MPD Bldg 329 Annual Device Testing - April 2025.rtf

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

MP329

795 Willow Rd

Menlo Park, CA 94025

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 Apr 15, 2025 Building: MP329 Company: Facility - Palo Alto VA Contact: Doug Gambrell Contact: Olaf Soto Title: Manager Title: Inspector

Facility - Palo Alto VA

Download Date: 04/21/2025

Executive Summary Generated by: BuildingReports.com

Building Information Building: MP329 Contact: Doug Gambrell Address: 795 Willow Rd Phone: 4403192479 Address:

Fax:

City/State/ZIP Code: Menlo Park, CA 94025 Mobile:

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

Inspection Performed By Company: Facility - Palo Alto VA Inspector: Olaf Soto 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: olaf@redwoodcityalarms.com

System Control Unit Manufacturer: simplex Inspection Date: 04/14/2025 IDC Style:

Model Number: 4100 Install Date: 11/05/2015 SLC Style:

Software Version:

Version Date: 02/16/2018 NAC Style:

Location: 1st room 177 outside bldg boiler rm Current Protection:

Inspection Completion Date: Apr 15, 2025 Building: MP329

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

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 Speaker Speaker/Strobe Strobe Voice Evacuation

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 Annunciator Battery Total Device Count: 61

Certification Company: Facility - Palo Alto VA Building: MP329 Inspector: Olaf Soto Contact: Doug Gambrell file_0.jpg

Signed: Apr 15, 2025 Signed:

Discrepancy Report

Building: MP329 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 L Problem Address & Reference 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) Speaker/Strobe 12622519 1st Building 329 kitchen

12622541 1st Building 329 outside 168

LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 Annunciator 12622606 1st Building 329 Entrance Disconnected

Proposed Solutions Report

Building: MP329 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 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) Speaker/Strobe 12622519 1st Building 329 kitchen

4903-9357 T/M 12622541 1st Building 329 outside 168

4903-9357 T/M

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 Annunciator 12622606 1st Building 329 Entrance

4903-9357 T/M

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

Notes & Recommendations

Building: MP329 Control Panel: 1 The Notes & Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection.

ScanID Note Device Type Location Comment 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) 45213179 Waterflow Switch 1st floor In FACP Room 2 ITV'S tied to this 1 riser Passed In trouble on FACP 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) 12622646 Duct Detector 1st Building 329 Roof AC1

Tied to notifier panel 12622647 Duct Detector 1st Building 329 Roof AC1

Tied to notifier panel 45206009 Duct Detector 1st MECH RM 172 Building 329 Warwhouse

Tied to notifier panel 12622644 Duct Detector roof roof ac 2 test switchkitchen hallway wall

Linked to notifier panel 12622645 Duct Detector roof roof ac 2 test switchkitchen hallway wall

Linked to notifier panel 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) 12622519 Speaker/Strobe 1st Building 329 kitchen

Strobe does not work 12622541 Speaker/Strobe 1st Building 329 outside 168

Strobe not working LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 12622606 Annunciator 1st Building 329 Entrance

Control Panel: 3 - simplex 4009 nac extender The Notes & Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection.

ScanID Note Device Type Location Comment LS 02.01.34 EP 02 Protected master fire alarm control panel 45213181 Control Panel 1st left of facp Passed Panel is in trouble.

Inspection & Testing

Building: MP329 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) 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 Q3/24 Q2/25 Waterflow Switch 1st floor In FACP Room 2 ITV'S tied to this 1 riser 45213179 1-M125 08/27-P 04/15-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) 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 Q3/24 Q2/25 Duct Detector 1st Building 329 warehouse 12622540

04/14-P Duct Detector 1st Building 329 Roof AC1 12622646 1-1 M23

Duct Detector 1st Building 329 Roof AC1 12622647 1-1 M20

1st MECH RM 172 Building 329 Warwhouse 45206009 1-1 M3 roof roof ac 2 test switchkitchen hallway wall 12622644 1-1 M22

12622645 1-1 M21

1st floor inside back warehouse 12622518

04/14-P Device Total: 7

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 Q3/24 Q2/25 Heat Detector 1st Boiler rm 12622650

04/14-P Heat Detector Outside boiler rm 12622648

04/14-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) 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 Q3/24 Q2/25 Pull Station 1st outside boiler rm entrance 12622633

04/14-P Pull Station 1st Building 329 data closet exterior 12622537

04/14-P Pull Station 1st Building 329 outside room 100 12604477

04/14-P Pull Station 1st Building 329 loading dock exit 12622631

04/14-P Pull Station 1st Building 329 room 140 outside hallway to loading dock 12603565

04/14-P Pull Station 1st Building 329 outside room 185 12622521

04/14-P Pull Station 1st Building 329 outside room 100 12622525

04/14-P Pull Station 1st Building 329 rear exit to loading dock kitchen 12622558

04/14-P Device Total: 8

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 Q3/24 Q2/25 Smoke Detector 1st Building 329 data closet 12622528

04/14-P Smoke Detector 1st Building 329 room 178 outside next to facp room 12604475

04/14-P Smoke Detector outside boiler rm 12622649

04/14-P Device Total: 3

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

Device Type Location ScanID Address Q3/24 Q2/25 Speaker 1st Building 329 outside loading dock 12622542

04/14-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)(2)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Speaker/Strobe

Device Type Location ScanID Address Q3/24 Q2/25 Speaker/Strobe 1st Building 329 room 166 45213320

04/14-P Speaker/Strobe 1st Building 329 room 166 45213319

04/14-P Speaker/Strobe 1st Building 329 room 164A1 45213318

04/14-P Speaker/Strobe 1st Building 329 room 164A1 45213317

04/14-P Speaker/Strobe 1st Building 329 loading dock exit 12622630

04/14-P Speaker/Strobe 1st main electrical room outside loading dock 12622625

04/14-P Speaker/Strobe 1st Building 329 outside room 143 kitchen 12622559

04/14-P Speaker/Strobe 1st Building 329 rear exit to loading dock kitchen 12622557

04/14-P Speaker/Strobe 1st Building 329 room 140 outside hallway to loading dock 12622556

04/14-P Speaker/Strobe 1st Building 329 rear prep area kitchen 12622555

04/14-P Speaker/Strobe 1st Building 329 pantry 12622539

04/14-P Speaker/Strobe 1st Building 329 pantry 12622538

04/14-P Speaker/Strobe 1st Building 329 data closet 12622536

04/14-P Speaker/Strobe 1st Building 329 room 190 12622531

04/14-P Speaker/Strobe 1st Building 329 pantry 12622530

04/14-P Speaker/Strobe 1st Building 329 c08 corridor to kitchen 12622527

04/14-P Speaker/Strobe 1st Building 329 outside room 100 12622526

04/14-P Speaker/Strobe 1st Building 329 room 195 12622524

04/14-P Speaker/Strobe 1st Building 329 room 187 12622523

04/14-P Speaker/Strobe 1st Building 329 outside 185 12622522

04/14-P Speaker/Strobe 1st Building 329 outside room 106 12603658

04/14-P Speaker/Strobe 1st Building 329 food stage area kitchen 12603657

04/14-P Speaker/Strobe 1st Building 329 prep room kitchen 12603656

04/14-P Speaker/Strobe 1st Building 329 employee lounge kitchen 12603655

04/14-P Speaker/Strobe 1st Building 329 outside employee lounge kitchen 12603659

04/14-P Speaker/Strobe 1st Building 329 outside room 178 12604476

04/14-P Speaker/Strobe 1st Building 329 room 185 12622529

04/14-P Speaker/Strobe 1st Building 329 kitchen 12622519

04/14-F Speaker/Strobe 1st Building 329 outside 168 12622541

04/14-F Speaker/Strobe outside boiler rm 12622632

04/14-P Device Total: 30

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 Q3/24 Q2/25 Strobe 1st Building 329 outside room 110 12622520

04/14-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)(2)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Voice Evacuation

Device Type Location ScanID Address Q3/24 Q2/25 Voice Evacuation 1st Room 4 12603519

04/14-P Device Total: 1

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 Q3/24 Q2/25 Duct Detector 1st Building 329 warehouse 12622540

04/14-P Duct Detector 1st Building 329 Roof AC1 12622646 1-1 M23

1st Building 329 Roof AC1 12622647 1-1 M20

1st MECH RM 172 Building 329 Warwhouse 45206009 1-1 M3

12622644 1-1 M22

12622645 1-1 M21

1st floor inside back warehouse 12622518

04/14-P Device Total: 7

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 Q3/24 Q2/25 Control Panel 1st room 177 outside bldg boiler rm 45213184

04/14-P Control Panel 1st left of facp 45213181

04/14-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 the correct operation and identification of annunciators. If provided, verify the correct operation of annunciator under a fault condition. (NFPA 72-22 Table 14.4.3.2 (11)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Annunciator

Device Type Location ScanID Address Q3/24 Q2/25 Annunciator 1st Building 329 Entrance 12622606

04/14-F 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 Q3/24 Q2/25 Battery 1st left of facp 45213183 08/27-P 04/14-P Battery 1st left of facp 45213182 08/27-P 04/14-P Battery 1st left of facp 45213180 08/27-P 04/14-P Battery 1st left of facp 45213178 08/27-P 04/14-P Device Total: 4

Service Summary

Building: MP329 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity Failed/Other Annunciator Tested Speaker/Strobe Tested Total Passed Battery Tested Control Panel Tested Duct Detector Tested Heat Detector Tested Pull Station Tested Smoke Detector Tested/Cleaned Speaker/Strobe Tested Speaker Tested Strobe Tested Voice Evacuation Tested Waterflow Switch Tested Total Untested Duct Detector

Total Grand Total

Inventory & Warranty Report

Building: MP329 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 Annunciator Control 1.64% Battery Control 6.56% Control Panel Control 3.28% Duct Detector Initiating 11.48% Heat Detector Initiating 3.28% Pull Station Initiating 13.11% Smoke Detector Initiating 4.92% Speaker Indicating 1.64% Speaker/Strobe Indicating 49.18% Strobe Indicating 1.64% Voice Evacuation Control 1.64% Waterflow Switch Initiating 1.64%

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

PS 12120 NB

01/25/2022 Battery

PS 12350 NB

01/25/2022 In Service - 5 Years to 10 Years Power Sonic Battery

PS 12350 NB

01/30/2019 SimplexGrinnell Heat Detector

02/16/2018 Smoke Detector

Speaker/Strobe

Hochiki Duct Detector 4098.9756

05/23/2017 SimplexGrinnell Voice Evacuation

05/23/2017

Pull Station 4903-9357

05/22/2017 Pull Station 4907-9357

05/22/2017 Pull Station nbg-12lx

05/22/2017 Speaker/Strobe 4903-9357

05/22/2017 Speaker/Strobe 4904-9357

05/22/2017 Speaker/Strobe 4907-9357

05/22/2017 Speaker/Strobe AH-24wp-R 24wdc

05/22/2017 Hochiki

05/22/2017 SimplexGrinnell Duct Detector 4098.9756

05/22/2017 Duct Detector 4907-9357

05/22/2017 Pull Station

4907-9357

05/22/2017 Pull Station nbg-lx12

05/22/2017 Smoke Detector

FSP-851

05/22/2017 Speaker AH-24wp-R 24wdc

05/22/2017

4903-9357

05/22/2017 Speaker/Strobe 4907-9357

05/22/2017 Speaker/Strobe nbg-12lx

05/22/2017 Strobe nbg-12lx

05/22/2017 simplex Annunciator 4903-9357

05/22/2017 Hochiki

05/18/2017 Notifier Waterflow Switch

WFD-4

05/18/2017 Simplex Heat Detector 4098-9733

11/05/2015 simplex

11/05/2015

Control Panel: 2 - simplex 4100 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 - 5 Years to 10 Years simplex Control Panel

11/05/2015 Building: MP329 Control Panel: 3 - simplex 4009 nac extender 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 - 5 Years to 10 Years simplex Control Panel 4009 nac extender

11/05/2015

Zone Address Report

Building: MP329 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 M3 Duct Detector 1st MECH RM 172 Building 329 Warwhouse

45206009 M20 Duct Detector 1st Building 329 Roof AC1

12622647 M21 Duct Detector roof roof ac 2 test switchkitchen hallway wall

12622645 M22 Duct Detector roof roof ac 2 test switchkitchen hallway wall

12622644 M23 Duct Detector 1st Building 329 Roof AC1

12622646 Zone/Circuit: M125

Waterflow Switch 1st floor In FACP Room 2 ITV'S tied to this 1 riser

45213179