MPD Bldg 353 Annual Device Testing - April 2025.rtf

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

MP353

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 23, 2025 Building: MP353 Company: Facility - Palo Alto VA Contact: Anthony Losito Contact: Olaf Soto Title: Electronics Shop Supervisor Title: Inspector

Facility - Palo Alto VA

Download Date: 04/24/2025

Executive Summary Generated by: BuildingReports.com

Building Information Building: MP353 Contact: Anthony Losito Address: 795 Willow Rd Phone: 650-852-3437 Address:

Fax:

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

Country: United States of America Email:

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

Inspection Completion Date: Apr 23, 2025 Building: MP353

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 Pull Station Smoke Detector

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Bell Speaker Total Device Count: 13

Certification Company: Facility - Palo Alto VA Building: MP353 Inspector: Olaf Soto Contact: Anthony Losito file_0.jpg

Signed: Apr 23, 2025 Signed:

Inspection & Testing

Building: MP353 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 Q2/25 Tamper Switch 1st Exterior 45211171 05/28-P 04/23-P Tamper Switch 1st Outside 45211170 05/28-P 04/23-P Device Total: 2

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 Q2/25 Waterflow Switch 1st 45210389 05/28-P 04/23-P Waterflow Switch 1st Near Exit 45211172 05/28-P 04/23-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 Q2/24 Q2/25 Pull Station 1st Near Exit Door 12603954 05/20-P 04/23-P Pull Station 1st Near Exit Double Doors 12603971 05/20-P 04/23-P Device Total: 2

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Test 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 Q2/25 Smoke Detector 1st Ceiling Section 1-1 45211167 05/20-P 04/23-P Smoke Detector 1st Ceiling Section 1-2 45211168 05/20-P 04/23-P Smoke Detector 1st Ceiling Section 2-3 45211169 05/20-P 04/23-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)(1)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Bell

Device Type Location ScanID Address Q2/24 Q2/25 Bell 1 Outside 45210454 05/20-P 04/23-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

Device Type Location ScanID Address Q2/24 Q2/25 Speaker 1st Ceiling Section 1-1 45211164 05/20-P 04/23-P Speaker 1st Ceiling Section 1-2 45211165 05/20-P 04/23-P Speaker 1st Ceiling Section 2 3 45211166 05/20-P 04/23-P Device Total: 3

Service Summary

Building: MP353 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity Passed Bell Tested Pull Station Tested Smoke Detector Tested/Cleaned Speaker Tested Tamper Switch Tested Waterflow Switch Tested Total Grand Total

Inventory & Warranty Report

Building: MP353 Control Panel: n/a 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 Bell Indicating 7.69% Pull Station Initiating 15.38% Smoke Detector Initiating 23.08% Speaker Indicating 23.08% Tamper Switch Supervisory 15.38% Waterflow Switch Initiating 15.38%

Type Qty Model # Description Install Date In Service - 5 Years to 10 Years Globe Sprinkler Alar Bell

05/17/2017 Potter Electric Waterflow Switch PS10-2A (Pressure

05/17/2017 Waterflow Switch

WFD40

05/17/2017 SimplexGrinnell Pull Station 2099-9021

05/17/2017 Smoke Detector 298-9021

05/17/2017 Speaker 4902-9707

05/17/2017 System Sensor Tamper Switch

PIBV2

05/17/2017 Victaulic Tamper Switch

OSY2

05/17/2017