MPD Bldg 331 Annual Device Testing - April 2025.rtf

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

MP331

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 10, 2025 Building: MP331 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: MP331 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: SimplexGrinnell Inspection Date: 03/27/2025 IDC Style:

Model Number: 4100 Install Date: 05/19/2017 SLC Style:

Software Version:

Version Date: 05/19/2017 NAC Style:

Location: 1st Mechanical Room Current Protection:

Central Station Signal Verification Type:

Mfg: SimplexGrinnell Model #:

Test Time/Date: 3/27/25 1:23:16 PM Restore Time:

Note:

Inspection Completion Date: Apr 10, 2025 Building: MP331

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 Releasing Device Speaker Speaker/Strobe Strobe Voice Evacuation

EC 02.03.05 EP 05

Annual test of fire alarm equipment for notifying off-site fire responders. NFPA 72 (2022) Table 14.4.3.2 (4) Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Communicator

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 Expander Panel Power Supply Special Control Total Device Count: 237

Certification Company: Facility - Palo Alto VA Building: MP331 Inspector: Olaf Soto Contact: Doug Gambrell

Discrepancy Report

Building: MP331 Control Panel: 1 - SimplexGrinnell 4100 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 LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 Annunciator 12603185 Ground C-Wing Reception Desk C-104

Proposed Solutions Report

Building: MP331 Control Panel: 1 - SimplexGrinnell 4100 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

LS 02.01.34 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 Annunciator 12603185 Ground C-Wing Reception Desk C-104

4603-9101 T/M

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

Notes & Recommendations

Building: MP331 Control Panel: 1 - SimplexGrinnell 4100 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 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 12603185 Annunciator Ground C-Wing Reception Desk C-104

Buttons dont work

Inspection & Testing

Building: MP331 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 Q1/25 Q2/25 Tamper Switch Ground floor B Corr C1-4 Valve 45211321 1-M2 15 05/23-P 08/20-P 03/27-P

Tamper Switch Ground floor Electrical room A106 12603061 1-M1 30 05/23-P 08/20-P 03/27-P

Tamper Switch Ground floor Near D Wing Courtyard Exit Ceiling 12602973 1-M4 30 05/23-P 08/20-P 03/27-P

Tamper Switch Ground floor Near C Wing Courtyard Exit Ceiling 12602768 1-M3 6 05/23-P 08/20-P 03/27-P

Tamper Switch Ground floor Electrical room A106 12535808 1-M1 31 05/23-P 08/20-P 03/27-P

Tamper Switch Garden Outdoor Inside A Oxygen Storage Room 12602986 1-M1 39 05/23-P 08/20-P 03/27-P

Device Total: 6

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 Q1/25 Q2/25 Waterflow Switch Ground floor Electrical room A106 45211323 1-M1 4 05/23-P 08/20-P 03/25-P

Waterflow Switch Ground floor Electrical room A106 Wing A Mech room 45211322 1-M1 3 05/23-P 08/20-P 03/25-P

Waterflow Switch Ground floor Behind B Wing 45211320 1-M2 16 05/23-P 08/20-P 03/25-P

Waterflow Switch Ground floor Behind D Wing 45211319 1-M4 5 05/23-P 08/20-P 03/25-P

Waterflow Switch Ground floor Behind D Wing 45211318 1-M3 5 05/23-P 08/20-P 03/25-P

Waterflow Switch Garden Outdoor Inside A Oxygen Storage Room 45211317 1-M1 38 05/23-P 08/20-P 03/25-P

Device Total: 6

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 Q1/25 Q2/25 Duct Detector 1st Room B-136 Shower 45210863 1-2 34

04/10-P Duct Detector 1st Mechanical Room 45208528 1-57

1st C WING C136 EMS RM 44230121 3-M 21

1st Mechanical Room 45213140 1-56

03/27-P

1st Corridor B-116 12602978 1-Feb-36

Roof Return BLDG D AHU 4 RETURN 12602991 4-37

03/25-P

Roof BLDG B AHU 2 ROOF 45208529 2-38

Ground D WING SHOWER D 136 44230275 1-M4 34

Ground B-Wing Corridor Outside B160 12602977 1-M4 35

Ground D-Wing Corridor Outside D-160 12602972

Ground D-Wing Corridor Outside D-114 12602970 1-M4 33

Ground C-Wing Corridor Outside C-160 12602964 1-M4 37

Ground C-Wing Room C-160 12602963 1-3 13

Ground C-Wing Corridor Outside C-136 12602770 1-M3 40

Ground C-Wing Corridor Outside C-116 12602769 1-M3 -36

Device Total: 15

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 Q1/25 Q2/25 Heat Detector 1st Mechanical A-106 45205866

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 Q1/25 Q2/25 Pull Station 1st Inside Room A-134 45205880 1-M1 49

Pull Station 1st Inside Room A-139 45205852 1-M1 48

1st Main Entrance Outside RM A-101 45211484 1-M1 47

1st Hallway Outside Room A-122 45211488 1-M1 45

1st Mechanical Room Near Exit 45212985

1st Corridor B-156 12603178

1st Corridor B-166 12603173

1st Corridor A-129 12603083

1st Room A-142 12603078

1st Outside Compressor Room 12602989 1-M1

1st Corridor B-132 12535809

1st FACP Closet RM 111 12603089 1-M1 35

1st Corridor B-118 12603106

1st Corridor B-106 12603098

Ground C-Wing Corridor Outside C-105/Exit to Courtyard 12603188 1-M3 -24

Ground D-Wing Reception Exit to Courtyard (Left) 12603164 1-M4 -3

Ground D-Wing Exit to Courtyard/ Right of Reception/ Before En 12603158 1-M4 -31

Ground D-Wing Corridor Outside D-156 12603127 1-M4 -13

Ground D-Wing Corridor Outside D-118 12603149 1-M4 -24

Ground C-Wing Corridor Outside C-156 12603179 1-M3 -12

Ground C-Wing Left of Reception/By Exit to Courtyard 12603137 1-M3 -2

Ground C-Wing Corridor Outside C-118 12603196 1-M3 -34

Device Total: 22

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 Q1/25 Q2/25 Smoke Detector 1st Outside Compressor Room 45210892 1-M1

Smoke Detector 1st Corridor D-166 45205850

03/28-P

1st Corridor B-105 45205872 1-M1 52

03/28-P

1st Corridor B-101 12603171

1st Corridor B-100 12603120

1st Corridor B-126 12603109

1st Room B-169 12602981

1st Room B-139 12602975

1st Corridor B-100 12535456 1-1

1st Corridor B-105 45205888 1-M1 53

1st Mechanical Room 45212979

1st Corridor B-156 12603176

1st Corridor B-139 12603117

1st Corridor B-140 12603118

1st Corridor B-148 12603119

1st Corridor B-162 12603175

1st Corridor B-166 12603174

1st Corridor B-138 12603172

1st Corridor B-106 12603101

1st Corridor B-112 12603105

1st Corridor B-122 12603108

1st Corridor B-132 12603111

1st Corridor B-134 12603112

1st Corridor B-136 12603115

Ground D-Wing Partition Doors to A-Wing (D-Wing Side) 45212988 1-M1 -51

Ground Mechanical Room A-105 45210855 1-1 5

Ground D-Wing Corridor Outside D-134 14603145

Ground C-Wing Corridor Outside C-116 12603194 1-M3 -33

Ground C-Wing Corridor Outside C-139 12603184 1-M3 -15

Ground D-Wing Corridor Outside Reception (Left) 12603162 1-M4 -2

Ground D-Wing D-100 Linen 12603161

Ground D-Wing Corridor Outside D-105 12603160 1-M4 -25

Ground D-Wing Partition Door to C-Wing (D-Wing Side) 12603159 1-M4 -29

Ground D-Wing Corridor Outside D-106 12603154 1-M4 -18

Ground C-Wing Corridor by Partition Doors to D-Wing 12603139

Ground C-Wing Corridor Outside C-166 12603133 1-M3 -7

Ground D-Wing Corridor Outside D-166 12603130 1-M4 -6

Ground D-Wing Corridor Outside D-162 12603128 1-M4 -9

Ground D-Wing Corridor Outside D-158 12603126 1-M1 -51

Ground D-Wing Corridor Outside D-148 12603125 1-M4 -11

Ground D-Wing Corridor Outside D-142 12603123 1-M4 -14

Ground D-Wing D-110 Supply 12602969

Ground D-Wing Corridor Outside Nurse Station (Right of Recepti 12603142 1-M4 -26

Ground D-Wing Room D-169 12602968

Ground C-Wing Room C-101 12602774

Ground C-Wing Room C-139 Supply 12602772

Ground D-Wing Corridor 134 12603145 1-M4

Ground D-Wing Corridor Outside D-132 12603147 1-M4 -15

Ground D-Wing Corridor Outside D-126 12603148 1-M4 -20

Ground D-Wing Corridor Outside D-116 12603151 1-M4 -23

Ground D-Wing Corridor Outside D-112 12603152 1-M4 -22

Ground C-Wing Corridor Outside C-136 12603203 1-M3 -35

Ground C-Wing Corridor Outside C-134 12603200 1-M3 28

Ground C-Wing Corridor Outside C-132 12603198 1-M3 29

Ground C-Wing Corridor Outside C-126 12603197 1-M3 -30

Ground C-Wing Corridor Outside C-112 12603193

Ground C-Wing Corridor Outside C-106 12603191 1-M3 -25

Ground C-Wing Corridor Outside C-105 12603186 1-M3 -23

Ground C-Wing Corridor Outside C-142 12603183

Ground C-Wing Corridor Outside C-148 12603182

Ground C-Wing Corridor Outside C-158 12603181

Ground C-Wing Corridor Outside C-161 12603134 1-M3 -8

Ground C-Wing Room C-169 12602766

Ground C-Wing Corridor Outside C-103 12603135 1-M3 -22

Ground C-Wing Corridor by Partition Doors to D-Wing/Left of Ex 12603138

Device Total: 65

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 Q1/25 Q2/25 Releasing Device Ground D-Wing Partition Doors to A-Wing (A-Wing Side on Floor) 45212987

Releasing Device Ground D-Wing Partition Doors to A-Wing (D-Wing Side) 45212986

Ground B-Wing Entry 44230274

Ground B-Wing Entry 44230273

Ground C-Wing Corridor Outside C-134 12603202

Ground C-Wing DBL DOOR IN FRONT OF RM C136 12603201

Ground C-Wing DBL DOOR IN FRONT OF RM C106 12603190

Ground C-Wing DBL DOOR IN FRONT OF RM C106 12603189

Ground D-Wing By Room D-106 12603156

Ground D-Wing By Room D-106 12603155

Ground DBL DOOR ACROSS FROM RM D-134 D WING 12603144

Ground DBL DOOR ACROSS FROM RM D-134 D WING 12603143

Ground C-Wing Entry 12603141

Ground C-Wing Entry 12603140

Ground B-Wing B136 12603114

Ground B-Wing B136 12603113

Ground B-Wing Entry 12603103

Ground B-Wing Entry 12603102

Device Total: 18

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 Q2/24 Q3/24 Q1/25 Q2/25 Speaker 1st Corridor B-138 12604719

Speaker 1st Corridor B-156 12604718

1st Corridor B-142 12604717

1st Corridor B-130 12604716

1st Corridor B-116 12604715

1st Corridor B-106 12604714

1st Corridor D-106 12604695

1st Corridor D-166 12604471

Ground C-Wing Corridor Outside C-142 12604706

Ground C-Wing Corridor Outside C-158 12604705

Ground C-Wing Corridor Outside C-103/Left of Reception 12604704

Ground D-Wing Corridor Outside D-158 12604699

Ground D-Wing Corridor Outside D-140 12604698

Ground D-Wing Corridor Outside D-132 12604697

Ground D-Wing Corridor Outside D-116 12604696

Ground C-Wing Corridor Outside C-130 12604694

Ground C-Wing Corridor Outside C-116 12604693

Ground C-Wing Corridor Outside C-106 12604692

Device Total: 18

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 Q1/25 Q2/25 Speaker/Strobe 1st Corridor B-105 45205887

Speaker/Strobe 1st Inside Room A-139 45205883

1st Inside Room A-134 45205879

1st Corridor A-126 45205875

1st Corridor A-131 45205874

1st Corridor A-132 45205873

1st Kitchen A-141 45205832

1st Corridor D-166 45205831

1st Main Entrance Outside RM A-101 45211485

1st Hallway Outside RM A-108 45211486

1st Hallway Outside RM A-122 45211489

1st Outside Compressor Room 12602988

1st Mechanical Room 12535807

Device Total: 13

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 Q1/25 Q2/25 Strobe 1st Corridor B-128 45205886

Strobe 1st Corridor A-132 45205885

1st Corridor A-129 45205884

1st Inside Room A-137 45205882

1st Restroom Near A-137 45205881

1st Women's Bathroom Across From A-134 45205878

1st Men's Bathroom Across From A-134 45205877

1st Hallway Across From A-134 45205876

1st Inside Bathroom In Room A-139 45205851

1st Inside Room A-133 45210864

1st A-Wing Room A-124 45210893

1st Inside Room A-109 45211487

1st Men's Bathroom Across From A-111 45211490

1st Men's Bathroom Across From A-111 45211491

1st Women's Bathroom Across From A-113 45211492

1st Women's Bathroom Across From A-113 45211493

1st Inside Room A-101 45211494

1st Corridor B-166 12604474

1st Corridor B-142 12604473

1st Corridor B-156 12603177

1st D WING D164 CORRIDOR 12603129

1st Corridor B-132 12603110

1st Corridor B-118 12603107

1st Corridor B-108 12603104

1st Corridor B-105 12603097

Ground C-Wing Corridor Outside C-142 12604470

Ground C-Wing Corridor by Partition Doors to D-Wing 12604469

Ground C-Wing Corridor Outside C-132 12603199

Ground C-Wing Corridor Outside C-118 12603195

Ground C-Wing Corridor Outside C-106 12603192

Ground C-Wing Corridor Outside C-105 by Exit 12603187

Ground C-Wing Corridor Outside C-156 12603180

Ground D-Wing Reception Exit to Courtyard (Left) 12603165

Ground D-Wing Exit to Courtyard/Right of Reception/Before Entr 12603157

Ground D-Wing Corridor Outside D-108 12603153

Ground D-Wing Corridor Outside D-118 12603150

Ground D-Wing Corridor Outside D-132 12603146

Ground C-Wing Left of Reception/ By Exit to Courtyard 12603132

Ground D-Wing Corridor Outside D-142 12603124

Ground D-Wing Corridor Outside D-156 12602974

Ground C-Wing Corridor Outside C-165 12602967

Device Total: 41

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 Q2/24 Q3/24 Q1/25 Q2/25 Voice Evacuation 1st Mechanical Room 12535814

EC 02.03.05 EP 05

Annual test of fire alarm equipment for notifying off-site fire responders. NFPA 72 (2022) Table 14.4.3.2 (4) Test all system functions and features in accordance with the equipment manufacturer's published instructions for correct operation in conformance with the applicable sections of Chapter 26. Except for DACT, actuate initiating device and verify receipt of the correct initiating device signal at the supervising station within 90 seconds. Upon completion of the test, restore the system to its functional operating condition. (NFPA 72-22 Table 14.4.3.2 (4)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Communicator

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Communicator 1st Mechanical Room 45212984

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 Q1/25 Q2/25 Duct Detector 1st Room B-136 Shower 45210863 1-2 34

1st Mechanical Room

1-57

1st C WING C136 EMS RM

3-M 21

1st Mechanical Room 45213140 1-56

1st Corridor B-116 12602978 1-Feb-36

Roof Return BLDG D AHU 4 RETURN

4-37

Roof BLDG B AHU 2 ROOF

2-38

Ground D WING SHOWER D 136 44230275 1-M4 34

Ground B-Wing Corridor Outside B160 12602977

Ground D-Wing Corridor Outside D-160 12602972

Ground D-Wing Corridor Outside D-114 12602970 1-M4 33

Ground C-Wing Corridor Outside C-160 12602964 1-M4 37

Ground C-Wing Room C-160 12602963 1-3 13

Ground C-Wing Corridor Outside C-136 12602770 1-M3 40

Ground C-Wing Corridor Outside C-116 12602769 1-M3 -36

Device Total: 15

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 Q1/25 Q2/25 Control Panel 1st Mechanical Room 12535815

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 Q2/24 Q3/24 Q1/25 Q2/25 Annunciator Ground D-Wing Reception Desk D-104 12603136

Annunciator Ground B-Wing Reception Desk B-3316 12603116

Annunciator Ground C-Wing Reception Desk C-104 12603185

03/27-F

Device Total: 3

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 Q1/25 Q2/25 Battery 1st C Wing 45210416

08/20-P

04/10-P Battery 1st C Wing 45210415

08/20-P

04/10-P Battery 1st D Wing 45210414

08/20-P

04/10-P Battery 1st D Wing 45210413

08/20-P

04/10-P Battery 1st LEFT RECEPTIONIST Area B Wing 45206288

08/20-P

04/10-P Battery 1st RIGHT RECEPTIONIST Area B Wing 45206286

08/20-P

04/10-P Battery 1st Mechanical Room Expander Panel 45205868

08/20-P 03/27-P

Battery 1st Mechanical Room Expander Panel 45205867

08/20-P 03/27-P

Battery 1st FACP Mechanical Room 44230683

08/20-P 03/27-P

Battery 1st FACP Mechanical Room 44230684

08/20-P 03/27-P

Device Total: 10

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 Q1/25 Q2/25 Expander Panel 1st C Wing 45210419

Expander Panel 1st C Wing 45210418

1st C Wing 45210417

1st D Wing 45210412

1st D Wing 45210411

1st D Wing 45210410

1st D Wing 45210409

1st Mechanical Room 45212980

1st Mechanical Room 45212981

1st Mechanical Room 45212982

1st Mechanical Room 45212983

1st D Wing

Device Total: 12

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 Q1/25 Q2/25 Power Supply 1st C Wing 45210420

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 Q1/25 Q2/25 Special Control 1st Mechanical Room 45205869 1-18

Special Control 1st Mechanical Room 45205870 1-19

Special Control 1st Mechanical Room 45205871 1-16

Device Total: 3

Service Summary

Building: MP331 The Service Summary section provides an overview of the services performed in this report.

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

Total Grand Total

Auxiliary Functions Testing

Building: MP331 Control Panel: 1 - SimplexGrinnell 4100 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 Releasing Device

Ground B-Wing Entry Passed 12603102

Ground B-Wing Entry Passed 12603103

Ground B-Wing Entry Passed 44230273

Ground B-Wing Entry Passed 44230274

Ground B-Wing B136 Passed 12603113

Ground B-Wing B136 Passed 12603114

Ground C-Wing Corridor Outside C-134 Passed 12603202

Ground C-Wing DBL DOOR IN FRONT OF RM C106 Passed 12603189

Ground C-Wing DBL DOOR IN FRONT OF RM C106 Passed 12603190

Ground C-Wing DBL DOOR IN FRONT OF RM C136 Passed 12603201

Ground C-Wing Entry Passed 12603140

Ground C-Wing Entry Passed 12603141

Ground D-Wing By Room D-106 Passed 12603155

Ground D-Wing By Room D-106 Passed 12603156

Ground D-Wing Partition Doors to A-Wing (A-Wing Side on Floor) Passed 45212987

Ground D-Wing Partition Doors to A-Wing (D-Wing Side) Passed 45212986

Ground DBL DOOR ACROSS FROM RM D-134 D WING Passed 12603143

Ground DBL DOOR ACROSS FROM RM D-134 D WING Passed 12603144

Battery & Power Supply Testing

Building: MP331 Control Panel: 1 - SimplexGrinnell 4100 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 Mechanical Room Expander Panel

35-NB

Sealed Lead Acid 1st Mechanical Room Expander Panel

1st C Wing

1st C Wing

1st D Wing

1st D Wing

1st FACP Mechanical Room

1st FACP Mechanical Room

1st LEFT RECEPTIONIST Area B Wing

1st RIGHT RECEPTIONIST Area B Wing

Inventory & Warranty Report

Building: MP331 Control Panel: 1 - SimplexGrinnell 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.

Device or Type Category % of Inventory Quantity Annunciator Control 1.27% Battery Control 4.22% Communicator Control 0.42% Control Panel Control 0.42% Duct Detector Initiating 6.33% Expander Panel Control 5.06% Heat Detector Initiating 0.42% Power Supply Control 0.42% Pull Station Initiating 9.28% Releasing Device Auxiliary 7.59% Smoke Detector Initiating 27.43% Speaker Indicating 7.59% Speaker/Strobe Indicating 5.49% Special Control Control 1.27% Strobe Indicating 17.30% Tamper Switch Supervisory 2.53% Voice Evacuation Control 0.42% Waterflow Switch Initiating 2.53%

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

PS-12350 NB

Sealed Lead Acid 08/19/2020 In Service - 5 Years to 10 Years Power-Sonic Battery

PS-12350 NB

Sealed Lead Acid 10/25/2019 Battery

PS-12350 NB

Sealed Lead Acid 02/13/2019 Battery

PS-12350 NB

Sealed Lead Acid 01/21/2019 Battery

PS-12350 NB

Sealed Lead Acid 01/16/2018 Simplex Annunciator 4603-9101

05/19/2017 Duct Detector 4098-9701

05/19/2017 Duct Detector 4098-9784

05/19/2017 Pull Station 2099-9138

05/19/2017 Pull Station

RMS-1T

05/19/2017

05/19/2017

4098-9784

05/19/2017 Smoke Detector 4098-9792, 4098-98

05/19/2017 Speaker 4902-9721

05/19/2017 Strobe

MS-24-VFR

05/19/2017 SimplexGrinnell Communicator

Control Panel

05/19/2017 Duct Detector 4096-9756

05/19/2017 Duct Detector 4098-9701

05/19/2017 Expander Panel 740-666

05/19/2017 Expander Panel 740-681

05/19/2017 Expander Panel 740-683

05/19/2017 Expander Panel 741-052

05/19/2017 Heat Detector

200DTF

05/19/2017 Power Supply 740-801

05/19/2017 Pull Station

NBG-12LX

05/19/2017 Pull Station

RMS-1T

05/19/2017 Smoke Detector 4098-9784

05/19/2017 Speaker/Strobe 4903-9357

05/19/2017 Speaker/Strobe 4903-9426

05/19/2017 Special Control 4905-9938

05/19/2017 Strobe

49VO-WRF

05/19/2017 Strobe

LSM-24-VFR

05/19/2017 Voice Evacuation

Central Tamper Switch 6R84

05/18/2017 Potter Electric Tamper Switch

05/18/2017 Waterflow Switch

05/18/2017 Waterflow Switch

VSR-F

05/18/2017 Waterflow Switch

WFD-25

05/18/2017 SimplexGrinnell Duct Detector 4098-9701

05/18/2017 Pull Station 2099-9768

05/18/2017 Smoke Detector 297-9021

05/18/2017 Smoke Detector 4097-9714

05/18/2017 Speaker 4902-9707

05/18/2017 Speaker/Strobe 4903-9357

05/18/2017 Strobe

LSM-24-VFR

05/18/2017 Building: MP331 Control Panel: 2 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 SimplexGrinnell Duct Detector 4096-9756

05/19/2017 Building: MP331 Control Panel: 3 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 SimplexGrinnell Duct Detector 4096-9756

05/19/2017 Building: MP331 Control Panel: 4 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 SimplexGrinnell Duct Detector 4096-9756

Zone Address Report

Building: MP331 Control Panel: 1 - SimplexGrinnell 4100 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 Smoke Detector Ground Mechanical Room A-105

45210855

Releasing Device Ground B-Wing Entry

12603102

Releasing Device Ground B-Wing Entry

12603103

Releasing Device Ground B-Wing Entry

44230273

Releasing Device Ground B-Wing Entry

44230274

Releasing Device Ground B-Wing B136

12603113

Releasing Device Ground B-Wing B136

12603114

Releasing Device Ground C-Wing DBL DOOR IN FRONT OF RM C106

12603189

Releasing Device Ground C-Wing DBL DOOR IN FRONT OF RM C106

12603190

Releasing Device Ground C-Wing DBL DOOR IN FRONT OF RM C136

12603201

Releasing Device Ground C-Wing Entry

12603140

Releasing Device Ground C-Wing Entry

12603141

Smoke Detector Ground C-Wing Room C-169

12602766

Releasing Device Ground D-Wing By Room D-106

12603155

Smoke Detector Ground D-Wing Room D-169

12602968

Releasing Device Ground DBL DOOR ACROSS FROM RM D-134 D WING

12603143

Releasing Device Ground DBL DOOR ACROSS FROM RM D-134 D WING

12603144

Smoke Detector 1st Corridor B-100

12535456 Zone/Circuit: 2 Duct Detector 1st Room B-136 Shower

45210863 Zone/Circuit: 3 Duct Detector Ground C-Wing Room C-160

12602963 Zone/Circuit: Feb-36

Duct Detector 1st Corridor B-116

12602978 Zone/Circuit: M1 Waterflow Switch Ground floor Electrical room A106 Wing A Mech room

45211322 Waterflow Switch Ground floor Electrical room A106

45211323 Tamper Switch Ground floor Electrical room A106

12603061 Tamper Switch Ground floor Electrical room A106

12535808 Pull Station 1st FACP Closet RM 111

12603089 Waterflow Switch Garden Outdoor Inside A Oxygen Storage Room

45211317 Tamper Switch Garden Outdoor Inside A Oxygen Storage Room

12602986 Pull Station 1st Hallway Outside Room A-122

45211488 Pull Station 1st Main Entrance Outside RM A-101

45211484 Pull Station 1st Inside Room A-139

45205852 Pull Station 1st Inside Room A-134

45205880 Smoke Detector 1st Corridor B-105

45205872 Smoke Detector 1st Corridor B-105

45205888 -51 Smoke Detector Ground D-Wing Corridor Outside D-158

12603126 -51 Smoke Detector Ground D-Wing Partition Doors to A-Wing (D-Wing Side)

45212988

Pull Station 1st Outside Compressor Room

12602989

Smoke Detector 1st Outside Compressor Room

45210892 Zone/Circuit: M2 Tamper Switch Ground floor B Corr C1-4 Valve

45211321 Waterflow Switch Ground floor Behind B Wing

45211320 Zone/Circuit: M3 Waterflow Switch Ground floor Behind D Wing

45211318 Tamper Switch Ground floor Near C Wing Courtyard Exit Ceiling

12602768 Smoke Detector Ground C-Wing Corridor Outside C-134

12603200 Smoke Detector Ground C-Wing Corridor Outside C-132

12603198 Duct Detector Ground C-Wing Corridor Outside C-136

12602770 -2 Pull Station Ground C-Wing Left of Reception/By Exit to Courtyard

12603137 -7 Smoke Detector Ground C-Wing Corridor Outside C-166

12603133 -8 Smoke Detector Ground C-Wing Corridor Outside C-161

12603134 -12 Pull Station Ground C-Wing Corridor Outside C-156

12603179 -15 Smoke Detector Ground C-Wing Corridor Outside C-139

12603184 -22 Smoke Detector Ground C-Wing Corridor Outside C-103

12603135 -23 Smoke Detector Ground C-Wing Corridor Outside C-105

12603186 -24 Pull Station Ground C-Wing Corridor Outside C-105/Exit to Courtyard

12603188 -25 Smoke Detector Ground C-Wing Corridor Outside C-106

12603191 -30 Smoke Detector Ground C-Wing Corridor Outside C-126

12603197 -33 Smoke Detector Ground C-Wing Corridor Outside C-116

12603194 -34 Pull Station Ground C-Wing Corridor Outside C-118

12603196 -35 Smoke Detector Ground C-Wing Corridor Outside C-136

12603203 -36 Duct Detector Ground C-Wing Corridor Outside C-116

12602769 Zone/Circuit: M4 Waterflow Switch Ground floor Behind D Wing

45211319 Tamper Switch Ground floor Near D Wing Courtyard Exit Ceiling

12602973 Duct Detector Ground D-Wing Corridor Outside D-114

12602970 Duct Detector Ground D WING SHOWER D 136

44230275 Duct Detector Ground B-Wing Corridor Outside B160

12602977 Duct Detector Ground D-Wing Corridor Outside D-160

12602972 Duct Detector Ground C-Wing Corridor Outside C-160

12602964 -2 Smoke Detector Ground D-Wing Corridor Outside Reception (Left)

12603162 -3 Pull Station Ground D-Wing Reception Exit to Courtyard (Left)

12603164 -6 Smoke Detector Ground D-Wing Corridor Outside D-166

12603130 -9 Smoke Detector Ground D-Wing Corridor Outside D-162

12603128 -11 Smoke Detector Ground D-Wing Corridor Outside D-148

12603125 -13 Pull Station Ground D-Wing Corridor Outside D-156

12603127 -14 Smoke Detector Ground D-Wing Corridor Outside D-142

12603123 -15 Smoke Detector Ground D-Wing Corridor Outside D-132

12603147 -18 Smoke Detector Ground D-Wing Corridor Outside D-106

12603154 -20 Smoke Detector Ground D-Wing Corridor Outside D-126

12603148 -22 Smoke Detector Ground D-Wing Corridor Outside D-112

12603152 -23 Smoke Detector Ground D-Wing Corridor Outside D-116

12603151 -24 Pull Station Ground D-Wing Corridor Outside D-118

12603149 -25 Smoke Detector Ground D-Wing Corridor Outside D-105

12603160 -26 Smoke Detector Ground D-Wing Corridor Outside Nurse Station (Right of Recepti

12603142 -29 Smoke Detector Ground D-Wing Partition Door to C-Wing (D-Wing Side)

12603159 -31 Pull Station Ground D-Wing Exit to Courtyard/ Right of Reception/ Before En

12603158

Smoke Detector Ground D-Wing Corridor 134

12603145 Special Control 1st Mechanical Room

45205871 Special Control 1st Mechanical Room

45205869 Special Control 1st Mechanical Room

45205870 Duct Detector 1st Mechanical Room

45213140 Duct Detector 1st Mechanical Room

Control Panel: 2 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 Duct Detector Roof BLDG B AHU 2 ROOF

Control Panel: 3 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: M Duct Detector 1st C WING C136 EMS RM

Control Panel: 4 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 Duct Detector Roof Return BLDG D AHU 4 RETURN