MPD Bldg 347 Annual Device Testing - April 2025.rtf

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

MP347

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 21, 2025 Building: MP347 Company: Facility - Palo Alto VA Contact: Doug Gambrell Contact: Olaf Soto Title: Manager Title: Inspector

Facility - Palo Alto VA

Download Date: 04/24/2025

Executive Summary Generated by: BuildingReports.com

Building Information Building: MP347 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: 04/21/2025 IDC Style:

Model Number: 8201 Install Date: 05/18/2017 SLC Style:

Software Version:

Version Date: 05/18/2017 NAC Style:

Location: 1st A 115 Current Protection:

Inspection Completion Date: Apr 21, 2025 Building: MP347

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 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

LS 02.01.50 EP 07

Annual - Elevators are fully equipped and protected Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Elevator Total Device Count: 214

Certification Company: Facility - Palo Alto VA Building: MP347 Inspector: Olaf Soto Contact: Doug Gambrell file_0.jpg

Signed: Apr 22, 2025 Signed:

Discrepancy Report

Building: MP347 Control Panel: 1 - SimplexGrinnell 8201 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 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Smoke Detector 12604657 2nd Corridor G-235

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) Strobe 12604608 2nd Near Room A212 ECO LAB SUPPLIES

Proposed Solutions Report

Building: MP347 Control Panel: 1 - SimplexGrinnell 8201 The Proposed Solution Report provides a solution for each discrepancy listed on the Discrepancy Report. Provide a check mark where indicated to approve repairs listed within the report. Items listed as T/M are available for repair on a Time and Materials basis.

ScanID Location Solution Model # Cost Fix

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Smoke Detector 12604657 2nd Corridor G-235

298-9021 T/M

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) Strobe 12604608 2nd Near Room A212 ECO LAB SUPPLIES

LSM-24-VFR

T/M

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

Notes & Recommendations

Building: MP347 Control Panel: 1 - SimplexGrinnell 8201 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) 12604415 Tamper Switch 1st Control Valve Closet Passed Linked to Notifier Panel 12604416 Tamper Switch 1st Control Valve Closet Passed Linked to notifier Panel 12604411 Waterflow Switch 1st Control Valve Closet Next to water fountain Passed Linked to Notifier panel 12604412 Waterflow Switch 1st Control Valve Closet Next to water fountain Passed Linked to notifier Panel 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) 12604657 Smoke Detector 2nd Corridor G-235

Not working 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) 12604455 Releasing Device 1st EntranNorth Double Doors Exiting Deborah Long Ro

Linked to notifier 12604443 Releasing Device 1st Entrance Double Doors To Deborah Long Room

Linked to notifier 12604444 Releasing Device 1st Entrance Double Doors To Deborah Long Room

Linked to notifier 45205188 Releasing Device 1st North Doors Exiting Deborah Long Room

Linked to notifier 12604230 Releasing Device 1st North Wing Double Doors

Linked to notifier 12604232 Releasing Device 1st North Wing Double Doors

Linked to notifier 12604419 Releasing Device 1st Northwest Living Wing Double Doors

Linked to notifier 12604426 Releasing Device 1st Northwest Living Wing Double Doors

Linked to notifier 12604644 Releasing Device 2nd

Linked to notifier 12604648 Releasing Device 2nd

Linked to notifier 2604648 Releasing Device 2nd

Linked to notifier 12604666 Releasing Device 2nd Corridor D-219 Left

Linked to notifier 12604667 Releasing Device 2nd Corridor D-219 Right

Linked to notifier 12604623 Releasing Device 2nd Corridor E-201 Left

Linked to notifier 12604624 Releasing Device 2nd Corridor E-201 Right

Linked to notifier 12604642 Releasing Device 2nd Corridor E-211 Left

Linked to notifier 45205892 Releasing Device 2nd Corridor E-211 Right

Linked to notifier LS 02.01.34 EP 10 All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4 12604423 Annunciator 1st Main Lobby Above Mailboxes

Not on.

Inspection & Testing

Building: MP347 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 Control Valve Closet 12604415 1-Zone 17 05/23-P 08/19-P 04/17-P Tamper Switch 1st Control Valve Closet 12604416 1-Zone 17 05/23-P 08/19-P 04/17-P Tamper Switch 1st Control Valve Closet 12604410 1-Zone 21 05/23-P 08/19-P 04/17-P Tamper Switch 1st Control Valve Closet 12604413 1-Zone 17 05/23-P 08/19-P 04/17-P Tamper Switch 1st Control Valve Closet 12604414 1-Zone 18 05/23-P 08/19-P 04/17-P Tamper Switch 2nd Room A-200A 12604661 1-Zone 20 05/23-P 08/19-P 04/17-P Tamper Switch 2nd Room A-200A 12604662 1-Zone 19 05/23-P 08/19-P 04/17-P Tamper Switch Ground Outside Of Building 45211834 1-Zone 25/ PIV

08/19-P 04/17-P Device Total: 8

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 Control Valve Closet Next to water fountain 12604412 1-Zone 14 05/23-P 08/19-P 04/17-P Waterflow Switch 1st Control Valve Closet Next to water fountain 12604411 1-Zone 13 05/23-P 08/19-P 04/17-P Waterflow Switch 2nd Room A-200A 12604664 1-Zone 15 05/23-P 08/19-P 04/17-P Waterflow Switch 2nd Room A-200A 12604663 1-Zone 16 05/23-P 08/19-P 04/17-P Device Total: 4

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 Roof AC-1 44231104

04/18-P Duct Detector Roof AC-3 44231103

Roof AC-2 44231102

Roof 44231101

Device Total: 4

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 1st Inside Room C123 45205194

04/21-P Heat Detector 1st generator rm 45206153

1st generator rm 45206154

1st Kitchen 12604827

2nd Inside Room F230 45211201

Device Total: 5

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 East Mechanical Room South Entrancd 12604710

Pull Station 1st North Emergency Exit 15205184

1st East Water Room 45205191

1st East Mechanical Room 12604509

04/17-P

1st Deborah Long Room Computer Room Entrance 12604453

1st Northwest Emergency Exit 12604436

1st Northwest Living Wing Courtyard Exit 12604432

1st Maintenance Shop By Door Side Exit 12604397

1st Resident Side Exit 12604372

1st Side Exit 12604393

1st Resident Side Exit 12604373

1st Courtyard Side Exit 12604389

1st Corridor E-101 12604422

1st Inside Deborah Long Room 12604445

1st Deborah Long Room West Emergency Exit 12604449

1st North Emergency Exit Near Room G143 12604606

1st Emergency Exit Near Door G160 12604460

1st Kitchen 12604396

1st Corridor D-140 45205184

2nd Corridor F-230 12604643

2nd Corridor D-201 12604627

2nd Corridor E-214 12604635

2nd Corridor D-235 12604660

2nd Resident Side Exit 12604652

2nd Corridor G-232 12604645

2nd Corridor E-226 12604631

2nd Corridor D-235 12604675

2nd Corridor D-219 12604670

2nd Corridor A-204 12604613

Device Total: 29

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 Corridor D-127 45206152

Smoke Detector 1st Corridor D-127 12604683

1st Hallway Near Main Room 12604387

1st Hallway Near Main Room 12604404

1st Corridor D-127 12604231

1st Northwest Living Wing Outside RM E101 12604428

1st Elevator Control Room 45205445

1st North Living Wing Outside RM G145 12604602

1st North Living Wing Outside RM G162 12604458

1st North Living Wing Outside RM G134 12604456

1st Deborah Long Room North Double Doors 12604454

1st Deborah Long Room South End 12604448

1st Deborah Long Room North End 12604451

1st Entrance To Deborah Long Room 12604442

1st Main Entrance Elevator Lobby 12604406

1st Northwest Living Wing Outside RM E113 12604439

1st Entrance To Northwest Living Wing Above Double D 12604418

1st Main Lobby Double Doors To North Wing 12604233

1st Hallway Near Main Room 12604386

2nd cathedral Ceiling 1 12604688

2nd cathedral Ceiling 2 12604687

2nd cathedral Ceiling 3 12604686

2nd Corridor G-243 12604656

2nd Corridor G-251 12604651

2nd Corridor G-232 12604647

2nd Corridor G-232 12604646

2nd Corridor E-211 12604641

2nd Corridor E-212 12604637

2nd Corridor E-220 12604629

2nd Corridor E-202

2nd Corridor E-201 Near Double Doors 12604622

2nd Corridor E-201 12604620

2nd Corridor D-219 12604668

2nd Corridor A-200A 12604665

2nd Corridor A-200A Left Front of Elevator 12604618

2nd Corridor A-200A Right Front of Elevator 12604617

2nd Corridor G-235 12604657

04/17-F Device Total: 37

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 EntranNorth Double Doors Exiting Deborah Long Ro 12604455

Releasing Device 1st Entrance Double Doors To Deborah Long Room 12604443

1st Entrance Double Doors To Deborah Long Room 12604444

1st North Doors Exiting Deborah Long Room 45205188

1st North Wing Double Doors 12604230

1st North Wing Double Doors 12604232

1st Northwest Living Wing Double Doors 12604419

1st Northwest Living Wing Double Doors 12604426

2nd 12604644 1-17

12604648

2604648

2nd Corridor D-219 Left 12604666

2nd Corridor D-219 Right 12604667

2nd Corridor E-201 Left 12604623

2nd Corridor E-201 Right 12604624

2nd Corridor E-211 Left 12604642

2nd Corridor E-211 Right 45205892

Device Total: 17

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 Q2/25 Speaker 1st Northwest Hallway Above Emergency Exit 12604684

Speaker 1st North Wing Inside RM D132 45205186

1st Northwest Living Wing Outside RM E101 45205187

1st North Living Wing Outside Room G142 12604604

1st North Living Wing Outside Room G145 12604603

1st North Living Wing Outside RM G147 12604601

1st North Living Wing Outside RM G150 12604600

1st North Living Wing Outside Room G134 12604599

1st North Living Wing Outside RM G157 12604462

1st North Living Wing Outside Room G161 12604459

1st North Living Wing Outside Room G134 12604457

1st Deborah Long Room South End 12604452

1st Deborah Long Room South End 12604447

1st Northwest Living Wing Outside RM E111 12604440

1st Northwest Living Wing Outside RM E113 12604438

1st Northwest Living Wing Outside RM E104 12604434

1st Northwest Living Wing Outside RM E116 12604433

1st Northwest Living Wing Outside RM E131 12604429

1st Corridor D-132 12604425

1st Northwest Hallways Emergency Exits 12604420

1st Northwest Hallway Above Emergency Exit 12604417

1st Corridor D-131 12604409

1st Main Entrance Elevator Lobby 12604407

1st Near Stairwell 12604405

1st Near A 110 12604401

1st Near A 110 12604399

1st Near Side Exit 12604392

1st Near Side Exit 12604391

1st Near Restrooms 12604388

1st Near Main Room 12604385

1st Near A 115 12604374

1st Corridor D-132 12604229

1st Corridor D-140 12604228

1st Corridor D-138 12604225

1st Northwest Living Wing Outside RM E131 12604430

2nd Corridor G-248 45211202

2nd Conference Room D-228 45205896

2nd Conference Room D-226 45205895

2nd Corridor E-214 45205894

2nd Corridor D-219 12604679

2nd Corridor D-227 12604677

2nd Corridor D-233 12604676

2nd Corridor D-235 12604673

2nd Corridor D-219 12604671

2nd Corridor G-240 12604658

2nd Near G252 12604654

2nd Near G251 12604650

2nd Corridor G-230 12604649

2nd Corridor E-210 12604639

2nd Corridor E-212 12604638

2nd Corridor E-2019 12604634

2nd Corridor E-225 12604633

2nd Corridor E-220 12604630

2nd Corridor E-202 12604626

2nd Corridor E-2001 12604621

2nd Corridor A-200A 12604619

2nd Elevators Front 12604616

2nd Corridor A-218 12604615

2nd In Front of Women's Locker 12604614

2nd Corridor A-206 12604610

2nd Corridor A-210 12604609

2nd Corridor A-215 12604607

Device Total: 62

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 East Mechanical Room South Entrance 12604709

Speaker/Strobe 1st East Water Room 45205192

1st Bathroom Women's 45205446

1st East Mechanical Room 12604511

1st Bathroom Men's 12604403

1st Maintenance Shop 12604398

1st Kitchen 12604395

1st Main Room 12604384

Device Total: 8

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 East Mechanical Room Center 12604828

Strobe 1st Corridor D-133 45205185

1st North Wing Emergency Exit Near Room G143 12604605

1st Emergency Exit Near RM G160 12604461

1st Northwest Living Wing Outside RM E114 12604441

1st Northwest Emergency Exit 12604437

1st Northwest Living Wing Courtyard Exit 12604431

1st Northwest Living Wing Outside RM E101 12604427

1st Main Lobby Above Mailboxes 12604424

1st Northwest Hallway Emergency Exits 12604421

1st Near Bathrooms 12604402

1st Near Bathrooms 12604394

1st Corridor D-140 12604227

1st Near A 110 45205436

2nd Corridor G-249 45205893

2nd Corridor G-204 12604689

2nd Corridor F-230 12604680

2nd Corridor D-229 12604678

2nd Corridor D-235 12604674

2nd Corridor D-228 12604672

2nd Corridor D-226 12604669

2nd Corridor G-249 12604659

2nd Near Side Exit 12604653

2nd Corridor E-214 12604636

2nd Corridor D-226 12604632

2nd Corridor D-201 12604628

2nd Corridor G-204 12604612

2nd Near Room A212 ECO LAB SUPPLIES 12604608

04/17-F Device Total: 28

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 Q2/25 Voice Evacuation 1st A 115 12604375

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 Q2/24 Q3/24 Q2/25 Duct Detector Roof AC-1 44231104

Roof AC-3 44231103

Roof AC-2 44231102

Roof 44231101

Device Total: 4

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 A 115 12604376

08/19-P 04/21-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 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 Q2/25 Annunciator 1st Main Lobby Above Mailboxes 12604423

08/19-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 A 115 45205434

08/19-F 04/21-P Battery 1st A 115 45205435

08/19-F 04/21-P Device Total: 2

LS 02.01.50 EP 07

Annual - Elevators are fully equipped and protected 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 Elevator

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25 Elevator 1st Elevator Control Room A101A 45205437

Elevator 1st Elevator Control Room A101A 45205438

1st Elevator Control Room A101A 45205440

1st Elevator Control Room A101A 45205441

1st Elevator Control Room A101A 45205442

1st Elevator Control Room A101A Elevator 6 45205443

1st Elevator Control Room A101A 45205444

Device Total: 7

Service Summary

Building: MP347 The Service Summary section provides an overview of the services performed in this report.

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

Releasing Device

Total Grand Total

Auxiliary Functions Testing

Building: MP347 Control Panel: 1 - SimplexGrinnell 8201 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 Elevator

1st Elevator Control Room A101A Passed 45205444

1st Elevator Control Room A101A Passed 45205442

1st Elevator Control Room A101A Passed 45205441

1st Elevator Control Room A101A Passed 45205440

1st Elevator Control Room A101A Passed 45205438

1st Elevator Control Room A101A Passed 45205437

1st Elevator Control Room A101A Elevator 6 Passed 45205443 Untested Releasing Device

1st EntranNorth Double Doors Exiting Deborah Long Ro

12604455

1st Entrance Double Doors To Deborah Long Room

12604443

1st Entrance Double Doors To Deborah Long Room

12604444

1st North Doors Exiting Deborah Long Room

45205188

1st North Wing Double Doors

12604230

1st North Wing Double Doors

12604232

1st Northwest Living Wing Double Doors

12604419

1st Northwest Living Wing Double Doors

12604426

2nd

12604644

2nd

12604648

2nd

2604648

2nd Corridor D-219 Left

12604666

2nd Corridor D-219 Right

12604667

2nd Corridor E-201 Left

12604623

2nd Corridor E-201 Right

12604624

2nd Corridor E-211 Left

12604642

2nd Corridor E-211 Right

45205892

Battery & Power Supply Testing

Building: MP347 Control Panel: 1 - SimplexGrinnell 8201 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 A 115

55-NB

12V

Sealed Lead Acid 1st A 115

55-NB

12V

Inventory & Warranty Report

Building: MP347 Control Panel: 1 - SimplexGrinnell 8201 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 0.47% Battery Control 0.93% Control Panel Control 0.47% Duct Detector Initiating 1.87% Elevator Auxiliary 3.27% Heat Detector Initiating 2.34% Pull Station Initiating 13.55% Releasing Device Auxiliary 7.94% Smoke Detector Initiating 17.29% Speaker Indicating 28.97% Speaker/Strobe Indicating 3.74% Strobe Indicating 13.08% Tamper Switch Supervisory 3.74% Voice Evacuation Control 0.47% Waterflow Switch Initiating 1.87%

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

PS-12550 U

Sealed Lead Acid 04/18/2019 Milwaukee valve Tamper Switch

BB-8080

08/22/2017 System Sensor Tamper Switch

OSY2

08/22/2017 Waterflow Switch

WFD40

08/22/2017 Victaulic Tamper Switch 708W

08/22/2017

Releasing Device lWFD-40

05/18/2017 SimplexGrinnell Annunciator

LSM-24-VFR

05/18/2017 Control Panel

05/18/2017 Duct Detector 298-9021

05/18/2017 Duct Detector 4098-9701

05/18/2017

05/18/2017

2099-9768

05/18/2017 Heat Detector 4902-9707

05/18/2017 Heat Detector

DT-24

05/18/2017 Pull Station 2099-9768

05/18/2017 Pull Station 2190-9172

05/18/2017

2098-9801

05/18/2017 Smoke Detector 2098-9201

05/18/2017 Smoke Detector 2098-9801

05/18/2017 Smoke Detector 298-9021

05/18/2017 Speaker 4902-9707

05/18/2017 Speaker/Strobe 4903-9195

05/18/2017 Speaker/Strobe

IS-24-VFR

05/18/2017 Strobe

LMS-24-VFR

05/18/2017 Strobe

LSM-24-VFR

05/18/2017 Strobe lSM-24-VFR

05/18/2017 Voice Evacuation

System Sensor Tamper Switch

PIBV2

05/18/2017 Waterflow Switch

WFD40

05/18/2017 Victaulic Tamper Switch 708W

05/18/2017 Tamper Switch V-040-1524

Zone Address Report

Building: MP347 Control Panel: 1 - SimplexGrinnell 8201 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: Zone Waterflow Switch 1st Control Valve Closet Next to water fountain

12604411 Waterflow Switch 1st Control Valve Closet Next to water fountain

12604412 Waterflow Switch 2nd Room A-200A

12604664 Waterflow Switch 2nd Room A-200A

12604663 Tamper Switch 1st Control Valve Closet

12604413 Tamper Switch 1st Control Valve Closet

12604415 Tamper Switch 1st Control Valve Closet

12604416 Tamper Switch 1st Control Valve Closet

12604414 Tamper Switch 2nd Room A-200A

12604662 Tamper Switch 2nd Room A-200A

12604661 Tamper Switch 1st Control Valve Closet

12604410

25/ PIV

Tamper Switch Ground Outside Of Building

45211834 Releasing Device 2nd

12604644 Releasing Device 2nd

12604648 Releasing Device

2604648