Amendment 0001 - Menlo Park Inspections.pdf

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

For

MP CWT 18th St.

Menlo Park CWT 18th 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 Jun 5, 2026

Building: MP CWT 18th St. Company: scDataCom Contact: Anthony Losito Contact: Derrick Tillman

Title: Electronic s Shop Supervisor Title: Technician scDataCom 1 Download Date: 06/05/2026

Executive Summary

Generated by: BuildingReports.com

Building Information

Building: MP CWT 18th St. Contact: Anthony Losito

Address: Menlo Park CWT 18th 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: scDataCom Inspector: Derrick Tillman

Address: 2700 Gregory St Ste 180 Phone: (669) 333-6375

Address: Fax:

City/State/ZIP Code: Savannah, GA 31404 Mobile:

Country: United States of America Email: dtillman@pavion.com

System Control Unit

Manufacturer: Silent Knight Inspection Date: 05/28/2026 IDC Style: B

Model Number: SK-5208 Install Date: 06/21/2018 SLC Style:

Software Version: Version Date: 06/21/2018 NAC Style: Y

Location: 1st Kitchen Closet Current Protection: Breaker scDataCom 2 Download Date: 06/05/2026

Inspection Completion Date: Jun 5, 2026

Building: MP CWT 18th St.

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; room temperature supervisory and other supervisory initiating devices.

Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD (2026) Total Quantity

Tamper Switch 1 1 0 1 0 1

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 (2026)

Untested YTD

Waterflow Switch 2 2 0 2 0 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)

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD

Smoke Detector 1 1 0 1 0 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)

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD (2026) Total Quantity

Bell 2 2 0 2 0 2

Horn/Strobe 6 6 0 6 0 6

Strobe 2 2 0 2 0 2

LS 02.01.34 EP 02

Protected master fire alarm control panel

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD

Control Panel 1 1 0 1 0 1

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 (2026)

Untested YTD (2026) Total Quantity

Battery 2 2 0 2 0 2

Total Device Count: 17 scDataCom 3 Download Date: 06/05/2026

Certification

Company: scDataCom Building: MP CWT 18th St.

Inspector: Derrick Tillman Contact: Anthony Losito

Signed: Jun 5, 2026 Signed:

scDataCom 4 Download Date: 06/05/2026

Inspection & Testing

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

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; room temperature supervisory and other supervisory initiating devices.

Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

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 Q2/26 Pass Q2/26 Fail Q2/26 Tested YTD (2026) Total Quantity

Tamper Switch 1 1 0 1 1

Device Type Location ScanID Address Q2/25 Q2/26

Tamper Switch Side Of House House Riser At Riser 45205305 0 04/25-P 05/28-P

Device Total: 1 scDataCom 5 Download Date: 06/05/2026

(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))

Waterflow Switch 2 2 0 2 2

Waterflow Switch Back Yard Garage Front Door ITV

LOCATED RIGHT SIDE OF GARAGE

21253722 0

05/28-P

The above device replaced ScanID 45205302:

Waterflow Switch Back Yard Garage Front Door ITV

LOCATED RIGHT SIDE OF GARAGE

45205302 0 04/25-P 05/28-R

Waterflow Switch SIDE OF HOUSE House Riser Right Side Of House ITV LOCATED Left Side Of House Outside

45205304 0 04/25-P 05/28-P

Device Total: 2 scDataCom 6 Download Date: 06/05/2026

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))

Smoke Detector 1 1 0 1 1

Smoke Detector 1st kitchen door area Above FACP 45205293 0 04/25-P 05/28-P scDataCom 7 Download Date: 06/05/2026

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))

Bell 2 2 0 2 2

Bell Outside Above Garage Riser Wall 45205303 0 04/25-P 05/28-P

Bell Outside Above House Riser Wall 45205306 0 04/25-P 05/28-P scDataCom 8 Download Date: 06/05/2026

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))

Horn/Strobe 6 6 0 6 6

Horn/Strobe BED RM 1 BATH RM 45205299 0 04/25-P 05/28-P

Horn/Strobe BED RM 2 RM Wall 45205297 0 04/25-P 05/28-P

Horn/Strobe BED RM 3 Wall 45205294 0 04/25-P 05/28-P

Horn/Strobe HOUSE MGR RM Wall 45205296 0 04/25-P 05/28-P

Horn/Strobe LAUNDRY RM Wall 45205301 0 04/25-P 05/28-P

Horn/Strobe LIVING RM Wall 45205295 0 04/25-P 05/28-P

Device Total: 6 scDataCom 9 Download Date: 06/05/2026

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))

Strobe 2 2 0 2 2

Strobe BED RM 1 Wall 45205298 0 04/25-P 05/28-P

Strobe HALLWAY BATH Wall 45205300 0 04/25-P 05/28-P scDataCom 10 Download Date: 06/05/2026

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))

Control Panel 1 1 0 1 1

Control Panel 1st Kitchen Closet 45205290 0 04/25-P 05/28-P scDataCom 11 Download Date: 06/05/2026

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))

Battery 2 2 0 2 2

Battery 1st Kitchen Closet AT FACP 45205291 0 04/25-P 06/05-P

Battery 1st Kitchen Closet AT FACP 45205292 0 04/25-P 06/05-P scDataCom 12 Download Date: 06/05/2026

Service Summary

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

Device Type Service Quantity

Passed

Battery Tested 2

Bell Tested 2

Control Panel Tested 1

Horn/Strobe Tested 6

Smoke Detector Tested/Cleaned 1

Strobe Tested 2

Tamper Switch Tested 1

Waterflow Switch Tested 2

Total 17

Grand Total 17 scDataCom 13 Download Date: 06/05/2026

Battery & Power Supply Testing

Building: MP CWT 18th St. Control Panel: 0 - Silent Knight

SK-5208

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 Kitchen Closet AT FACP 7AH-Q

C 12V

Sealed Lead Acid 1st Kitchen Closet AT FACP 7AH 12V scDataCom 14 Download Date: 06/05/2026

Inventory & Warranty Report

Building: MP CWT 18th St. Control Panel: 0 - Silent Knight SK-5208

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

Battery Control 11.76% 2

Bell Indicating 11.76% 2

Control Panel Control 5.88% 1

Horn/Strobe Indicating 35.29% 6

Smoke Detector Initiating 5.88% 1

Strobe Indicating 11.76% 2

Tamper Switch Supervisory 5.88% 1

Waterflow Switch Initiating 11.76% 2

Type Qty Model # Description Install Date

In Service - 3 Years to 5 Years

Power-Sonic

Battery 2 NP7-12 Sealed Lead Acid 02/24/2023

In Service - 5 Years to 10 Years

Genentech

Smoke Detector 1 ESL 449CT

06/21/2018

Gentex

Horn/Strobe 5 GEC24-1575WW

Horn/Strobe 1 GES24-1575WW

Strobe 2 GES24-1575WW

MILWAUKEE

Tamper Switch 1 BB-CSC

Potter Electric

Waterflow Switch 2 VSR-S

Silent Knight

Control Panel 1 SK-5208 Addressable 06/21/2018

Wheelock

Bell 2

For

MP CWT Gilbert Menlo Park CWT Gilbert 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 29, 2025

Building: MP CWT Gilbert Company: scDataCom Contact: Anthony Losito Contact: Derrick Tillman

Title: Electronics Shop Supervisor Title: Technician scDataCom 1 Download Date: 06/05/2026

Building: MP CWT Gilbert Contact: Anthony Losito

Address: Menlo Park CWT Gilbert Phone: 6508523437

Address: Fax:

Country: United States of America Email:

Address: 2700 Gregory St Ste 180 Phone: (669) 333-6375

Address: Fax:

Manufacturer: Silent Knight Inspection Date: 04/25/2025 IDC Style: B

Model Number: SK-5208 Install Date: 06/21/2018 SLC Style:

Software Version: Version Date: 06/21/2018 NAC Style: Y

Location: Garage Garage Wall Current Protection: Breaker scDataCom 2 Download Date: 06/05/2026

Inspection Completion Date: Apr 29, 2025

Building: MP CWT Gilbert

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; room temperature supervisory and other supervisory initiating devices.

Semi-annual test of valve supervisory switches (tamper switches). 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

(17)(10)(a) & (17)(11)

Devices

Tested This Quarter Pass Fail

Tested YTD (2025)

Untested YTD

Waterflow Switch 1 1 0 1 0 1

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

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 1 0 1 1 0 1

Horn/Strobe 1 1 0 1 0 1

Strobe 0 0 0 0 0 0

Devices

Tested This Quarter Pass Fail

Tested YTD (2025)

Untested YTD

Devices

Tested This Quarter Pass Fail

Tested YTD (2025)

Untested YTD (2025) Total Quantity

Total Device Count: 8 scDataCom 3 Download Date: 06/05/2026

Company: scDataCom Building: MP CWT Gilbert

Inspector: Derrick Tillman Contact: Anthony Losito

Signed: Jun 5, 2026 Signed:

scDataCom 4 Download Date: 06/05/2026

Discrepancy Report

Building: MP CWT Gilbert Control Panel: 0 - Silent Knight

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 Problem Address Reference

EC 02.03.05 EP 04 Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)

Bell 45205313 Outside Above Riser Front Of House Top Of

HVAC Unit scDataCom 5 Download Date: 06/05/2026

Proposed Solutions Report

Building: MP CWT Gilbert Control Panel: 0 - Silent Knight SK-5208

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

Annual test of visual and audible fire alarms, including speakers and door releasing devices. NFPA 72 (2022) Table 14.4.3.2 (22)

Bell

45205313 Outside Above Riser Front Of House Top Of HVAC Unit

T/M

Internal WO/PO #: (none) T/M scDataCom 6 Download Date: 06/05/2026

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.

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; room temperature supervisory and other supervisory initiating devices.

Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

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

Device Type Location ScanID Address Q2/24 Q3/24 Q2/25

Tamper Switch Outside Right Of Front Door At Riser 45205312 0 05/28-P 08/19-P 04/29-P scDataCom 7 Download Date: 06/05/2026

(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))

Waterflow Switch 1 1 0 1 1

Waterflow Switch By Front Door Outside 45205311 0 05/28-P 08/19-P 04/25-P scDataCom 8 Download Date: 06/05/2026

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))

Smoke Detector Garage Above Facp Top Of HVAC Unit

45205310 0 05/15-P

04/25-P scDataCom 9 Download Date: 06/05/2026

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))

Bell 1 0 1 1 1

Bell Outside Above Riser Front Of House Top Of HVAC Unit

45205313 0 05/15-P 08/19-P 04/29-F scDataCom 10 Download Date: 06/05/2026

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))

Horn/Strobe 1 1 0 1 1

Horn/Strobe Bedroom 2 Wall 45205318 0 05/15-P

04/29 Removed

Horn/Strobe Front Inside Bedroom 3 Wall 45205317 0 05/15-P

Horn/Strobe Front Inside Living Room Wall 45205316 0 05/15-P

04/29-P scDataCom 11 Download Date: 06/05/2026

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))

Strobe 0 0 0 0 0

Strobe Front Inside Bathroom 1 45205314 0 05/15-P

Strobe Front Inside Bathroom 2 45205315 0 05/15-P

Device Total: 0 scDataCom 12 Download Date: 06/05/2026

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))

Control Panel Garage Garage Wall 45205307 0 05/15-P 08/19-P 04/25-P scDataCom 13 Download Date: 06/05/2026

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))

Battery At Facp Left Battrry 45205308 0 05/15-F 08/19-P 04/29-P

Battery At Facp Right Battery 45205309 0 05/15-F 08/19-P 04/29-P scDataCom 14 Download Date: 06/05/2026

Failed/Other

Bell Tested 1

Total 1

Passed

Battery Tested 2

Control Panel Tested 1

Horn/Strobe Tested 1

Smoke Detector Tested/Cleaned 1

Tamper Switch Tested 1

Waterflow Switch Tested 1

Total 7

Grand Total 8 scDataCom 15 Download Date: 06/05/2026

Building: MP CWT Gilbert Control Panel: 0 - Silent Knight

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 At Facp Left Battrry 7AH-Q

C 12V

Sealed Lead Acid At Facp Right Battery 7AH-Q C

12V scDataCom 16 Download Date: 06/05/2026

Building: MP CWT Gilbert Control Panel: 0 - Silent Knight SK-5208

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

Battery Control 25.00% 2

Bell Indicating 12.50% 1

Control Panel Control 12.50% 1

Horn/Strobe Indicating 12.50% 1

Smoke Detector Initiating 12.50% 1

Tamper Switch Supervisory 12.50% 1

Waterflow Switch Initiating 12.50% 1

In Service - 3 Years to 5 Years

Yuasa

Battery 2 NP7-12 Sealed Lead Acid 04/19/2022

In Service - 5 Years to 10 Years

Genentech

Smoke Detector 1 ESL 449CT

Gentex

Horn/Strobe 1

Milwaukee

Tamper Switch 1

POTTER

Waterflow Switch 1 VSR-S

Silent Knight

Control Panel 1 SK-5208 Addressable 06/21/2018

Wheelock

Bell 1

For

MPD 114

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 8, 2026

Building: MP114 Company: scDataCom Contact: Doug Gambrell Contact: Derrick Tillman

Title: Manager Title: Technician scDataCom 1 Download Date: 04/24/2026

Building: MP114 Contact: Doug Gambrell

Address: 795 Willow Rd Phone: 4403192479

Address: Fax:

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

Address: 2700 Gregory St Ste 180 Phone: (669) 333-6375

Address: Fax:

Manufacturer: SimplexGrinnell Inspection Date: 04/08/2026 IDC Style:

Model Number: 4100 Install Date: 04/18/2018 SLC Style:

Software Version: Version Date: 04/18/2018 NAC Style:

Location: Ground central plant open floor Current Protection:

scDataCom 2 Download Date: 04/24/2026

Inspection Completion Date: Apr 8, 2026

Building: MP114

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 (2026)

Untested YTD (2026) Total Quantity

Heat Detector 2 2 0 2 0 2

Pull Station 2 2 0 2 0 2

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 (2026)

Untested YTD (2026) Total Quantity

Speaker 6 6 0 6 0 6

Strobe 2 2 0 2 0 2

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD

Control Panel 3 3 0 3 0 3

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD (2026) Total Quantity

Annunciator 1 1 0 1 0 1

Battery 6 2 4 6 0 6

Power Supply 1 1 0 1 0 1

Special Control 1 1 0 1 0 1

Total Device Count: 24 scDataCom 3 Download Date: 04/24/2026

Company: scDataCom Building: MP114

Inspector: Derrick Tillman Contact: Doug Gambrell

Signed: Apr 13, 2026 Signed:

scDataCom 4 Download Date: 04/24/2026

Building: MP114 Control Panel: 1 - SimplexGrinnell

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 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

Battery 12603486 Ground central plant open floor Failed Test 1 NFPA72 Table

14.4.3.2 (9) 12603487 Ground central plant open floor Failed Test 1 NFPA72 Table

14.4.3.2 (9) 45208526 Ground central plant open floor Failed Test 1 NFPA72 Table

14.4.3.2 (9) 45208527 Ground central plant open floor Failed Test 1 NFPA72 Table

14.4.3.2 (9)

Code References NFPA72 Table

14.4.3.2 (9)

Replace any battery cell/unit if the temperature is greater than 18F above ambient. Replace the battery when any cell/unit measures a voltage less than 13.26 volts. Replace the battery when any cell/unit has an internal ohmic value outside of the acceptable range.

scDataCom 5 Download Date: 04/24/2026

Building: MP114 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

All other Life Safety Code fire alarm requirements related to NFPA 101-2024 18/19.3.4

Battery

12603486 Ground central plant open floor Replace Battery PS-12350NB T/M

12603487 Ground central plant open floor Replace Battery PS-12350NB T/M

45208526 Ground central plant open floor Replace Battery PS-12180NB T/M

45208527 Ground central plant open floor Replace Battery PS-12180NB T/M scDataCom 6 Download Date: 04/24/2026

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.

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))

Heat Detector 2 2 0 2 2

Heat Detector Ground central plant open floor 12603491 1 04/18-P 04/08-P

Heat Detector Ground generator room 45213446 1 04/18-P 04/08-P

Heat Detector Ground Back Room behind boiler #2 central plant open floor

45213460 1 04/18-P 04/08 scDataCom 7 Download Date: 04/24/2026

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))

Pull Station 2 2 0 2 2

Pull Station Floor exit by stairs 12603494 1 04/21-P 04/08-P

Pull Station Floor exit by stairs 12603497 1 04/21-P 04/08-P scDataCom 8 Download Date: 04/24/2026

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))

Speaker 6 6 0 6 6

Speaker Ground central plant open floor 45213448 1 04/18-P 04/08-P

Speaker Ground central plant open floor 45213445 1 04/18-P 04/08-P

Speaker Ground central plant open floor 45213443 1 04/18-P 04/08-P

Speaker Ground central plant open floor 45213447 1 04/18-P 04/08-P

Speaker Ground central plant open floor 45213444 1 04/18-P 04/08-P

Speaker Ground central plant open floor 12603492 1 04/18-P 04/08-P scDataCom 9 Download Date: 04/24/2026

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))

Strobe 2 2 0 2 2

Strobe Ground central plant open floor 12603496 1 04/18-P 04/08-P

Strobe Ground central plant open floor 12603493 1 04/18-P 04/08-P scDataCom 10 Download Date: 04/24/2026

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))

Control Panel 3 3 0 3 3

Control Panel Ground central plant open floor 45213451 2 04/18-P 04/08-P

Control Panel Ground central plant open floor 45213452 3 04/18-P 04/08-P

Control Panel Ground central plant open floor 45213449 1 04/18-P 04/08-P

Device Total: 3 scDataCom 11 Download Date: 04/24/2026

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))

Annunciator 1 1 0 1 1

Annunciator Ground central plant open floor 12603498 1 04/18-P 04/08-P scDataCom 12 Download Date: 04/24/2026

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))

Battery 6 2 4 6 6

Battery Ground central plant open floor 12603487 1

04/08-F

Battery Ground central plant open floor 12603486 1

Battery Ground central plant open floor 45208527 1

Battery Ground central plant open floor 45208526 1

Battery Ground central plant open floor 45213458 1 04/18-P 04/08 Removed

Battery Ground central plant open floor 45213459 1 04/18-P 04/08 Removed

Battery Ground central plant open floor 45213453 1 04/18-P 04/08-P

Battery Ground central plant open floor 45213454 1 04/18-P 04/08-P scDataCom 13 Download Date: 04/24/2026

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))

Power Supply 1 1 0 1 1

Power Supply Ground central plant open floor 45213450 1 04/18-P 04/08-P scDataCom 14 Download Date: 04/24/2026

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))

Special Control 1 1 0 1 1

Special Control Ground central plant open floor 12603488 1 04/15-P 04/08-P scDataCom 15 Download Date: 04/24/2026

Failed/Other

Battery Tested 4

Total 4

Passed

Annunciator Tested 1

Battery Tested 2

Control Panel Tested 3

Heat Detector Tested 2

Power Supply Tested 1

Pull Station Tested 2

Speaker Tested 6

Special Control Tested/Cleaned 1

Strobe Tested 2

Total 20

Grand Total 24 scDataCom 16 Download Date: 04/24/2026

Building: MP114 Control Panel: 1 - SimplexGrinnell

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 Ground central plant open floor 35 12 34

Sealed Lead Acid Ground central plant open floor 35 12

Failed/Other Sealed Lead Acid Ground central plant open floor 35-NB 12

Sealed Lead Acid Ground central plant open floor 35-NB 12

Sealed Lead Acid Ground central plant open floor 35 12

Sealed Lead Acid Ground central plant open floor 35 12 scDataCom 17 Download Date: 04/24/2026

Building: MP114 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

Annunciator Control 4.17% 1

Battery Control 25.00% 6

Control Panel Control 12.50% 3

Heat Detector Initiating 8.33% 2

Power Supply Control 4.17% 1

Pull Station Initiating 8.33% 2

Speaker Indicating 25.00% 6

Special Control Control 4.17% 1

Strobe Indicating 8.33% 2

In Service - 90 Days - 1 Year

Interstate

Battery 2 SLA1156 Sealed Lead Acid 11/18/2025

In Service - 5 Years to 10 Years

Power-Sonic

Battery 2 PS-12180NB Sealed Lead Acid 02/09/2021

Battery 2 PS-12350NB Sealed Lead Acid 02/09/2021

SimplexGrinnell

Annunciator 1 4100

04/18/2018

Control Panel 1 4100

Heat Detector 2 2098-9439 Hardware - Fixed Temperature 04/18/2018

Power Supply 1 4100

Pull Station 1 4251-1

Pull Station 1 4251-1 Single Action 04/18/2018

Speaker 6 2902-9717

Strobe 2 4904-9176

Special Control 1 4120

04/18/2017

Building: MP114 Control Panel: 2 - 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.

Type Qty Model # Description Install Date

In Service - 5 Years to 10 Years scDataCom 18 Download Date: 04/24/2026

Building: MP114 Control Panel: 3 - Notifier 3030

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

Notifier

Control Panel 1 3030

For

MPD 321

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 14, 2026

Building: MP321 Company: scDataCom

Building: MP321 Contact: Doug Gambrell

Address: 795 Willow Rd Phone: 4403192479

Address: Fax:

Address: 2700 Gregory St Ste 180 Phone: (669) 333-6375

Address: Fax:

Manufacturer: SimplexGrinnell Inspection Date: 04/14/2026 IDC Style:

Model Number: 4100 Install Date: 05/22/2017 SLC Style:

Software Version: Version Date: 05/22/2017 NAC Style:

Location: 1st Inside room B102 Hallway Engineering IT Current Protection:

Central Station Signal Verification

Type: Mfg: SimplexGrinnell Model #: 4100

Test Time/Date: 4/14/26 10:40:46 AM Restore Time: Note:

Inspection Completion Date: Apr 14, 2026

Building: MP321

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; room temperature supervisory and other supervisory initiating devices.

Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD

(17)(10)(a) & (17)(11)

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD

Waterflow Switch 1 1 0 1 0 1

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 (2026)

Untested YTD (2026) Total Quantity

Duct Detector 13 13 0 13 0 13

Pull Station 14 14 0 14 0 14

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 (2026)

Untested YTD (2026) Total Quantity

Releasing Device 8 8 0 8 0 8

Speaker 14 14 0 14 0 14

Speaker/Strobe 25 25 0 25 0 25

Voice Evacuation 1 1 0 1 0 1

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 (2026)

Untested YTD

Communicator 1 1 0 1 0 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

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD

Duct Detector 13 13 0 13 0 13

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD

Devices

Tested This Quarter Pass Fail

Tested YTD (2026)

Untested YTD (2026) Total Quantity

Total Device Count: 82

Company: scDataCom Building: MP321

Signed: Apr 14, 2026 Signed:

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.

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; room temperature supervisory and other supervisory initiating devices.

Semi-annual test of valve supervisory switches (tamper switches). NFPA 72 (2022) Table 14.4.3.2 (17)(10)(b-g)

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))

Tamper Switch 1st Outside Room C-112 Back Of Building

12622635 1-ZONE 32 04/16-P 04/14-P

(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))

Waterflow Switch 1 1 0 1 1

Waterflow Switch 1st Outside Room C-112 ITV @ Riser Back Of Building

12622634 1-ZONE 31 EOL 04/16-P 04/14-P

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))

Duct Detector 13 13 0 13 13

Duct Detector 1st Main Lobby 45208439 1 04/16-P 04/03-P

Duct Detector 1st B WING ABOVE RECEPTION DESK Main Lobby

12622578 1 04/16-P 04/03-P

Duct Detector 1st C WING FRONT OF RM C 120 45208440 1-Z 41 EOL 04/16-P 04/03-P

Duct Detector 1st B WING BY RM B-113 12603737 1-46 EOL 04/16-P 04/03-P

Duct Detector 1st A 100 A WING Corridor 44230653 1-z 27 04/16-P 04/03-P

Duct Detector 1st C WING LOBBY FRONT OF RM C 115- C 111 Main Lobby

12603722 1-Z 26 04/16-P 04/03-P

Duct Detector Roof roof INSIDE UNIT 12603699 1-z42 04/16-P 04/14-P

Duct Detector Roof roof INSIDE UNIT 12603701 1-44 04/16-P 04/03-P

Duct Detector Roof roof INSIDE UNIT 12603700 1-43 04/16-P 04/03-P

Duct Detector Roof roof AHU 1 INSIDE UNIT 12603703 1-45 04/16-P 04/03-P

Duct Detector Roof AHU 1 SUPPLY roof INSIDE UNIT 12603702 1-30 04/16-P 04/03-P

Duct Detector Roof roof INSIDE UNIT 21001276 1-z42

04/03-P

Duct Detector Roof roof INSIDE UNIT 45206161 1-25 04/16-P 04/03-P

Device Total: 13

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))

Pull Station 14 14 0 14 14

Pull Station 1st Hallway Near C-134 45213173 1-19 EOL 04/16-P 04/03-P

Pull Station 1st Conference Room 12603777 1-04 EOL 04/16-P 04/03-P

Pull Station 1st Hallway Near B-116 12603776 1-01 04/16-P 04/03-P

Pull Station 1st Hallway Near A-140 12603775 1-10 04/16-P 04/03-P

Pull Station 1st Hallway Near C-105A 12603725 1-17 04/16-P 04/03-P

Pull Station 1st Hallway Near C-100 12603718 1-01 04/16-P 04/03-P

Pull Station 1st Hallway Near C-104 12603714 1-17 EOL 04/16-P 04/03-P

Pull Station 1st Hallway Near B-140 12603713 1-3 EOL 04/16-P 04/03-P

Pull Station 1st Hallway inside rm b119 12603778 1-4 04/16-P 04/03-P

Pull Station 1st Hallway Near A-112 12622684 1-9 EOL 04/16-P 04/03-P

Pull Station 1st Hallway Near CA-2 12622714 1-10 EOL 04/16-P 04/03-P

Pull Station 1st Hallway Near A-145 12622718 1-10

Pull Station 1st Hallway Near B-156 12603705 1-01 04/16-P 04/03-P

Pull Station 1st Hallway Near B-130 12603724 1-03 04/16-P 04/03-P

Device Total: 14

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))

Smoke Detector 1st c113 outside mech rm 12604189 1 04/16-P 04/03-P

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))

Releasing Device 8 8 0 8 8

Releasing Device 1st North Hallway Between A&B 12622759 1 04/16-P 04/03-P

Releasing Device 1st Hallway Between B&C 12604184 1 04/16-P 04/03-P

Releasing Device 1st Hallway Between B&C 12604183 1 04/16-P 04/03-P

Releasing Device 1st North Hallway Between A&B 12604178 1 04/16-P 04/03-P

Releasing Device 1st Hallway Near B-139 12603716 1 04/16-P 04/03-P

Releasing Device 1st Hallway Near B-139 12603715 1 04/16-P 04/03-P

Releasing Device 1st Hallway Between A&B 12622719 1 04/16-P 04/03-P

Releasing Device 1st Hallway Between A&B 12622717 1 04/16-P 04/03-P

Device Total: 8

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))

Speaker 14 14 0 14 14

Speaker 1st Hallway A-107 12604175 1 04/16-P 04/03-P

Speaker 1st Hallway Near C-127 12604176 1 04/16-P 04/03-P

Speaker 1st Inside C-120 45213174 1 04/16-P 04/03-P

Speaker 1st Inside B-109 45213176 1 04/16-P 04/03-P

Speaker 1st Hallway Near C-124 12603728 1 04/16-P 04/03-P

Speaker 1st Hallway A-107 12622711 1 04/16-P 04/03-P

Speaker 1st Inside B-112 45213175 1 04/16-P 04/03-P

Speaker 1st Hallway Near B-128 12603723 1 04/16-P 04/03-P

Speaker 1st Hallway Near A-140 12622706 1 04/16-P 04/03-P

Speaker 1st Hallway Near C-127 12603734 1 04/16-P 04/03-P

Speaker 1st Hallway Near C-100 12603717 1 04/16-P 04/03-P

Speaker 1st Hallway Near CB-8 12603710 1 04/16-P 04/03-P

Speaker 1st Main Lobby 12603708 1 04/16-P 04/03-P

Speaker 1st Hallway Near B-109 12603706 1 04/16-P 04/03-P

Device Total: 14

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))

Speaker/Strobe 25 25 0 25 25

Speaker/Strobe 1st Near CC-5 12603726 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway Near B-106 12622720 1 04/16-P 04/03-P

Speaker/Strobe 1st Bathroom Near C-115 12603720 1 04/16-P 04/03-P

Speaker/Strobe 1st Near B-146 12603711 1 04/16-P 04/03-P

Speaker/Strobe 1st Near C-134 12603732 1 04/16-P 04/03-P

Speaker/Strobe 1st Bathroom CB-9 12603709 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway Near A-138 12622707 1 04/16-P 04/03-P

Speaker/Strobe 1st Near B-112 12603735 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway Near B-106 12622760 1 04/16-P 04/03-P

Speaker/Strobe 1st Near C-103 12622756 1 04/16-P 04/03-P

Speaker/Strobe 1st Near C-140 12603729 1 04/16-P 04/03-P

Speaker/Strobe 1st inside rm b119 45206160 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway Near B-106 12603738 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway Near A-112 12622709 1 04/16-P 04/03-P

Speaker/Strobe 1st Bathroom B-126 45213171 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway b107 restroom 45206159 1 04/16-P 04/03-P

Speaker/Strobe 1st Bathroom C-118 45213172 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway Near A-146 12622716 1

Speaker/Strobe 1st Hallway Near A-153 12622715 1 04/16-P 04/03-P

Speaker/Strobe 1st Bathroom A-128 45213170 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway Near A-126 12622683 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway Near A-122 12622710 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway restroom A 120 45208438 1 04/16-P 04/03-P

Speaker/Strobe 1st Hallway A117 restroom 45208437 1 04/16-P 04/03-P

Speaker/Strobe 1st Main Group Room 12622713 1 04/16-P 04/03-P

Device Total: 25

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))

Voice Evacuation 1 1 0 1 1

Voice Evacuation 1st 12622639 1 04/16-P 04/03-P

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))

Communicator 1 1 0 1 1

Communicator

12622638 1 04/16-P 04/14-P

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))

Duct Detector 13 13 0 13 13

Duct Detector 1st Main Lobby 45208439 1 04/16-P 04/03-P

Duct Detector 1st B WING ABOVE RECEPTION DESK Main Lobby

12622578 1 04/16-P 04/03-P

Duct Detector 1st C WING FRONT OF RM C 120 45208440 1-Z 41 EOL 04/16-P 04/03-P

Duct Detector 1st B WING BY RM B-113 12603737 1-46 EOL 04/16-P 04/03-P

Duct Detector 1st A 100 A WING Corridor 44230653 1-z 27 04/16-P 04/03-P

Duct Detector 1st C WING LOBBY FRONT OF RM C 115- C 111 Main Lobby

12603722 1-Z 26 04/16-P 04/03-P

Duct Detector Roof roof INSIDE UNIT 12603699 1-z42 04/16-P 04/14-P

Duct Detector Roof roof INSIDE UNIT 12603701 1-44 04/16-P 04/03-P

Duct Detector Roof roof INSIDE UNIT 12603700 1-43 04/16-P 04/03-P

Duct Detector Roof roof AHU 1 INSIDE UNIT 12603703 1-45 04/16-P 04/03-P

Duct Detector Roof AHU 1 SUPPLY roof INSIDE UNIT 12603702 1-30 04/16-P 04/03-P

Duct Detector Roof roof INSIDE UNIT 21001276 1-z42

Duct Detector Roof roof INSIDE UNIT 45206161 1-25 04/16-P 04/03-P

Device Total: 13

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))

Control Panel 1st Inside room B102 Hallway Engineering IT

45210448 1 04/16-P 04/14-P

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))

Battery 1st 45210450 1 04/16-P 04/14-P

Battery 1st 45210449 1 04/16-P 04/14-P

Battery Tested 2

Communicator Tested 1

Control Panel Tested 1

Duct Detector Tested 13

Pull Station Tested 14

Releasing Device Tested 8

Smoke Detector Tested/Cleaned 1

Speaker/Strobe Tested 25

Speaker Tested 14

Tamper Switch Tested 1

Voice Evacuation Tested 1

Waterflow Switch Tested 1

Total 82

Grand Total 82 scDataCom 18 Download Date: 04/24/2026

Auxiliary Functions Testing

Building: MP321 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

Door Holder 1st Hallway Between A&B Passed 12622717

Door Holder 1st Hallway Between A&B Passed 12622719

1st Hallway Between B&C Passed 12604183

1st Hallway Between B&C Passed 12604184

1st Hallway Near B-139 Passed 12603715

1st Hallway Near B-139 Passed 12603716

1st North Hallway Between A&B Passed 12604178

1st North Hallway Between A&B Passed 12622759 scDataCom 19 Download Date: 04/24/2026

Time, Temperature & Level Testing

Building: MP321 Control Panel: 1 - SimplexGrinnell

The Time, Temperature, & Level Testing section details the measurements taken from various devices that are designed to respond in a certain amount of time, respond at a certain temperature, or respond within the acceptable range of volume or level. Items are grouped by Passed or Failed/Other.

Type Location Comment Sec Deg Lvl ScanID

Passed Waterflow Switch

1st Outside Room C-112 ITV @ Riser Back Of Building

Passed 55 n/a n/a 12622634 scDataCom 20 Download Date: 04/24/2026

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 55-Cab le

S…