MPD Bldg 360 Annual Device Testing - April 2025.rtf

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

MP360

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 16, 2025 Building: MP360 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: MP360 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: Notifier Inspection Date: 04/16/2025 IDC Style:

Model Number: NFS2-640 Install Date: 05/22/2017 SLC Style:

Software Version:

Version Date: 05/22/2017 NAC Style:

Location: 1st Wing C FACP Closet Current Protection:

Central Station Signal Verification Type:

Mfg:

Model #:

Test Time/Date: 4/10/25 8:16:45 AM Restore Time:

Note:

Inspection Completion Date: Apr 16, 2025 Building: MP360

EC 02.03.05 EP 01

Annual test of supervisory signal devices: pressure supervisory; pressure tank, pressure supervisory for a dry pipe (both high and low conditions), steam pressure: water level supervisory signal initiating device; water temperature supervisory; and room temperature supervisory. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g) Devices Tested This Quarter Pass Fail Tested YTD (2025) Untested YTD (2025) Total Quantity Supervisory Device

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 Horn/Strobe 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 Monitor Device

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 Fan Shutdown

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 Building Automation Expander Panel Power Supply Special Control Total Device Count: 461

Certification Company: Facility - Palo Alto VA Building: MP360 Inspector: Olaf Soto Contact: Doug Gambrell file_0.jpg

Signed: Apr 16, 2025 Signed:

Inspection & Testing

Building: MP360 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 01

Annual test of supervisory signal devices: pressure supervisory; pressure tank, pressure supervisory for a dry pipe (both high and low conditions), steam pressure: water level supervisory signal initiating device; water temperature supervisory; and room temperature supervisory. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g) 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 Supervisory Device

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Supervisory Device 1st F Wing 104 Hallway F-104 45213162 1-L2 M13

04/16-P Supervisory Device 1st F Wing 104 Hallway F-104 45213163 1-L2 M12

Supervisory Device 1st F Wing 104 Hallway F-104 45213164 1-L2 M14

Device Total: 3

EC 02.03.05 EP 02

Semi-annual testing of water flow devices and valve tamper switches. NFPA 72 (2022) Table 14.4.3.2 (17)(10)(a) & (17)(11) 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 Outside Room E-001 Wing D&E 44230661 1-2M 21 05/23-P 08/20-P

04/15-P Tamper Switch Outside D&E 45206018 1-L2 M022 05/23-P 08/20-P

04/15-P Tamper Switch Outside F&G 45211374 1-L2 M025 05/23-P 08/20-P

04/15-P Tamper Switch Outside D&E 45211377 1-L2 M022 05/23-P 08/20-P

04/15-P Tamper Switch Outside F&G 45211379 1-L2 M025 05/23-P 08/20-P

04/15-P Tamper Switch Outside C wing 45211380 1-L1 M018 05/23-P 08/20-P

04/15-P Tamper Switch Outside C wing 45211381 1-L1 M018 05/23-P 08/20-P

04/15-P Tamper Switch Outside H-wing 45211829 1-L1 M019 05/23-F 08/20-F

04/15-P Tamper Switch Outside H-wing 45211830 1-L1 M019 05/23-F 08/20-F

04/15-P Tamper Switch Outside PIV H WING 44230662 1-1M 124 05/23-P 08/20-P

04/02-P Tamper Switch Outside A&B wing 45211382 1-L1 M023 05/23-P 08/20-P 03/28-P

Tamper Switch Outside A&B wing 45211383 1-L1 M023 05/23-P 08/20-P 03/28-P

Device Total: 12

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 Outside C-Wing 45211371 1-L1 M021 05/23-P 08/20-P

04/15-P Waterflow Switch Outside Room E-001 Wing D&E 45211372 1-2M 21 05/23-P 08/20-P

04/15-P Waterflow Switch Outside Room F-001 Wing D&E 45211373 1-L2 M24 05/23-P 08/20-P

04/15-P Waterflow Switch Outside H-Wing 45211375 1-1M 20 05/23-P 08/20-P

04/15-P Waterflow Switch Outside B-001 45211828 1-1M 22 05/23-P 08/20-P

04/15-P 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) 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 Building 360 Unit-D Corridor Outside A-105 45213054

1-AC-D1

Duct Detector 1st E Wing Hallway 45213149 1-L

1st Building 360 Unit-A Corridor Outside A-100 45213015

1-AHU-A1

1st Wing G Hallway Outside Rm 45207854

1-AHU G-1

1st B wing 45205967 1-L1 17

1st H WING PHARMACY 101 MIDDLE OF RM ABOVE TILE 44230300 1-L1 123

1st Building 360 Unit-H Administration Desk H-211 45213121

1-AHU-H1

03/28-P

1st Wing F Hallway Outside Room 45211527

1-AHU F-1

1st C wing Outside C101 45213307 1-D119

Device Total: 9

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72 (2022) Table 14.4.3.2 (17) Restorable: Perform heat test with a listed and labeled heat source or in accordance with the manufacturer's published instructions. Non-Restorable: Do not perform heat test. Test functionality mechanically and electrically. (NFPA 72-22 Table 14.4.3.2 (17)(4)(a)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Heat Detector

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Heat Detector 1st Wing G 156 45213635 1-L2 D130

Heat Detector 1st Outside B-001 back deck 45206019 1-1 d112

1st i side rm E-001 Wing D&E 45206011 1-2 d132

1st f 001 outside back of bldg 45206010 3-2 d131

1st outside quad rm g-001 outside 45205975 2-d129

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 Q1/25 Q2/25 Pull Station 1st Building 360 Unit-D Nursing Station D-120 45213075 1-L2 M3

Pull Station 1st Building 360 Unit-D Lobby by Right Exit Door to Courtyard 45213061 1-L2 M28

1st Building 360 Unit-D Lobby by Left Exit Door to Courtyard 45213060 1-L2 M29

1st Building 360 Unit-D Corridor Outside D-101 by Exit 45213052 1-L2 M2

1st E Wing Hallway 45213148 1-L2 M1

1st b-120 hallway outside reception 45213276 1-L1 D038

1st b-100 outside in hallway.

45213287 1-L1 D047

1st Building 360 Unit-A Nursing Station A-120 45213020

1st Building 360 Unit-A Corridor Exit by A-100 45213013

1st Wing G Nurses Station 45211551 1-L2M08

1st E Wing Nurse Station 45210428 1-L2 M4

1st E Wing Hallway 45210427 1-L2 M30

1st E Wing Hallway 45210426 1-L2 M31

1st E Wing Nurse Station 45210448 1-L2 M4

1st Wing G Hallway Outside Rm 45207855 1-L2M07

1st B WING OUTSIDE RM B 100 44230303 1-L1 M04

1st B WING AT NURSE STATION 44230302 1-L1 M03

1st H WING PHARMACY 101 BACK EXIT 44230291 1-L1M121

04/14-P

1st Building 360 Unit-H Corridor Exit by H-240 45213004 1-L1 M07

04/02-P

1st Building 360 Unit-H Corridor Exit by H-200 45213003 1-L1 M04

1st Building 360 Unit-H Main Entrance Right Wall 45213001 1-L1 M06

1st Wing F Hallway Entrance Outs 45211528 1-L2M05

1st Wing F Inside Nurse Station 45211522 1-L2M06

1st C116 outside in hallway.

45213312 1-L1 M05

1st C102 outside in hallway.

45213298 1-L1 M31

Device Total: 25

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 Building 360 Unit-A Room A-101 45213087 1-L1 D012

Smoke Detector 1st Building 360 Unit-A Room A-100 45213086 1-L1 D010

1st Building 360 Unit-A Room A-147 45213085 1-L1 D028

1st Building 360 Unit-A Room A-130A 45213084 1-L1 D018

1st Building 360 Unit-D Room D-001 45213083 1-L2 D134

1st Building 360 Unit-D Room D-111 45213082 1-L2 D046

1st Building 360 Unit-D Corridor Outside D-127 45213081 1-L2 D059

1st Building 360 Unit-D Corridor Outside D-121 45213080 1-L2 D058

1st Building 360 Unit-D Lounge D-130 Ceiling Right 45213079 1-L2 D124

1st Building 360 Unit-D Lounge D-130 Ceiling Left 45213078 1-L2 D123

1st Building 360 Unit-D Corridor Outside D-131 45213077 1-L2 D042

1st Building 360 Unit-D Corridor Outside Lounge D-130 45213076 1-L2 D042

1st Building 360 Unit-D Room D-142 45213074 1-L2 D039

1st Building 360 Unit-D Room D-140 45213073 1-L2 D040

1st Building 360 Unit-D Room D-130A 45213072 1-L2 D043

1st Building 360 Unit-D Room D-144 45213071 1-L2 D037

1st Building 360 Unit-D Room D-143 Laundry 45213070 1-L2 D035

1st Building 360 Unit-D Room D-145 Storage 45213069 1-L2 D034

1st Building 360 Unit-D Room D-147 45213068 1-L2 D033

1st Building 360 Unit-D Corridor Outside D-147 45213067 1-L2 D031

1st Building 360 Unit-D Corridor Outside D-142 45213066 1-L2 D038

1st Building 360 Unit-D Corridor Outside D-140 45213065 1-L2 D044

1st Building 360 Unit-D Report Room D-110 45213064 1-L2 D055

1st Building 360 Unit-D Dining Room D-115 Ceiling Right 45213063 1-L2 D057

1st Building 360 Unit-D Dining Room D-115 Ceiling Left 45213062 1-L2 D056

1st Building 360 Unit-D Corridor Outside D-111 45213059 1-L2 D045

1st Building 360 Unit-D Room D-106 45213058 1-L2 D054

1st Building 360 Unit-D Room D-109 45213057 1-L2 D047

1st Building 360 Unit-D Room D-104 45213056 1-L2 D053

1st Building 360 Unit-D Room D-105 45213055 1-L2 D049

1st Building 360 Unit-D Corridor Outside D-105 45213053 1-L2 D051

1st Building 360 Unit-A Room A-109 45213047 1-L1 D014

1st Building 360 Unit-A Room A-106 45213046 1-L1 D008

1st Building 360 Unit-A Room A-104 45213045 1-L1 D009

1st Building 360 Unit-A Room A-105 45213044 1-L1 D013

1st Building 360 Unit-A Room A-111 45213043 1-L1 D015

1st Building 360 Unit-A Corridor Outside A-122 45213042 1-L1 D005

1st Building 360 Unit-A Corridor Outside Station A-120 45213041 1-L1 D006

1st Building 360 Unit-A Corridor Outside A-132 45213040 1-L1 D001

1st Building 360 Unit-A Lounge A-130 Ceiling/Right 45213039 1-L1 D003

1st Building 360 Unit-A Lounge A-130 Ceiling/Left 45213038 1-L1 D004

1st Building 360 Unit-A Corridor Outside A-130 45213037 1-L1 D002

1st Building 360 Unit-A Room A-140 45213036 1-L1 D019

1st Building 360 Unit-A Staff Breakroom 45213035 1-L1 D031

1st Building 360 Unit-A Room A-153 45213034 1-L1 D030

1st Building 360 Unit-A Room A-150 45213033 1-L1 D113

1st Building 360 Unit-A Room A-148 45213032 1-L1 D025

1st Building 360 Unit-A Room A-149 45213031 1-L1 D029

1st Building 360 Unit-A Room A-146 45213030 1-L1 D023

1st Building 360 Unit-A Room A-144 45213029 1-L1 D022

1st Building 360 Unit-D Room D-100 45213088 1-L2 D052

1st Building 360 Unit-D Room D-101 45213089 1-L2 D050

1st Building 360 Unit-D Room D-107 45213090 1-L2 D048

1st Building 360 Unit-H Room H-213B 45213115 1-L1 D097

1st Building 360 Unit-H Room H-240 45213116 1-L1 D104

1st Building 360 Unit-H Administration Corridor 45213117 1-L1 D090

1st Building 360 Unit-H Room H-216 45213118 1-L1 D095

1st Building 360 Unit-H Room H-215 45213119 1-L1 D094

1st Building 360 Unit-H Room H-224 45213120 1-L1 D102

1st E Wing Hallway Near E-105 45213150 1-L2 D004

1st E Wing Bathroom Women's 45213151 1-L2 D008

1st E Wing Office E-105 45213152 1-L2 D003

1st H Wing Admin 45213166 1-L2 D098

1st H Wing Admin 45213167 1-L2 D100

1st H Wing Admin 45213168 1-L2 D099

1st H Wing Admin 45213169 1-L2 D101

1st b wing outside room b155 45213267 1-L1 D033

1st Front b-145 45213269 1-L1 D039

1st B-145 inside clean linens 45213270 1-L1 D037

1st b-115 common area 45213271 1-L1 D045

1st b-115 common area 45213272 1-L1 D046

1st b-142 outside in hallway 45213273 1-L1 D044

1st b-144 suite b-144 45213274 1-L1 D042

1st b-143 inside laundry 45213275 1-L1 D038

1st b-146 inside room 45213277 1-L1 D041

1st b-150 inside room 45213278 1-L1 D114

1st b-155 inside room 45213280 1-L1 D031

1st b-149 inside room 45213281 1-L1 D035

1st b-148 inside room 45213282 1-L1 D040

1st b-153 inside room 45213283 1-L1 D034

1st b-111 outside room in hallway 45213284 1-L1 D055

1st b-110 inside 45213285 1-L1 D054

1st b-111 inside room 45213286

1st b-130a outside in hallway 45213288 1-L1 D059

1st b-130a inside common area 45213289 1-L1 D062

1st b-130a inside common area 45213290 1-L1 D061

1st b-137 outside in halway 45213291 1-l1 d60

1st b-121 outside in halway 45213292 1-l1 d063

1st b-127 outside room in hallway 45213293 1-L1 D064

1st b 106 45213613 1-L1 D53

1st b wing b 104 45213614 1-L1 D52

1st b 140 b wing 45213615 1-L1 D58

1st b wing b 142 45213616 1-L1 D43

1st B wing b-147 45213617 1-L1 D36

1st Wing G Room g 100 45213623 2-d107

1st b wing b130A electric room 45213619 1-d57

1st d wing office d136 45213620 1-L2 D36

1st E Wing E-107 45213621 1-L2 D7

1st E Wing idf room near exit door Near E-101 45213622 1-L2 D2

1st Wing g rm 107 45213625 1-L2 D103

1st g wing g 106 45213627 2-2 d109

1st Wing G 142 45213630 1-2 d197

1st Wing G 144 45213631 1-2 d196

1st Wing G womens restroom g 109 45213628 1-L2 D102

1st Wing G 140 45213629 1-2 d115

1st g wing room 101 45213624 1-L2 D105

1st Wing G rm g 108 45213626 1-L2 D111

1st g wing g 143 on dock 45213632 1-L2 D94

1st Wing G 146 45213633 1-2 d195

1st G wing g 145 mens restroom 45213634 1-L2 D92

1st Building 360 Unit-A Room A-142 45213028 1-L1 D020

1st Building 360 Unit-A Room A-143 45213027 1-L1 D026

1st Building 360 Unit-A Room A-145 45213026 1-L1 D027

1st Building 360 Unit-A Corridor Outside A-150 45213024 1-L1 D032

1st Building 360 Unit-A Corridor Outside A-148 45213023 1-L1 D024

1st Building 360 Unit-A Corridor Outside A-144 45213022 1-L1 D021

1st Building 360 Unit-A Corridor Outside A-140 45213021 1-L1 D017

1st Building 360 Unit-A Nurse Station A-110 45213019 1-L1 D007

1st Building 360 Unit-A Community Lobby 45213018 1-L1 D116

1st Building 360 Unit-A Community Lobby 45213017 1-L1 D115

1st Building 360 Unit-A Corridor Outside A-106 45213016 1-L1 D016

1st Building 360 Unit-A Corridor Outside A-100 45213014 1-L1 D011

1st Building 360 Unit-H Lobby Ceiling Left 45213012 1-L1 D088

1st Building 360 Unit-H Lobby Ceiling Right 45213011 1-L1 D089

1st Building 360 Unit-H Corridor Outside H-240 45213010 1-L1 D103

1st Building 360 Unit-H Corridor Outside H-213B 45213009 1-L1 D096

1st Building 360 Unit-H Corridor Outside H-212 45213008 1-L1 D093

1st Building 360 Unit-H Corridor Outside H-200 45213007 1-L1 D087

1st Building 360 Unit-H Corridor Exit by H-200 45213006 1-L1 D086

1st Building 360 Unit-H Room H-200 45213005 1-L1 D085

1st Wing G Hallway Outside Room 45211556 1-L2 D106

1st Wing G Hallway Outside Room 45211555 1-L2 D110

1st Wing G Hallway Outside Room 45211554 1-L2 D113

1st Wing G Inside Room G-110 45211553 1-L2 D112

1st Wing G Hallway Outside Room 45211552 1-L2 D122

1st Wing G Hallway Outside Room G-121 45211550 1-L2 D121

1st Wing G Above Nurses Station 45211549 1-L2 D114

1st Wing G Recreation Area G-130 45211548 1-L2 D119

1st Wing G Recreation Area G-130 45211547 1-L2 D120

1st Wing G Hallway Outside Room G-138 45211546 1-L2 D117

1st Wing G Hallway Outside Room 45211545 1-L2 D118

1st Wing G Hallway Outside Room G-144 45211544 1-L2 D098

1st Wing G Inside Dining Area G-115 45211543 1-L2 D099

1st Wing G Inside Dining Area G-115 45211542 1-L2 D100

1st Wing G Inside Staff Lounge G-155 45211540 1-L2 D091

1st Wing G Hallway Outside RM 45211538 1-L2 D093

1st Wing F Hallway To Wing G 45211536 1-L2 D090

1st Wing F Inside Room F-147 45211535 1-L2 D087

1st Wing F Inside Room F-145 45211534 1-L2 D086

1st Wing F Inside Room F-143 45211533 1-L2 D085

1st Wing F Hallway Outside Room 45211532 1-L2 D082

1st Wing F Inside Room F-140 45211531 1-L2 D080

1st Wing F Inside Nourishment Ki 45211530 1-L2 D076

1st Wing F Hallway Outside Room 45211525 1-L2 D074

1st Wing F Dining Area Ceiling F 45211524 1-L2 D083

1st Wing F Dining Area Ceiling F 45211523 1-L2 D084

1st Wing F Hallway Outside Room 45211521 1-L2 D077

1st Wing F Hallway Outside Room 45211520 1-L2 D078

1st Wing F Hallway Outside Room 45211519 1-L2 D060

1st Wing F Hallway Outside Room 45211518 1-L2 D064

1st Wing F Main Hallway Outside 45211517 1-L2 D065

1st Wing F Recreation Area Ceili 45211516 1-L2 D063

1st Wing F Main Hallway Outside 45211513 1-L2 D061

1st E Wing Hallway Near E-155 45210440 1-L2 D030

1st E Wing Closet Near E-142 45210436 1-L2 D019

1st E Wing Closet E-142 45210435 1-L2 D024

1st E Wing Closet E-140 45210434 1-L2 D023

1st E Wing Closet E-130 A 45210433 1-L2 D022

1st E Wing Hallway Near E-134 45210432 1-L2 D021

1st E Wing Hallway Near E-130A 45210431 1-L2 D020

1st E Wing Hallway Nurse Station 45210430 1-L2 D016

1st E Wing Hallway Near E-122 45210429 1-L2 D015

1st E Wing E-110 45210425 1-L2 D012

1st E Wing E-108 45210424 1-L2 D010

1st E Wing Kitchen 45210423 1-L2 D009

1st E Wing E-108 45210422 1-L2 D006

1st E Wing Hallway E-108 45210447 1-L2 D011

1st E Wing E-143 45210446 1-L2 D028

1st E Wing Hallway Near E-144 45210445 1-L2 D025

1st E Wing Bathroom 45210444 1-L2 D029

1st E Wing Hallway Break Room 45210443 1-L2 D032

1st E Wing E-144 45210437 1-L2 D026

1st E Wing Congregate Bath 45210439 1-L2 D0133

1st E Wing E-146 45210438 1-L2 D026

1st E Wing Laundry 45210421 1-L2 D005

1st c-101 food holding area 45208396 1-L1 D081

1st Wing G Inside Nourishment Kitchen G-111 45207857 1-L2 D101

1st Wing G Inside Laundry Room G-104 45207856 1-L2 D108

1st Wing F rm 110 45206016 1-L2 D66

1st Wing F rm 106 45206015 1-L2 D67

1st Wing F Recreation Area Ceili 45206013 1-L2 D062

1st E Wing lobby tv area lobby 45205974 1-L2 D18

1st E Wing lobby tv area lobby 45205973 1-L2 d17

1st E Wing medicine room E-108 45205972 1-L2 D1

1st E Wing diner area ceiling 45205971 1-L2 D13

1st E wing main entrance diner area ceiling 45205970 1-L2 d14

1st b wing break area rm b115 45205969 1-L1 D46

1st b wing break area rm b115 45205968 1-L1 D45

1st C wing C 120 on dock 45205966 1-L1 D106

1st Wing F rm 130A 45205483 1-L2 D079

1st Wing F rm f 100 45205481 1-L2 D69

1st Wing G rm 130A 45205479 1-2 d116

1st B 100 B wing 45205478 1-L1 d150

1st Wing F Inside Room F-144 45213636 1-L2 D88

04/15-P

1st Wing F Inside Room F-142 45213637 1-L2 D81

1st E Wing Laundry 12622715 1-L2 D005

04/10-P

1st E Wing Bathroom Women's 12622714 1-L2 D008

1st Wing F room f101 45205480 1-L2 d71

1st Wing F Inside Bathroom F-109 45211529 1-L2 D075

1st F Wing F104 45213165 1-L2 D068

1st Wing F rm f 105 45206017 1-L2 D72

1st Wing F Hallway Outside Room 45211526 1-L2 D070

1st c-120 inside room 45213310

1st C116 outside in hallway 45213306 1-L1 D073

1st C112 inside room 45213313 1-L1 D075

1st c-101 food holding area 45213294 1-L1 D082

1st c-101b food storage 45213295 1-L1 D074

1st c-101a housekeeping 45213296 1-L1 D107

1st C108 inside 45213303 1-L1 D078

1st C104 inside room 45213301 1-L1 D080

1st C106 inside 45213302 1-L1 D079

1st C102 inside room 45213300 1-L1 D084

1st C102 outside in hallway.

45213299 1-L1 D083

1st C110 inside 45213304 1-L1 D077

1st C110 outside in hallway 45213305 1-L1 D076

1st C114 inside room 45213607 1-D071

1st C114 inside room 45213316 1-D67

1st C114 inside room 45213315 1-D068

1st C114 inside room 45213314 1-D070

1st C114A inside room 45213606 1-D069

Device Total: 230

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 Horn/Strobe

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Horn/Strobe 1st C110 outside hallway 12625132

Device Total: 1

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22) Test interface equipment connections by operating or simulating the equipment being supervised. Verify signals required to be transmitted are received at the control unit. (NFPA 72-22 Table 14.4.3.2 (20)) Devices Tested Q2/25 Pass Q2/25 Fail Q2/25 Tested YTD (2025) Total Quantity Releasing Device

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Releasing Device 1st b wing outside room b155 45213268

Releasing Device 1st Building 360 Unit-A Corridor Outside A-150/Entrance to B-Unit 45213025

1st Wing F Hallway To Wing G Dou 45211539

1st Wing F Hallway To Wing G Dou 45211537

1st E Wing Hallway Near E-155 45210442

1st E Wing Hallway Near E-155 45210441 1-L2 D030

Device Total: 6

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 E Wing Outside 45213145

Speaker 1st bwing outside hallway entrance to b wing 45213309

1st C110 outside hallway 45213308

1st C wing outside C wing on dock 45213609 1-L1 M31

1st C wing outside C wing on dock 45213610

1st Wing F exit door 45206012 1-L2 D064

1st g wing entrance wall 45205976

1st H WING pharmacy 101 44230299

1st H WING pharmacy 101 INSIDE BREAK RM 103 44230297

1st H WING pharmacy 101 OFFICE 105 44230294

1st H WING pharmacy 101 LEFT 44230293

1st H WING pharmacy 101 PHARMACY EXIT 44230289

1st H WING pharmacy 101 ABOVE MED MACHINE 44230287

1st H WING pharmacy 101 ABOVE MED MACHINE 44230286

1st H WING pharmacy 101 VAULT RM 44230284

1st H WING pharmacy 101 at window 44230282

1st H WING pharmacy 101 at window 44230281

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/Strobe

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Speaker/Strobe 1st Building 360 Outside Unit-D in Breezeway 45213051

Speaker/Strobe 1st Building 360 Outside Unit-H in Breezeway by Vending 45213050

1st Building 360 Outside Unit-A in Courtyard by C-122 45213049

1st Building 360 Outside Unit-A in Breezeway 45213048

1st b-150 inside room 45213279

1st Wing F Inside Staff Lounge F 45211541

1st Wing F Hallway Outside RM F- 12625180

1-EOL

1st Wing F Hallway Outside RM F- 12625179

1st Wing F Inside Recreation Area 12625178

1st Wing F Inside Nurse Station 12625176

1st Wing F Hallway Outside RM F- 12625175

1st Wing F Inside Dining Area F- 12625173

1st Wing F Hallway Outside Room 12625172

1st Wing F Hallway Outside Room 12625170

1st Wing G Hallway Outside RM G- 12625169

1st Wing G Recreation Area G-110 12625168

1st Wing G Hallway Outside RM G-131 12625167

1st Wing G Inside Nurses Station 12625166

1st Wing G Hallway Outside RM G-144 12625162

1st Wing G Inside Dining Area G-115 12625161

1st Wing G Hallway Outside Room G-108 12625159

1st Wing G Hallway Outside Room G-104 12625158

1st E Wing Hallway Near E-134 12625156

1-3.2.12EOL

1st E Wing E-130 Social/Tv Room 12625155

1st E Wing Hallway Near E-122 12625154

1st E Wing Hallway 12625153

1st E Wing Hallway Near E-111 12625152

1st E Wing Nurse Station 12625151

1st E Wing Main Lunchroom 12625150

1st E Wing Near E-144 12625149

1st E Wing Hallway Bathroom 12625147

1st E Wing Near E-145 12625146

1st Building 360 Unit-D Corridor Outside D-147 12625143

1st Building 360 Unit-D Corridor Outside D-143 12625141

1st Building 360 Unit-D Corridor Outside D-131 12625140

1-3.1 10 EOL

1st Building 360 Unit-D Lounge D-130 12625139

1st Building 360 Unit-D Corridor Outside D-127 12625138

1st Building 360 Unit-D Nursing Station D-120 12625137

1st Building 360 Unit-D Lobby by Exit Door to Courtyard 12625136

1st Building 360 Unit-D Corridor Outside D-106 12625135

1st Building 360 Unit-D Corridor Outside D-100 12625134

1st C102 outside hallway 12625133 1-nac eol

1st C116 outside in hallway 12625129

1st Building 360 Unit-A Staff Breakroom 12625128

1st b-131 outside in halway 12625127 1-b-2 2.11 eol for strobe an

1st b-130a inside common area 12625126

1st b-127 outside room in hallway 12625125

1st b-104 outside in hallway.

12625124

1st b-111 outside in hallway 12625123 1-L1 D054

1st b-120 inside room 12625122

1st B-145 inside clean linens 12625121

1st b-144 Front 12625120

1st b wing outside room b155 12625118

1st Building 360 Unit-A Room A-150 12625117

1st Building 360 Unit-A Corridor Outside A-150 12625115

1st Building 360 Unit-A Corridor Outside A-144 12625114

1st Building 360 Unit-A Corridor Outside A-131 12625113 1-1-Jan 12/12 EOL

1st Building 360 Unit-A Corridor Outside A-127 12625112

1st Building 360 Unit-A Lounge A-130 12625111

1st Building 360 Unit-A Nursing Station A-120 12625110

1st Building 360 Unit-A Community Lobby by Exit into Courtyard 12625109

1st Building 360 Unit-A Corridor Exit by A-100 12625106

1st Building 360 Unit-H Room H-200 12625105

1-H1 8EOL

1st Building 360 Unit-H Rear Corridor by H-200 12625104

1st Building 360 Unit-H Rear Corridor by H-214 12625101

1st Building 360 Unit-H Rear Corridor by H-240 12625100

1st Building 360 Unit-H Administration H-211 Corridor 12625098

1st Building 360 Unit-H Administration Desk H-211 12625097

1st Building 360 Unit-H Main Entrance Right Wall 12625096

1st c-101 food holding area 45213297

Device Total: 70

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 b-153 45213618

Strobe 1st Wing G Mens Rm rm g145 45205977

1st H Wing PHARMACY 101 INSIDE BREAK RM 103 44230298

1st H Wing PHARMACY 101 44230296

1st H Wing ABOVE BREAK ROOM DOOR PHARMACY 101 BACKWALL 44230295

1st H WING ANTEROOM 106A RIGHT 44230292

1st H WING PHARMACY 101 back exit hallway wall 44230290

1st H Wing PHARMACY 101 BACKWALL 44230288

1st H Wing VAULT RM 44230285

1st H Wing PHARMACY 101 44230283

1st H Wing at window PHARMACY 44230280

1st Wing F Inside Bathroom 12625177

1st Wing F Hallway Outside Room 12625174

1st Wing F Hallway 153 12625171

1st Wing G Rm 156 12625165

1st Wing G womens restroom g 109 12625160

1st E Wing Bathroom womens E 109 12625157

1st E Wing Bathroom 12625148

1st Building 360 Unit-D Room D-147 12625142

1st C Wing C110 12625131

1st C110 outside in hallway 12625130

1st Building a Unit-A Room A-153 restroom 12625116

1st Building 360 Unit-A Room A-109 restroom 12625107

1st Building 360 Unit-H Bathroom H-212 12625103

1st Building 360 Unit-H Bathroom H-214 12625102

1st H Wing Admin 12625099

Device Total: 26

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 E Wing Outside 12622639

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 E Wing Outside 12622638

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 Monitor Device

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Monitor Device 1st Building 360 Unit-D Room D-104 Beside FACP (Top) 45213095 2-L2 M09

Monitor Device 1st Building 360 Unit-D Room D-104 Beside FACP (Bottom) 45213096 2-L2 M11

1st Building 360 Unit-A Room A-104 Beside FACP (Top) 45213113 2-L1 M08

1st Building 360 Unit-A Room A-104 Beside FACP (Bottom) 45213114 2-L1 M10

1st Wing C FACP Closet INSIDE FCPS 1 45207863 1-L1 M11

1st C114 inside room 45207862 1-L1 m12

1st H WING PHARMACY 101 44230301 1-L1 m126

1st C114 inside room FCPS 2 45213603 1-L1 m13

Device Total: 8

EC 02.03.05 EP 19

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

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Duct Detector 1st Building 360 Unit-D Corridor Outside A-105 45213054

1-AC-D1

1st E Wing Hallway 45213149

1st Building 360 Unit-A Corridor Outside A-100 45213015

1-AHU-A1

1st Wing G Hallway Outside Rm 45207854

1-AHU G-1

1st B wing 45205967 1-L1 17

1st H WING PHARMACY 101 MIDDLE OF RM ABOVE TILE 44230300 1-L1 123

1st Building 360 Unit-H Administration Desk H-211 45213121

1-AHU-H1

1st Wing F Hallway Outside Room 45211527

1-AHU F-1

1st C wing Outside C101 45213307 1-D119

Device Total: 9

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 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 Fan Shutdown

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Fan Shutdown 1st Building 360 C wing corridor 45213608 1-L1m16

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 Building 360 Unit-D Room D-104 45213102

Control Panel 1st Building 360 Unit-A Room A-104 45213103

Control Panel 1st Wing C FACP Closet 45207864

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 1st Building 360 Unit-H H-210 Lobby Reception 45213002

Annunciator 1st c-100 outside load dock 45213311

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 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 Building 360 Unit-D Room D-104 Beside FACP (Bottom/Left) 45213092

08/20-P

04/16-P Battery 1st Building 360 Unit-D Room D-104 Beside FACP (Bottom/Right) 45213093

08/20-P

04/16-P Battery 1st Building 360 Unit-D Room D-104 Beside FACP (Top/Left) 45213097

08/20-P

04/16-P Battery 1st Building 360 Unit-D Room D-104 Beside FACP (Top/Right) 45213098

08/20-P

04/16-P Battery 1st Building 360 Unit-D Room D-104 FACP (Bottom) 45213100

08/20-P

04/16-P Battery 1st Building 360 Unit-D Room D-104 FACP (Top) 45213101

08/20-P

04/16-P Battery 1st Building 360 Unit-A Room A-104 FACP (Top) 45213106

08/20-P

04/16-P Battery 1st Building 360 Unit-A Room A-104 FACP (Bottom) 45213107

08/20-P

04/16-P Battery 1st Building 360 Unit-A Room A-104 Beside FACP (Top/Left) 45213108

08/20-P

04/16-P Battery 1st Building 360 Unit-A Room A-104 Beside FACP (Top/Right) 45213109

08/20-P

04/16-P Battery 1st Building 360 Unit-A Room A-104 Beside FACP (Bottom/Left) 45213110

08/20-P

04/16-P Battery 1st Building 360 Unit-A Room A-104 Beside FACP (Bottom/Right) 45213111

08/20-P

04/16-P Battery 1st F Wing 104 Hallway F-104 45213153

08/20-P

04/16-P Battery 1st F Wing 104 Hallway F-104 45213154

08/20-P

04/16-P Battery 1st F Wing 104 Hallway F-104 45213155

08/20-P

04/16-P Battery 1st F Wing 104 Hallway F-104 45213156

08/20-P

04/16-P Battery 1st F Wing 104 Hallway F-104 45213158

08/20-P

04/16-P Battery 1st F Wing 104 Hallway F-104 45213159

08/20-P

04/16-P Battery 1st MAIN FACP BELOW 45213604

08/20-P

04/16-P Battery 1st MAIN FACP BELOW 45213605

08/20-P

04/16-P Battery 1st Wing C MAIN FACP INSIDE TOP 45207866

08/20-P

04/16-P Battery 1st C-Wing MAIN FACP INSIDE TOP 45207865

08/20-P

04/16-P Battery 1st Wing C FACP Closet 45207861

08/20-P

04/16-P Battery 1st Wing C FACP Closet 45207860

08/20-P

04/16-P Battery 1st C114 inside room 45207859

08/20-P

04/16-P Battery 1st C114 inside room 45207858

08/20-P

04/16-P Device Total: 26

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 Building Automation

Device Type Location ScanID Address Q2/24 Q3/24 Q1/25 Q2/25 Building Automation 1st Building 360 Unit-A Corridor Outside A-106 12625108

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 F Wing 104 Hallway F-104 45213157

Expander Panel 1st F Wing 104 Hallway F-104 45213160

Expander Panel 1st F Wing 104 Hallway F-104 45213161

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 Building 360 Unit-D Room D-104 Beside FACP (Bottom) 45213091

Power Supply 1st Building 360 Unit-D Room D-104 Beside FACP (Top) 45213099

1st Building 360 Unit-A Room A-104 Beside FACP (Top) 45213104

1st Building 360 Unit-A Room A-104 Beside FACP (Bottom) 45213105

Device Total: 4

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 Building 360 Unit-D Room D-104 Beside FACP (Top) 45213094 2-L2 M10

Special Control 1st Building 360 Unit-A Room A-104 Beside FACP (Top) 45213112 2-L1 M09

Device Total: 2

Service Summary

Building: MP360 The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity Passed Annunciator Tested Battery Tested Building Automation Tested Communicator Tested Control Panel Tested Duct Detector Tested Expander Panel Tested Fan Shutdown Tested Heat Detector Tested Horn/Strobe Tested Monitor Device 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 Supervisory Device Tested Tamper Switch Tested Voice Evacuation Tested Waterflow Switch Tested Total Grand Total

Auxiliary Functions Testing

Building: MP360 Control Panel: 1 - Notifier NFS2-640 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 Building Automation

1st Building 360 Unit-A Corridor Outside A-106 Passed 12625108 Fan Shutdown

1st Building 360 C wing corridor Passed 45213608 Releasing Device

1st b wing outside room b155 Passed 45213268

1st Building 360 Unit-A Corridor Outside A-150/Entrance to B-Unit Passed 45213025

1st E Wing Hallway Near E-155 Passed 45210441

1st E Wing Hallway Near E-155 Passed 45210442

1st Wing F Hallway To Wing G Dou Passed 45211539

1st Wing F Hallway To Wing G Dou Passed 45211537

Battery & Power Supply Testing

Building: MP360 Control Panel: 1 - Notifier NFS2-640 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 C-Wing MAIN FACP INSIDE TOP

Sealed Lead Acid 1st C114 inside room

1st C114 inside room

1st F Wing 104 Hallway F-104

1st MAIN FACP BELOW

1st MAIN FACP BELOW

1st Wing C FACP Closet

1st Wing C FACP Closet

1st Wing C MAIN FACP INSIDE TOP

Control Panel: 2 - Notifier DAA-5025PCB 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 Building 360 Unit-A Room A-104 Beside FACP (Bottom/Left)

1st Building 360 Unit-A Room A-104 Beside FACP (Bottom/Right)

1st Building 360 Unit-A Room A-104 Beside FACP (Top/Left)

1st Building 360 Unit-A Room A-104 Beside FACP (Top/Right)

1st Building 360 Unit-A Room A-104 FACP (Bottom)

1st Building 360 Unit-A Room A-104 FACP (Top)

1st Building 360 Unit-D Room D-104 Beside FACP (Bottom/Left)

1st Building 360 Unit-D Room D-104 Beside FACP (Bottom/Right)

1st Building 360 Unit-D Room D-104 Beside FACP (Top/Left)

1st Building 360 Unit-D Room D-104 Beside FACP (Top/Right)

1st Building 360 Unit-D Room D-104 FACP (Top)

Inventory & Warranty Report

Building: MP360 Control Panel: 1 - Notifier NFS2-640 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 0.43% Battery Control 5.64% Building Automation Auxiliary 0.22% Communicator Control 0.22% Control Panel Control 0.65% Duct Detector Initiating 1.95% Expander Panel Control 0.65% Fan Shutdown Auxiliary 0.22% Heat Detector Initiating 1.08% Horn/Strobe Indicating 0.22% Monitor Device Monitor 1.74% Power Supply Control 0.87% Pull Station Initiating 5.42% Releasing Device Auxiliary 1.30% Smoke Detector Initiating 49.89% Speaker Indicating 3.69% Speaker/Strobe Indicating 15.18% Special Control Control 0.43% Strobe Indicating 5.64% Supervisory Device Supervisory 0.65% Tamper Switch Supervisory 2.60% Voice Evacuation Control 0.22% Waterflow Switch Initiating 1.08%

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

PS-121000U

Sealed Lead Acid 09/16/2020 Battery

PS-12100U

Sealed Lead Acid 09/16/2020 Yuasa Battery

NP12-12S

Sealed Lead Acid 08/19/2020 Battery

NP12-12S

Sealed Lead Acid 06/25/2020 Power-Sonic Battery

PS-1270 F1

Sealed Lead Acid 05/08/2020 Battery

UZ-NP712

Sealed Lead Acid 05/08/2020 PowerSonic Battery

PS-127

Sealed Lead Acid 05/08/2020 Battery

PS-1290F2

Sealed Lead Acid 05/08/2020 Yuasa Battery

UZ-NP712

Sealed Lead Acid 05/08/2020 In Service - 5 Years to 10 Years PowerSonic Battery

PS-1212

Sealed Lead Acid 04/20/2020 Notifier

08/17/2017 Potter Electric Heat Detector

VSR

08/17/2017 Tamper Switch

PIBV2

08/17/2017 Tamper Switch

VSR

08/17/2017 Waterflow Switch

VSR

08/17/2017

Communicator

05/22/2017 Fan Shutdown

Horn/Strobe spw

05/22/2017 Pull Station

FSP-851

05/22/2017 Pull Station nbg-12lx

05/22/2017 Releasing Device eh-20

05/22/2017 Smoke Detector

FSP-851

05/22/2017 Smoke Detector fsp-851

05/22/2017 spw

05/22/2017 Speaker/Strobe

SPSW

05/22/2017 Speaker/Strobe spsw

05/22/2017 Strobe

FSP-851

05/22/2017 Strobe sw

05/22/2017 Voice Evacuation

Notifier Annunciator

FDU-80

05/22/2017 Annunciator Notifier

05/22/2017 Control Panel

NFS2-640

05/22/2017

FPS-851

05/22/2017 Duct Detector

FSD-751PL, FRM-1,

05/22/2017 Duct Detector

RST451

05/22/2017 Expander Panel

DAA-PS

05/22/2017 Expander Panel

FCPS-24S6

05/22/2017 Heat Detector

FSP-851

05/22/2017 Monitor Device

FMM-101

05/22/2017 Pull Station

NBG-12LX

05/22/2017 Pull Station

NGB-12LX

05/22/2017 Pull Station nbg-12lx

05/22/2017

FCM-101

05/22/2017

FMM-101

05/22/2017 Smoke Detector

FSP-851

05/22/2017

FSP-851

05/22/2017 Strobe spw

05/22/2017 Supervisory Device

FCM-1

05/22/2017 Supervisory Device

FMM-101

05/22/2017 PowerSonic Battery ps-1212 Sealed Lead Acid 05/22/2017 S ystem tm Building Automation

SPSW

05/22/2017 System Sensor Duct Detector spsw

05/22/2017 Pull Station

NBG-12LX

05/22/2017 Smoke Detector

NBG-12LX

05/22/2017 Smoke Detector

SPSR

05/22/2017 Speaker spw

05/22/2017 Speaker/Strobe

SPSR

05/22/2017 Speaker/Strobe

SPSW

05/22/2017 Speaker/Strobe

SPWK

05/22/2017 Speaker/Strobe spsw

05/22/2017

SPSR

05/22/2017 Strobe

SR

05/22/2017 System sensor Speaker

SPWK

05/22/2017 notifier relay Monitor Device frm-1

05/22/2017 system sensor Speaker Spwr

05/22/2017

Control Panel: 2 - Notifier DAA-5025PCB The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference.

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

PS-12120 F2

Sealed Lead Acid 06/25/2020 Battery

PS-1270 F1

Sealed Lead Acid 06/25/2020 Battery

PS-1270 F1

Sealed Lead Acid 05/08/2020

YUASA

Battery

NP7-12

05/08/2020 Battery

NP7-12

Sealed Lead Acid 05/08/2020 In Service - 5 Years to 10 Years Power sonic Battery

PS-12120

Sealed Lead Acid 02/20/2018 Power-Sonic Battery

PS-12120

Sealed Lead Acid 02/20/2018

02/15/2018

Control Panel

DAA-5025PCB

05/22/2017 Monitor Device

FMM-101

05/22/2017 Power Supply

FCPS-24S6

05/22/2017 Special Control

FCM-1

05/22/2017 System Sensor Smoke Detector

SPSR

05/22/2017 Notifier Monitor Device

FMM-101

02/23/2016 Power Supply

FCPS-24S6

02/23/2016 Special Control

FCM-1

02/23/2016 Building: MP360 Control Panel: 3 - Notifier DAA-5025PCB 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 Speaker spw

02/15/2018 Strobe spw

02/15/2018 notifier

Control Panel

DAA-5025PCB

02/23/2016

Zone Address Report

Building: MP360 Control Panel: 1 - Notifier NFS2-640 The Zone Address Report lists all of the devices…