Smoke Detector 2nd Double Doors To Nurses Station 12202640

1-SG2 S7

04/11-P

05/07-P Smoke Detector 2nd Main Hallway Outside Room A-201 12202639

1-SG2 S6

04/11-P

05/07-P Device Total: 44

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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Bell

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Bell 2nd Outside Roof Patio 45205962

1-NO ADDRESS ON DEVICE

04/11-P

05/26-P Device Total: 1

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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Indicating Device

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Indicating Device 2nd Mechanical Room A-202 On DS2 12202769 1-2 77 04/11-P

05/26-P Device Total: 1

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) 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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Releasing Device

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Releasing Device 1st Partition Doors to C-108 Right 12203020 04/11-P

05/26-P Releasing Device 1st Partition Doors to C-108 Left 45213666 04/11-P

05/26-P Releasing Device 2nd Double Doors To Nurses Station 12202798 04/11-P

05/26-P Releasing Device 2nd Double Doors To Nurses Station 45205963 04/11-P

05/26-P Device Total: 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) For periodic testing, verify the operation of the notification appliances. (NFPA 72-22 Table 14.4.3.2 (22)(2)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Speaker/Strobe

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Speaker/Strobe 1st Corridor Outside B-109 1163576 1-A1/1 9-May 04/11-P

05/26-P Speaker/Strobe 1st Room 102 Outside A-103 1163564 1-1 1 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside B-150 1162985 1-A2/1 16-Feb 04/11-P

05/26-P Speaker/Strobe 1st Dining Room Outside A-123 1162975 1-1-Feb 1-Jul 04/11-P

05/26-P Speaker/Strobe 1st Kitchen A-115 1162970 1-1-Feb 4-Jan 04/11-P

05/26-P Speaker/Strobe 1st Corridor Exit Outside A-113 1162969 1-1-Jan 5-Mar 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside A-102 1162967 1-2 6 04/11-P

05/26-P Speaker/Strobe 1st Elevator Lobby Outside Dining A-117 1162966 1-1-Feb 7-Jun 04/11-P

05/26-P Speaker/Strobe 1st Corridor By Partition Doors to B-Wing Outside A-121 1162961 1-1-Feb 8-Sep 04/11-P

05/26-P Speaker/Strobe 1st Corridor By Partition Doors to B-Wing Outside B-100 1162960 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside B-174 1162957 1-A1/1 10-Mar 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside B-182 1162956 1-A1/1 14-Jan 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside B-162 1162953 1-A2/1 17-Mar 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside B-160 1162952 1-A2/1 18-Apr 04/11-P

05/26-P Speaker/Strobe 1st Main Entrance 1162948 1-1-Feb 5-Apr 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside B-113 1163579 1-A1/1 8-Aug 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside B-133 1163584 1-A1/1 11-Jan 04/11-P

05/26-P Speaker/Strobe 1st 1A-111 12202781 04/11-P

05/26-P Speaker/Strobe 1st Corridor Outside B-148 45213665 1-A1/1 15-Jan 04/11-P

05/26-P Speaker/Strobe 2nd Corridor Outside B-248 1162936 1-A3/2 7-Jul 04/11-P

05/26-P Speaker/Strobe 2nd Mechanical Room 1162935 1-NAC A3 / SPK 2 6-Feb 04/11-P

05/26-P Speaker/Strobe 2nd Main Hallway Outside Room B-260 1162939 1-NAC A3 / SPK 2 10-Jun 04/11-P

05/26-P Speaker/Strobe 2nd Main Hallway Outside Room B-262 1162940 1-NAC A3 / SPK 2 9-Apr 04/11-P

05/26-P Speaker/Strobe 2nd Stair 1 Entrance 1162991 1-NAC A4 / SPK 2 1-Aug 04/11-P

05/26-P Speaker/Strobe 2nd Main Hallway Outside B-278 1162995 1-NAC A3 / SPK 2 3-Mar 04/11-P

05/26-P Speaker/Strobe 2nd Corridor Outside B-229 1163592 1-A4/2 4-Mar 04/11-P

05/26-P Speaker/Strobe 2nd Mechanical Room 1163599

1-SPK 2 2

04/11-P

05/26-P Speaker/Strobe 2nd Corridor Outside B-211 12602606 1-A4/2 5-Apr 04/11-P

05/26-P Speaker/Strobe 2nd Main Hallway Outside Room B-250 12602617 1-NAC A3 / SPK 2 6-Aug 04/11-P

05/26-P Device Total: 29

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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Strobe

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Strobe 1st Corridor Outside B-180 1163575 1-A1 2 04/11-P

05/26-P Strobe 1st Breakroom A-104 1163563 1-1 2 04/11-P

05/26-P Strobe 1st Bathroom A-105 1163562 1-1 3 04/11-P

05/26-P Strobe 1st Restroom A-119 1162974 1-1 8 04/11-P

05/26-P Strobe 1st Dining Room Outside A-120 1162973 1-2 7 04/11-P

05/26-P Strobe 1st Restroom A-120 1162965 1-1 9 04/11-P

05/26-P Strobe 1st Corridor Outside B-178 1162959 1-A1 4 04/11-P

05/26-P Strobe 1st Room B-109 8999233 04/11-P

05/26-P Strobe 1st Restroom A-128 45213663 1-2 3 04/11-P

05/26-P Strobe 1st Restroom A-127 45213660 1-2 2 04/11-P

05/26-P Strobe 1st Room B-109 I'm Storage Room 45213664 04/11-P

05/26-P Strobe 2nd Main Hallway Outside Room B-200 1162942

1-NAC A4 6

04/11-P

05/26-P Strobe 2nd Mechanical Room 1162943

1-SG2 S5

04/11-P

05/26-P Strobe 2nd Room B-209 Rear Storage 1163591 1-A4 4 04/11-P

05/26-P Strobe 2nd Corridor Outside B-209 12602604 1-A4 5 04/11-P

05/26-P Strobe 2nd Room B-209 12602605 04/11-P

05/26-P Strobe 2nd Double Doors To Nurses Station 12602618

1-NAC A4 7

04/11-P

05/26-P Strobe 2nd restroom nurse station 45206140 04/11-P

05/26-P Device Total: 18

EC 02.03.05 EP 18

Operation of fire and smoke dampers to verify full closure. NFPA 90A-2024: 5.4.8; NFPA 80-2022: 19.5; NFPA 105-2022: 7.6.2 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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Damper Control

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Damper Control 1st Restroom A-120 8999239 1-1 9 04/11-P

05/07-P Damper Control 1st Restroom A-120 8999226 1-1 9 04/11-P

05/07-P Damper Control 2nd Mechanical Room 12602624

1-DTS 5

04/11-P

05/07-P Damper Control 2nd Mechanical Room 12602623

1-DTS 4

04/11-P

05/07-P Damper Control 2nd Mechanical Room 12602622

1-DTS 3

04/11-P

05/07-P Damper Control 2nd Mechanical Room 12602621

1-DTS 2

04/11-P

05/07-P Damper Control 2nd Corridor Outside B-205 12202645 1-1 S20 04/11-P

05/07-P Damper Control 2nd Main Hallway Outside Nurse's Station 12202641

1-DTS 8

04/11-P

05/07-P Device Total: 8

EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment. NFPA 90A (2024) 6.4.1 Test duct smoke detectors that use sampling tubes to ensure that they will properly sample the airstream in the duct using a method acceptable to the manufacturer or in accordance with their published instructions. (NFPA 72-22 Table 14.4.3.2 (17)(7)(e)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Duct Detector

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Duct Detector 1st B-105 above tile right corner 45206293

1-2 DS6

04/11-P

05/07-P Duct Detector 1st A 124 physical therapy office A 125 above tile right corner 12202762

1-2 DS7

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 1163597

1-SG2 DS4 252

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202812

1-DS 3

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202770

1-DS 5

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202766

1-DS 9 282

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202760

1-DS 5

04/11-P

05/07-P Duct Detector 2nd Mechanical Room 12202761

1-DS 5

04/11-P

05/07-P Duct Detector 2nd Mechanical Room A-202 1163589

1-2 DS2

04/11-P

05/07-P Device Total: 9

LS 02.01.34 EP 02

Protected master fire alarm control panel Verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (NFPA 72-22 Table 14.4.3.2 (2)(1)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Control Panel

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Control Panel 1st Corridor Outside A-113 - FACP CAB_6 45213658 04/11-P

05/26-P Device Total: 1

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 With the batteries fully charged and connected to the charger, measure the voltage across the batteries with a voltmeter. Then, with the battery charger disconnected, load test the batteries following the manufacturer's recommendations. (NFPA 72-22 Table 14.4.3.2 (9)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Battery

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Battery 1st B-139 NAC_A 12202665

09/30-P 05/07-P Battery 1st B-139 DM_PS_A 12202663

09/30-P 05/07-P Battery 1st B-139 DM_PS_A 12202662

09/30-P 05/07-P Battery 1st B-139 NAC_A 12202661

09/30-P 05/07-P Battery 1st Corridor Outside A-113 - FACP CAB_6 8999223

09/30-P 05/07-P Battery 1st Corridor Outside A-113 - FACP CAB_6 8999222

09/30-P 05/07-P Device Total: 6

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 At a minimum, control equipment shall be tested to verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (NFPA 72-22 Table 14.4.3.2 (2)(1)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Expander Panel

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Expander Panel 1st Corridor Outside A-113 - Battery Cabinet 45213659 04/11-P

05/26-P Expander Panel 1st B-139 NAC_A 12202768 04/11-P

05/07-P Device Total: 2

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 Verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (NFPA 72-22 Table 14.4.3.2 (2)(1)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Power Supply

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Power Supply 1st B-139 DM_PS_A 12202664 04/11-P

05/07-P Device Total: 1

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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Programmable Relay

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Programmable Relay 2nd Mechanical Room 12202771

1-SG2 DS5 278

04/11-P

05/26-P Programmable Relay 2nd Mechanical Room 12202811

1-SG2 DS1 276

04/11-P

05/26-P Device Total: 2

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 Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Special Control

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Special Control 1st Corridor Outside A-113 - FACP CAB_6 45213656 04/11-P

05/26-P Special Control 1st Corridor Outside A-113 - FACP CAB_6 45213657 04/11-P

05/26-P Special Control 1st B-139 NAC_A 45213667 04/11-P

05/26-P Special Control 1st B-139 NAC_A 45213668 04/11-P

05/26-P Special Control 1st B-139 NAC_A 45213669 04/11-P

05/26-P Special Control 1st B-139 DM_PS_A 45213670 04/11-P

05/26-P Special Control 1st B-139 DM_PS_A 45213671 04/11-P

05/26-P Special Control 1st B-139 DM_PS_A 45213672 04/11-P

05/26-P Device Total: 8

Service Summary

Building: LV90 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity Passed Battery Tested Bell Tested Control Panel Tested Damper Control Tested Duct Detector Tested Expander Panel Tested Heat Detector Tested Indicating Device Tested Power Supply Tested Programmable Relay Tested Pull Station Tested Releasing Device Tested Smoke Detector Tested/Cleaned Speaker/Strobe Tested Special Control Tested/Cleaned Strobe Tested Tamper Switch Tested Waterflow Switch Tested Total Grand Total

Auxiliary Functions Testing

Building: LV90 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 Damper Control

1st Restroom A-120 Passed 8999226

1st Restroom A-120 Passed 8999239

2nd Corridor Outside B-205 Passed 12202645

2nd Main Hallway Outside Nurse's Station Passed 12202641

2nd Mechanical Room Passed 12602621

2nd Mechanical Room Passed 12602622

2nd Mechanical Room Passed 12602623

2nd Mechanical Room Passed 12602624 Programmable Relay

2nd Mechanical Room Passed 12202811

2nd Mechanical Room Passed 12202771 Releasing Device

1st Partition Doors to C-108 Left Passed 45213666

1st Partition Doors to C-108 Right Passed 12203020

2nd Double Doors To Nurses Station Passed 45205963

2nd Double Doors To Nurses Station Passed 12202798

Battery & Power Supply Testing

Building: LV90 Control Panel: 1 The Battery & Power Supply Testing section details the readings and measurements of batteries and power supplies used to provide power to the fire alarm and life safety systems. Items are grouped by Passed or Failed/Other.

Battery Type Location Rated Ah Rated Volts Pre Test Post Test Min Ah Tested Ah Passed Sealed Lead Acid 1st B-139 DM_PS_A

Sealed Lead Acid 1st B-139 DM_PS_A

1st B-139 NAC_A

1st B-139 NAC_A

Building: LV90 Control Panel: 2 - EST 3CPU The Battery & Power Supply Testing section details the readings and measurements of batteries and power supplies used to provide power to the fire alarm and life safety systems. Items are grouped by Passed or Failed/Other.

Battery Type Location Rated Ah Rated Volts Pre Test Post Test Min Ah Tested Ah Passed Sealed Lead Acid 1st Corridor Outside A-113 - FACP CAB_6

55-NB

1st Corridor Outside A-113 - FACP CAB_6

55-NB

Inventory & Warranty Report

Building: LV90 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 Battery Control 3.82% Bell Indicating 0.64% Control Panel Control 0.64% Damper Control Auxiliary 5.10% Duct Detector Initiating 5.73% Expander Panel Control 1.27% Heat Detector Initiating 0.64% Indicating Device Indicating 0.64% Power Supply Control 0.64% Programmable Relay Auxiliary 1.27% Pull Station Initiating 10.83% Releasing Device Auxiliary 2.55% Smoke Detector Initiating 28.03% Speaker/Strobe Indicating 18.47% Special Control Control 5.10% Strobe Indicating 11.46% Tamper Switch Supervisory 1.91% Waterflow Switch Initiating 1.27%

Type Qty Model # Description Install Date In Service - 5 Years to 10 Years PowerSonic Battery

PS-1270 F1

Sealed Lead Acid 06/20/2019 Alarm Systems Tamper Switch 600 S1

05/25/2017

EST

Bell

05/25/2017 Damper Control 405-7A-T

05/25/2017 Damper Control

SIGA-DH

05/25/2017 Damper Control

SIGA-PS

05/25/2017 Duct Detector

SIGA-DS

05/25/2017 Duct Detector

SIGA-PS

05/25/2017 Expander Panel

BPS6

05/25/2017 Indicating Device

SIGA-LED

05/25/2017 Power Supply

BPS6A

05/25/2017 Programmable Relay

SIGA-SB

05/25/2017 Pull Station

SIGA-278

05/25/2017 Pull Station

SIGA-PHS

05/25/2017 Releasing Device 1500 Series

05/25/2017 Releasing Device

1506-AQN5

05/25/2017 Smoke Detector 757 Series

05/25/2017 Smoke Detector

SIGA-PHS

05/25/2017 Smoke Detector

SIGA-PS

05/25/2017 Speaker/Strobe 757 Series

05/25/2017 Speaker/Strobe 757-7A-T

05/25/2017 Special Control

SIGA-CC1S

05/25/2017 Special Control

SIGA-CR

05/25/2017 Special Control

SIGA-CT1

05/25/2017 Strobe 405-7A-T

05/25/2017 Strobe

SIGA-PHS

05/25/2017 Potter Tamper Switch

PCVS-2

05/25/2017 Waterflow Switch

VSR-F

05/25/2017 In Service - 10 Years to 15 Years

EST

Duct Detector 6265b-002

01/13/2014 Building: LV90 Control Panel: 2 - EST 3CPU 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.

Type Qty Model # Description Install Date In Service - 3 Years to 5 Years

EST

Heat Detector

EST

09/07/2020 PowerSonic Battery

PS-12550 U

Sealed Lead Acid 09/07/2020 In Service - 5 Years to 10 Years est Strobe

03/13/2018

EST

Control Panel

3CPU

05/25/2017 Expander Panel

3-RCC14R

05/25/2017 Special Control

SIGA-MCC1S

05/25/2017

Zone Address Report

Building: LV90 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 Zone/Circuit: 1 Speaker/Strobe 1st Room 102 Outside A-103

1163564 Strobe 1st Breakroom A-104

1163563 Strobe 1st Bathroom A-105

1163562 Strobe 1st Restroom A-119

1162974 Damper Control 1st Restroom A-120

8999226 Damper Control 1st Restroom A-120

8999239 Strobe 1st Restroom A-120

1162965 Smoke Detector 1st Corridor Outside B-150

8999229 F1 Pull Station 1st Corridor Outside B-133

1163585 F2 Pull Station 1st Corridor Outside B-150

1162954 F3 Pull Station 1st Office Space Exit Outside C-101

1162949 F4 Pull Station 1st Office Space Exit Outside C-112

1162945 F5 Pull Station 1st Corridor Outside C-108

1162951 F6 Pull Station 1st Corridor Exit Outside B-178

1162958 S1 Smoke Detector 1st Corridor Outside B-100 by Reception

12202736 S2 Smoke Detector 1st Corridor Outside B-105

12202737 S3 Smoke Detector 1st Corridor Outside B-109

8999231 S4 Smoke Detector 1st Corridor Outside B-111

12202738 S5 Smoke Detector 1st Corridor Outside B-115

12202739 S6 Smoke Detector 1st Corridor Outside B-123

12202740 S7 Smoke Detector 1st Corridor Outside B-133

12202741 S10 Smoke Detector 1st Corridor Outside B-141

12202742 S11 Smoke Detector 1st Corridor Outside B-147

12202743 S12 Smoke Detector 1st Corridor Outside B-152

8999228 S14 Smoke Detector 1st Corridor Outside B-156

8999227 S15 Smoke Detector 1st Corridor Outside B-162

12202744 S16 Smoke Detector 1st Corridor Outside B-160

8999234 S16 Smoke Detector 1st Office Space Outside C-112

12202748 S18 Smoke Detector 1st Office Space Outside C-101

12202747 S20 Damper Control 2nd Corridor Outside B-205

12202645 S20 Smoke Detector 2nd Corridor Outside B-205

12202644 S21 Smoke Detector 2nd Corridor Outside B-209

12202646 S22 Smoke Detector 1st Corridor Outside B-171

12202745 S22 Smoke Detector 1st Corridor Outside C-108

12202746 S22 Smoke Detector 2nd Corridor Outside B-211

12202647 S23 Smoke Detector 2nd Corridor Outside B-215

12202648 S24 Smoke Detector 2nd Corridor Outside B-223

12202649 S25 Smoke Detector 2nd Corridor Outside B-229

12202650 Zone/Circuit: 1-Feb 1-Jul Speaker/Strobe 1st Dining Room Outside A-123

1162975 4-Jan Speaker/Strobe 1st Kitchen A-115

1162970 5-Apr Speaker/Strobe 1st Main Entrance

1162948 7-Jun Speaker/Strobe 1st Elevator Lobby Outside Dining A-117

1162966 8-Sep Speaker/Strobe 1st Corridor By Partition Doors to B-Wing Outside A-121

1162961 Zone/Circuit: 1-Jan 5-Mar Speaker/Strobe 1st Corridor Exit Outside A-113

1162969 Zone/Circuit: 2 Strobe 1st Restroom A-127

45213660 Strobe 1st Restroom A-128

45213663 Speaker/Strobe 1st Corridor Outside A-102

1162967 Strobe 1st Dining Room Outside A-120

1162973 Indicating Device 2nd Mechanical Room A-202 On DS2

12202769

DS2

Duct Detector 2nd Mechanical Room A-202

1163589

DS6

Duct Detector 1st B-105 above tile right corner

45206293

DS7

Duct Detector 1st A 124 physical therapy office A 125 above tile right corner

12202762 Zone/Circuit: 3 F1 Pull Station 1st Corridor Exit Outside A-113

1162968 F2 Pull Station 1st Dining Room Exit by A-116

1162972 F3 Pull Station 1st Dining Room Exit by Fireplace

1162947 F4 Pull Station 1st Dining Room Exit by A-124

1162976 F5 Pull Station 1st Corridor Outside A-131

1162962 F6 Pull Station 1st Main Entrance

1162946 S1 Smoke Detector 1st Elevator Lobby Outside Dining A-117

8999235 S3 Smoke Detector 1st Corridor Partition Doors by B-Wing Outside B-100

12202735 Zone/Circuit: A1 Strobe 1st Corridor Outside B-180

1163575 Strobe 1st Corridor Outside B-178

1162959 Zone/Circuit: A1/1 8-Aug Speaker/Strobe 1st Corridor Outside B-113

1163579 9-May Speaker/Strobe 1st Corridor Outside B-109

1163576 10-Mar Speaker/Strobe 1st Corridor Outside B-174

1162957 11-Jan Speaker/Strobe 1st Corridor Outside B-133

1163584 14-Jan Speaker/Strobe 1st Corridor Outside B-182

1162956 15-Jan Speaker/Strobe 1st Corridor Outside B-148

45213665 Zone/Circuit: A2/1 16-Feb Speaker/Strobe 1st Corridor Outside B-150

1162985 17-Mar Speaker/Strobe 1st Corridor Outside B-162

1162953 18-Apr Speaker/Strobe 1st Corridor Outside B-160

1162952 Zone/Circuit: A3/2 7-Jul Speaker/Strobe 2nd Corridor Outside B-248

1162936 Zone/Circuit: A4 Strobe 2nd Room B-209 Rear Storage

1163591 Strobe 2nd Corridor Outside B-209

12602604 Zone/Circuit: A4/2 4-Mar Speaker/Strobe 2nd Corridor Outside B-229

1163592 5-Apr Speaker/Strobe 2nd Corridor Outside B-211

12602606 Zone/Circuit: DS Duct Detector 2nd Mechanical Room

12202812 Duct Detector 2nd Mechanical Room

12202760 Duct Detector 2nd Mechanical Room

12202761 Duct Detector 2nd Mechanical Room

12202770 9 282 Duct Detector 2nd Mechanical Room

12202766 Zone/Circuit: DTS Damper Control 2nd Mechanical Room

12602621 Damper Control 2nd Mechanical Room

12602622 Damper Control 2nd Mechanical Room

12602623 Damper Control 2nd Mechanical Room

12602624 Damper Control 2nd Main Hallway Outside Nurse's Station

12202641 Zone/Circuit: NAC A3 / SPK 2 3-Mar Speaker/Strobe 2nd Main Hallway Outside B-278

1162995 6-Aug Speaker/Strobe 2nd Main Hallway Outside Room B-250

12602617 6-Feb Speaker/Strobe 2nd Mechanical Room

1162935 6-Feb Smoke Detector 2nd nurse station

12202643 9-Apr Speaker/Strobe 2nd Main Hallway Outside Room B-262

1162940 10-Jun Speaker/Strobe 2nd Main Hallway Outside Room B-260

1162939 Zone/Circuit: NAC A4 Strobe 2nd Main Hallway Outside Room B-200

1162942 Strobe 2nd Double Doors To Nurses Station

12602618 Zone/Circuit: NAC A4 / SPK 2 1-Aug Speaker/Strobe 2nd Stair 1 Entrance

1162991 Zone/Circuit: NO ADDRESS

ON DEVICE

Bell 2nd Outside Roof Patio

45205962 Zone/Circuit: SG1 F1 Pull Station 2nd Stair 1 Entrance

8999236 F2 Pull Station 2nd Main Hallway Outside Room B-278

8999237 F3 Pull Station 2nd Entrance To Stair 3

1162938 S13 Smoke Detector 2nd Main Hallway Outside B-256

12202655 S14 Smoke Detector 2nd Main Hallway Outside B-250

12202653 S15 Smoke Detector 2nd Main Hallway Outside Room B-254

12202654 S16 Smoke Detector 2nd Main Hallway Outside Room B-246

12202652 S17 Smoke Detector 2nd Main Hallway Outside Room B-239

12202651 S18 Smoke Detector 2nd Main Hallway Outside Room B-236

8999238 Zone/Circuit: SG2

DS1 276

Programmable Relay 2nd Mechanical Room

12202811

DS4 252

Duct Detector 2nd Mechanical Room

1163597

DS5 278

Programmable Relay 2nd Mechanical Room

12202771 S4 Smoke Detector 2nd Mechanical Room

12202772 S5 Smoke Detector 2nd Main Elevator Lobby

12202749 S5 Smoke Detector 2nd Mechanical Room

12202773 S5 Strobe 2nd Mechanical Room

1162943 S6 Pull Station 2nd Main Hallway Outside Room A-201

45206084 S6 Smoke Detector 2nd Main Hallway Outside Room A-201

12202639 S7 Smoke Detector 2nd Double Doors To Nurses Station

12202640 S8 Smoke Detector 2nd Main Hallway Outside Nurses Station

12202642 S9 Smoke Detector 2nd Main Hallway Outside B-277

12202659 S10 Smoke Detector 2nd Main Hallway Outside Room B-268

12202658 S11 Smoke Detector 2nd Main Hallway Outside Room B-264

12202657 S12 Smoke Detector 2nd Main Hallway Outside B-260

12202656 Zone/Circuit: SG 2

WF

Tamper Switch 2nd Mechanical Room

1163598 Zone/Circuit: SPK 2 Speaker/Strobe 2nd Mechanical Room

1163599

PIV

Tamper Switch 1st Front Of Building PIV

45211836