Amendment 0001 - Palo Alto .pdf

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Fire Alarm and Protection System Inspection and PM
Solicitation number
36C26127Q0025
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This file contains amendment documentation and inspection certificates for fire alarm and life safety systems at a Department of Veterans Affairs facility in Palo Alto, California, along with the related solicitation details for ongoing inspection and preventive maintenance services.

The amendment extends the quote submission deadline to October 9, 2026, at 4:00 PM PST and provides a revised price schedule that offerors must use for their proposals. The solicitation is a 100% set-aside for Service-Disabled Veteran-Owned Small Business (SDVOSB) concerns and covers fire alarm and protection system inspection and preventive maintenance in accordance with a Performance Work Statement. The inspection certificates document comprehensive annual testing completed on January 28-30, 2026, for two buildings (PA5 and PA7) at 3801 Miranda Ave, Palo Alto, CA 94304, performed by scDataCom (Inspector: Derrick Tillman) in compliance with NFPA 101 (Life Safety Code, 2024 Edition), NFPA 72 (Fire Alarm Systems, 2022 Edition), and NFPA 90A (Air Conditioning/Ventilating Systems, 2022 Edition). The testing included 326 devices at PA5 (all passed, zero failures) and 329 devices at PA7 (all passed, zero failures), encompassing tamper switches, waterflow switches, duct detectors, heat detectors, pull stations, smoke detectors, speakers, strobes, releasing devices, control panels, batteries, power supplies, elevators, and related fire suppression and life safety equipment. The work was performed in compliance with The Joint Commission/VHA Standards and latest VHA clarification memoranda on engineering and life safety standards. The contracting agency is the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 21 (VISN 21).

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

For

PA5

3801 Miranda Ave

Palo Alto, CA 94304

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

Jan 30, 2026

Building: PA5 Company: scDataCom

Contact: Anthony Losito Contact: Derrick Tillman

Title: Electronics Shop Supervisor Title: Technician scDataCom 1 Download Date: 02/04/2026

Executive Summary

Generated by: BuildingReports.com

Building Information

Building: PA5 Contact: Anthony Losito

Address: 3801 Miranda Ave Phone: 6508523437

Address: Fax:

City/State/ZIP Code: Palo Alto, CA 94304 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: Notifier Inspection Date: 01/30/2026 IDC Style:

Model Number: NFS-3030D Install Date: 05/10/2017 SLC Style:

Software Version: Version Date: 05/10/2017 NAC Style:

Location: 1st Floor Electrical Room Bldg 5 FACP Current Protection:

scDataCom 2 Download Date: 02/04/2026

Inspection Completion Date: Jan 30, 2026

Building: PA5

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 22 22 0 22 0 22

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 14 14 0 14 0 14

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

(2026) Total Quantity

Duct Detector 23 23 0 23 0 23

Heat Detector 24 24 0 24 0 24

Pull Station 28 28 0 28 0 28

Smoke Detector 33 33 0 33 0 33

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

Releasing Device 8 8 0 8 0 8

Speaker 16 16 0 16 0 16

Speaker/Strobe 114 114 0 114 0 114

Strobe 12 12 0 12 0 12

Voice Evacuation 3 3 0 3 0 3

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

Monitor Device 6 6 0 6 0 6

EC 02.03.05 EP 11

For automatic sprinkler systems: Every 12 months, the hospital tests fire pumps under flow. Fire pump supervisory signals for pump running and pump power loss are tested annually. NFPA 25 (2023) 8.3.3

Devices

Tested This

Quarter Pass Fail

Tested YTD

(2026)

Untested YTD

Fire Pump Auto 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

(2026) Total Quantity

Duct Detector 23 23 0 23 0 23

Fan Shutdown 1 1 0 1 0 1

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 scDataCom 3 Download Date: 02/04/2026

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

Annunciator 2 2 0 2 0 2

Battery 10 10 0 10 0 10

Power Supply 3 3 0 3 0 3

Programmable Relay 1 1 0 1 0 1

LS 02.01.50 EP 07

Annual - Elevators are fully equipped and protected

Devices

Tested This

Quarter Pass Fail

Tested YTD

(2026)

Untested YTD

(2026) Total Quantity

Elevator 4 4 0 4 0 4

Total Device Count: 326 scDataCom 4 Download Date: 02/04/2026

Certification

Company: scDataCom Building: PA5

Inspector: Derrick Tillman Contact: Anthony Losito scDataCom 5 Download Date: 02/04/2026

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 Q1/26 Pass Q1/26 Fail Q1/26 Tested YTD (2026) Total Quantity

Tamper Switch 22 22 0 22 22

Device Type Location ScanID Address Q1/25 Q1/26

Tamper Switch 1st Floor Area B Stair Riser 12535329 1-L1 M07 03/11-P 01/29-P

Tamper Switch 4th Floor Stair 1 12535550 1-L002 M019 03/12-P 01/29-P

Tamper Switch Outside Fire Pump 45211863 1-L1 M059 03/12-P 01/29-P

Tamper Switch Outside Fire Pump 45211870 1-L1 M055 / PIV 03/12-P 01/29-P

Tamper Switch Outside Fire Pump 45211873 1-L1 M057 03/12-P 01/29-P

Tamper Switch Outside Fire Pump 45211869 1-L1 M057 03/12-P 01/29-P

Tamper Switch Outside Fire Pump 45211872 1-L1 M057 03/12-P 01/29-P

Tamper Switch Outside Fire Pump 45211874 1-L1 M057 03/12-P 01/29-P

Tamper Switch Outside Fire Pump 45211875 1-L1 M057 03/12-P 01/29-P

Tamper Switch Outside Fire Pump 45211871 1-L1 M057 03/12-P 01/29-P

Tamper Switch 1st Stair C 12535350 1-L1 M04 03/12-P 01/29-P

Tamper Switch 1st Stair 1 12535345 1-L1 M09 03/12-P 01/29-P

Tamper Switch 1st Stair 3 12535302 1-L1 M11 03/12-P 01/29-P

Tamper Switch 2nd Stair 1 12535371 1-L1 M29 03/12-P 01/29-P

Tamper Switch 2nd South Fire Exit Stairwell 12535406 1-L1 M27 03/12-P 01/29-P

Tamper Switch 2nd North Stair 3 12535376 1-L1 M31 03/12-P 01/29-P

Tamper Switch 3rd Stairs Exit Near Police 12535525 1-L2 M07 03/12-P 01/29-P

Tamper Switch 3rd Stairs 1 12535418 1-L2-M09 03/12-P 01/29-P

Tamper Switch 3rd Stair 3 45210220 1-L2 11 03/13-P 01/29-P

Tamper Switch 4th North Stair 3 12535542 1-L2 M21 03/12-P 01/29-P

Tamper Switch 4th Area B Stair Riser 12535554 1-L2 M17 03/12-P 01/29-P

Tamper Switch Roof Area A Stair Riser Penthouse 12535536 1-L002 M030 03/13-P 01/29-P

Device Total: 22 scDataCom 6 Download Date: 02/04/2026

(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 14 14 0 14 14

Waterflow Switch 1st Floor Area B Stair Riser 12535330 1-L1 M06 03/11-P 01/29-P

Waterflow Switch 1st Stair C 12535351 1-L1 M03 03/12-P 01/29-P

Waterflow Switch 1st Stair 1 12535346 1-L1 M08 03/12-P 01/29-P

Waterflow Switch 1st Stair 3 12535303 1-L1 M10 03/12-P 01/29-P

Waterflow Switch 2nd Stair 1 12535372 1-L1 M28 03/12-P 01/29-P

Waterflow Switch 2nd South Fire Exit Stairwell 12535405 1-L1 M26 03/12-P 01/29-P

Waterflow Switch 2nd North Stair 3 12535377 1-L1 M30 03/12-P 01/29-P

Waterflow Switch 3rd Stairs Exit Police 12535526 1-L2 M06 03/12-P 01/29-P

Waterflow Switch 3rd Stairs 1 12535419 1-L2-M08 03/12-P 01/29-P

Waterflow Switch 3rd Stair 3 Stairs Exit 45210219 1-L2 10 03/13-P 01/29-P

Waterflow Switch 4th North Stair 3 12535543 1-L2 M20 03/12-P 01/29-P

Waterflow Switch 4th Stair 1 12535551 1-L002 M018 03/12-P 01/29-P

Waterflow Switch 4th Area B Stair Riser 12535555 1-L2 M16 03/12-P 01/29-P

Waterflow Switch Roof Area A Stair Riser Penthouse 12535537 1-L002 M029 03/13-P 01/29-P

Device Total: 14 scDataCom 7 Download Date: 02/04/2026

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors. NFPA 72

(2022) Table 14.4.3.2 (17)

Test 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 23 23 0 23 23

Duct Detector Basement Area C 45212593 1-L1 D36 03/17-P 01/29-P

Duct Detector Basement Boiler Room B-113 45210824 1-L1 D24 03/17-P 01/29-P

Duct Detector 1st Men's Restroom Area A 45212765 1-L1 D11 03/17-P 01/30-P

Duct Detector 1st Women's Restroom Area A 45212764 1-L1 D23 03/13-P 01/29-P

Duct Detector 1st Men's Restroom Area A 84048757 1-L1 D11

01/29-P

Duct Detector 1st Outside By Room A-117A Elevator

Lobby

45212766 1-L1 D9 03/13-P 01/29-P

Duct Detector 1st Room A-117A 45212767 1-L1 D8 03/13-P 01/29-P

Duct Detector 2nd In Room B-232 12535367 1-L1 D12 03/13-P 01/29-P

Duct Detector 2nd In Room B-226 12535368 1-L1 D13 03/13-P 01/29-P

Duct Detector 2nd Back Counter In Room A252 12535397 1-L1 D17 03/13-P 01/29-P

Duct Detector 2nd Women's Restroom Area A 45212759 1-L1 D35 03/17-P 01/29-P

Duct Detector 2nd Men's Restroom A-241 45212757 1-L01 D34 03/13-P 01/29-P

Duct Detector 3rd In Office B322 in Hatch 45212595 1-L02 D02 03/17-P 01/29-P

Duct Detector 3rd Women's Locker Room B323 45212594 1-L02 D03 03/17-P 01/29-P

Duct Detector 3rd Men's Restroom Area A 45212756 1-L02 D09 03/13-P 01/29-P

Duct Detector 3rd Women's Rest Room Area A 45212755 1-L02 D10 03/13-P 01/29-P

Duct Detector 3rd Elevator Corridor Area A 45212758 1-L02 D07 03/13-P 01/29-P

Duct Detector 4th Corner of rm Inside Room B-429 45212760 1-L2 D12 03/13-P 01/29-P

Duct Detector 4th Men's Restroom Area A 45212761 1-L2 D14 03/13-P 01/29-P

Duct Detector 4th Women's Restroom Area A 45212762 1-L2 D18 03/13-P 01/29-P

Duct Detector 4th Reception Area A-432 ABOVE COPIER

MACH.

45212763 1-L2 D17 03/13-P 01/29-P

Duct Detector Roof Roof AHU.4 ROOF mounted outside unit

45208351 1-L2 D023 03/17-P 01/29-P

Duct Detector Roof Roof AHU-3 45210815 1-L2 D24 03/13-P 01/29-P

Device Total: 23 scDataCom 8 Download Date: 02/04/2026

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 24 24 0 24 24

Heat Detector Roof Roof ROOF Penthouse Heat 84049416 1-L02 D55

Heat Detector Roof Roof ROOF Penthouse Heat 84049415 1-L02 D54

Heat Detector Roof Roof ROOF Penthouse Heat 84049413 1-L02 D43

Heat Detector Roof Roof ROOF Penthouse Heat 84049412 1-L02 D55

Heat Detector Roof Roof ROOF Penthouse Heat 84049411 1-L02 D56

Heat Detector Roof Roof ROOF Penthouse Heat 84049410 1-L02 D57

Heat Detector Roof Roof ROOF Penthouse Heat 84049409 1-L02 D58

Heat Detector Roof Roof ROOF Penthouse Heat 84049408 1-L02 D60

Heat Detector Roof Roof ROOF Penthouse Heat 84049407 1-L02 D59

Heat Detector Roof Roof ROOF Penthouse Heat 84049406 1-L02 D48

Heat Detector Roof Roof ROOF Penthouse Heat 84049425 1-L02 D51

Heat Detector Roof Roof ROOF Penthouse Heat 84048770 1-L02 D47

Heat Detector Roof Roof ROOF Penthouse Heat 84048769 1-L02 D46

Heat Detector Roof Roof ROOF Penthouse Heat 84048768 1-L02 D45

Heat Detector Roof Roof ROOF Penthouse Heat 84048767 1-L02 D49

Heat Detector Roof Roof ROOF Penthouse Heat 84048766 1-L02 D50

Heat Detector Roof Roof ROOF Penthouse Heat 84048765 1-L02 D44

Heat Detector Roof Roof ROOF Penthouse Heat 84048764 1-L02 D66

Heat Detector Roof Roof ROOF Penthouse Heat 84048763 1-L02 D65

Heat Detector Roof Roof ROOF Penthouse Heat 84048762 1-L02 D64

Heat Detector Roof Roof ROOF Penthouse Heat 84048761 1-L02 D63

Heat Detector Roof Roof ROOF Penthouse Heat 84048760 1-L02 D61

Heat Detector Roof Roof ROOF Penthouse Heat 84048759 1-L02 D61

Heat Detector Roof Roof ROOF Penthouse Heat 84048758 1-L02 D67

Device Total: 24 scDataCom 9 Download Date: 02/04/2026

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 28 28 0 28 28

Pull Station 1st Floor Elevator Area C 45207772 1-L001 M020 03/11-P 01/29-P

Pull Station 1st Floor Area B Stair Exit 45207743 1-L001 M041 03/11-P 01/29-P

Pull Station 1st Floor Prosthetic Storage Room C-166 45208174 1-L001 M021 03/11-P 01/29-P

Pull Station 1st Floor Radiology Sciences Laboratory

Room C-181

45208176 1-L01 03/11-P 01/29-P

Pull Station 1st Floor Room A117B 45208185 1-L001 M018 03/11-P 01/29-P

Pull Station 1st Floor FACP ROOM Exit A 114 45207733 1-L001 M005 03/11-P 01/29-P

Pull Station 1st Floor Area B Stair Exit 45207742 1-L001 M012 03/11-P 01/29-P

Pull Station 4th Floor Area B Stair Exit 12535557 1-L002 M015 03/12-P 01/29-P

Pull Station 1st STAIRWELL 1 84048756 1-L1 M40

Pull Station 1st Wheel Chair Repair Room Area A 45208193 1-L01 M15 03/11-P 01/29-P

Pull Station 1st Wheel Chair Repair Room Area A 45208192 1-L001 M014 03/11-P 01/29-P

Pull Station 1st Amputee SVC Room B136 45208189 1-L01 M22 03/11-P 01/29-P

Pull Station 1st Amputee SVC A236 45208191 1-L01 M43 03/11-P 01/29-P

Pull Station 1st Room A-117A 45212768 1-L1 M19 03/12-P 01/29-P

Pull Station 1st Exit Near A-100 45210806 1-L1 M16 03/11-P 01/29-P

Pull Station 1st Area B Stair Exit 840656 1-L001 M040

Pull Station 1st Entrance 45210805 1-L1 M17 03/11-P 01/29-P

Pull Station 1st By Room A-116 12535347 1-L1 M13 03/11-P 01/29-P

Pull Station 2nd North Entrance To Fire Exit Stairs 45210646 1-L1 M36 03/11-P 01/29-P

Pull Station 2nd South Outside Entrance To Fire Exit

Stairs

45210610 1-L1 M32 03/13-P 01/29-P

Pull Station 2nd Entrance To Central Fire Exit Stairs 45210623 1-L1 M34 03/13-P 01/29-P

Pull Station 3rd Stairs Exit 45210245 1-2 5 03/13-P 01/29-P

Pull Station 3rd Stairs Exit 45210236 1-2 M12 03/11-P 01/29-P

Pull Station 3rd Stairs Exit 45210218 1-L02 M13 03/13-P 01/29-P

Pull Station 4th North Entrance To Fire Exit Stairs 45210654 1-L2 M23 03/13-P 01/29-P

Pull Station 4th Central Entrance To Fire Exit Stairs 45210672 1-L2 M22 03/13-P 01/29-P

Pull Station Roof South Exit Penthouse 45208211 1-L02 M32 03/13-P 01/29-P

Pull Station Roof Penthouse North Exit To Roof 45210675 1-L2 M31 03/12-P 01/29-P

Device Total: 28 scDataCom 10 Download Date: 02/04/2026

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 33 33 0 33 33

Smoke Detector 1st Floor Telecom Rm A186 45208187 1-L001 D032 03/11-P 01/30-P

Smoke Detector 1st Floor Telecom Rm A 308 45207740 1-L001 D027 03/12-P 01/30-P

Smoke Detector 1st Floor Room B-427F Area B Above

Ceiling

12535559 1-L002 D013 03/12-P 01/30-P

Smoke Detector 1st Floor Corridor At B 109 45207751 1-L001 D28 03/11-P 01/29-P

Smoke Detector 1st Floor STAIRWELL 2 Elevator Area C

NORTH

45207770 1-L001 D010 03/12-P 01/29-P

Smoke Detector 1st Floor Corridor At C 159 45207767 1-L001 D031 03/11-P 01/29-P

Smoke Detector 1st Floor Elevator S7 LOBBY 45207762 1-L001 D004 03/13-P 01/29-P

Smoke Detector 1st Floor Corridor At C 181 45207766 1-L001 D007 03/11-P 01/29-P

Smoke Detector 1st Floor Corridor At A 183 45207765 1-L001 D006 03/11-P 01/29-P

Smoke Detector 1st Floor Elevator P-5 & P-6 45207761 1-L001 D005 03/13-P 01/29-P

Smoke Detector 1st Floor Corridor At B 105 45207756 1-L001 D003 03/11-P 01/29-P

Smoke Detector 1st Floor Corridor At B 106 45207755 1-L001 D002 03/11-P 01/29-P

Smoke Detector 1st Floor Corridor At B 108 45207749 1-L001 D029 03/11-P 01/29-P

Smoke Detector 1st Floor Corridor At Area B 45207741 1-L001 D026 03/11-P 01/29-P

Smoke Detector 1st Floor FACP Room B 114 45207734 1-L001 D001 03/11-P 01/29-P

Smoke Detector 1st Corridor By C-176 45210811 1-L1 D-30 03/11-P 01/29-P

Smoke Detector 2nd B-311 44230235 1-L001 D01 03/12-P 01/30-P

Smoke Detector 2nd North Ceiling Of Waiting Room C 45210637 1-L1 D21 03/13-P 01/29-P

Smoke Detector 2nd North Entrance To Waiting Room C 45210636 1-L1 D20 03/13-P 01/29-P

Smoke Detector 2nd South Waiting Room B 45210618 1-L1 M14 03/13-P 01/29-P

Smoke Detector 2nd South Entrance To Waiting Room B 45210621 1-L1 M15 03/11-P 01/29-P

Smoke Detector 2nd Central Hallway Elevator Lobby ELEV.

S7 LOBBY

45210631 1-L1 D16 03/13-P 01/29-P

Smoke Detector 2nd Central Hallway Elevator Lobby P5 &

P6 ELEV..

45210630 1-L1 D18 03/13-P 01/29-P

Smoke Detector 2nd North Stairwell 2 Elevator AREA C

ELEV. S8

45210648 1-L1 D22 03/13-P 01/29-P

Smoke Detector 3rd LOBBY Elevator S7 45210230 1-2 D008 03/13-P 01/29-P

Smoke Detector 3rd Lobby Elevator P5 & P6 45210231 1-2 D006 03/13-P 01/29-P

Smoke Detector 3rd ELEV. S8 LOBBY STAIR 2 45210221 1-2 D11 03/13-P 01/29-P

Smoke Detector 4th North RM 425 45212097 1-L2 D19 03/13-P 01/29-P

Smoke Detector 4th North Stairwell 2 Elevator ELEV. S8 45210656 1-L2 D20 03/13-P 01/29-P

Smoke Detector 4th S7 Elevator LOBBY ALCOVE 45210668 1-L2 D15 03/13-P 01/29-P

Smoke Detector 4th Central Hallway Elevator Lobby Lobby

Elevator P5 & P6

45210669 1-L2 D16 03/13-P 01/29-P

Smoke Detector Roof P6 And P5 Elevator Machinery

Enclosure PENTHOUSE

45210677 1-L2 D21 03/17-P 01/29-P

Smoke Detector Roof Mechanical ELEVATOR P5/P6

PENTHOUSE MECH.

45210814 1-L2 D22 03/17-P 01/29-P

Device Total: 33 scDataCom 11 Download Date: 02/04/2026

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 Corridor By C-181 45212096 1 03/12-P 01/29-P

Releasing Device 1st Corridor By C-181 45212095 1 03/12-P 01/29-P

Releasing Device 1st Corridor By C-176 45212094 1 03/12-P 01/29-P

Releasing Device 1st Corridor By B-108 45208349 1 03/12-P 01/29-P

Releasing Device 1st Corridor By B-108 45208348 1 03/12-P 01/29-P

Releasing Device 1st Corridor By A-116 45208347 1 03/12-P 01/29-P

Releasing Device 2nd Outside Men's Bathroom Ceiling

A-241

45208346 1 03/12-P 01/29-P

Releasing Device 2nd Outside Men's Bathroom Ceiling

A-241

45208345 1 03/12-P 01/29-P

Device Total: 8 scDataCom 12 Download Date: 02/04/2026

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 16 16 0 16 16

Speaker 1st Floor Elevator P-5 & P-6 45207760 1-SP1 8-Feb 03/12-P 01/29-P

Speaker 1st Floor Corr Near B-114 45207747 1-SP1 4-Jan 03/12-P 01/29-P

Speaker 4th Floor Corr Near B-411 45208206 1-SP4 8-Jan 03/12-P 01/29-P

Speaker 4th Floor Corr Near B-429 45208203 1-SP4 7-Jan 03/12-P 01/29-P

Speaker 4th Floor Corr Near Area B Stair 45208198 1-SP4 3-Jan 03/12-P 01/29-P

Speaker 1st Corridor By C-150 45210812 1-SP1. 7-Mar 03/12-P 01/29-P

Speaker 2nd North Hallway Outside Room C-282 45210649 1-SP2.3 10 03/13-P 01/29-P

Speaker 2nd North Hallway Outside Room C-262 45210643 1-SP2.3 4 03/13-P 01/29-P

Speaker 2nd Central Hallway Elevator Lobby 45210627 1-SP2.2 8 03/13-P 01/29-P

Speaker 2nd South Hallway Ceiling Outside RM

B-226

45210614 1-SP2.1 4 03/13-P 01/29-P

Speaker 2nd South Hallway Ceiling Outside RM

B-208

45210608 1-SP2.1 7 03/13-P 01/29-P

Speaker 3rd Hallway Near B308 45210246 1-SP 3.1-2 03/13-P 01/29-P

Speaker 3rd Hallway Near A-349 45210233 1-SP 3.2-5 03/13-P 01/29-P

Speaker 3rd Hallway Near C-380 45210224 1-SP 3.3-2 03/13-P 01/29-P

Speaker 3rd Hallway Near C-380 45210217 1-SP 3.3-6 03/13-P 01/29-P

Speaker 4th Central Elevator Lobby 45210670 1-SP4.2 5 03/13-P 01/29-P

Device Total: 16 scDataCom 13 Download Date: 02/04/2026

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/Strobe 114 114 0 114 114

Speaker/Strobe 1st Floor Simulation Center Room C-181 45208178 1-ST1/SP1 03/12-P 01/29-P

Speaker/Strobe 1st Floor Simulation Center Room C-181 45208179 1-ST1/SP1

3-1/3-1

03/12-P 01/29-P

Speaker/Strobe 1st Floor Room A-118 45208180 1-ST1/SP1

2-10/2-11

03/12-P 01/29-P

Speaker/Strobe 1st Floor Room A-184 45208181 1-ST1/SP1

2-9/2-10

03/12-P 01/29-P

Speaker/Strobe 1st Floor Room A-101 45208182 1-ST1/SP1

2-7/2-7

03/12-P 01/29-P

Speaker/Strobe 1st Floor Simulation Center Room C-181 45208177 1-ST1/SP1

3-2/3-2

03/12-P 01/29-P

Speaker/Strobe 1st Floor Simulation Center Room C-181 45208175 1-ST1/SP1 03/12-P 01/29-P

Speaker/Strobe 1st Floor Physical Therapy Room C-166 45208173 1-ST1/SP1

3-13/3-13

03/12-P 01/29-P

Speaker/Strobe 1st Floor Physical Therapy Room C-166 45208172 1-ST1/SP1

3-11/3-12

03/12-P 01/29-P

Speaker/Strobe 1st Floor Optometry Conf Room C-172 45208171 1-ST1/SP1

3-8/3-9

03/12-P 01/29-P

Speaker/Strobe 1st Floor Occupational Health Program

Room C-149

45208170 1-ST1/SP1

3-4/3-4

03/12-P 01/29-P

Speaker/Strobe 1st Floor Elevator Area C 45207771 1-ST1/SP1

3-9/3-10

03/12-P 01/29-P

Speaker/Strobe 1st Floor Corridor At C 171 45207769 1-ST1/SP1

3-7/3-8

03/12-P 01/29-P

Speaker/Strobe 1st Floor Corridor At C Stair 45207768 1-ST1/SP1

3-10/3-11

03/12-P 01/29-P

Speaker/Strobe 1st Floor Corridor At A 183 45207764 1-ST1/SP1

2-11/2-12

03/12-P 01/29-P

Speaker/Strobe 1st Floor Elevator S7 45207763 1-ST1/SP1

2-8/2-9

03/12-P 01/29-P

Speaker/Strobe 1st Floor West Exit Area A 45207759 1-ST1/SP1

2-4/2-4

03/12-P 01/29-P

Speaker/Strobe 1st Floor Men's Rest Room Near A-116 45207758 1-ST1/SP1

2-2/2-2

03/12-P 01/29-P

Speaker/Strobe 1st Floor Corr At Room A-116 45207757 1-ST1/SP1

2-3/2-3

03/12-P 01/29-P

Speaker/Strobe 1st Floor Corr At Room B-106 45207754 1-ST1/SP1

1-2/1-2

03/12-P 01/29-P

Speaker/Strobe 1st Floor Room B-106 45207753 1-ST1/SP1

1-3/1-3

03/12-P 01/29-P

Speaker/Strobe 1st Floor Near Room B-109A 45207752 1-ST1/SP1

1-9/1-9

03/12-P 01/29-P

Speaker/Strobe 1st Floor Near Room B-109D 45207750 1-ST1/SP1

1-5/1-6

03/12-P 01/29-P

Speaker/Strobe 1st Floor Corr Near Room B-107 45207748 1-ST1/SP1 1-4/1-

03/11-P 01/29-P

Speaker/Strobe 1st Floor Room B-111 45207746 1-ST1/SP1

1-13/1- 16

03/12-P 01/29-P

Speaker/Strobe 1st Floor Corr Area B Stair 45207744 1-ST1/SP1

1-14/1- 12

03/12-P 01/29-P

Speaker/Strobe 1st Floor Conf Room B -110D 45207739 1-ST1/SP1

1-10/1-11

03/12-P 01/29-P

Speaker/Strobe 1st Floor Room B-110 45207738 1-ST1/SP1 03/12-P 01/29-P scDataCom 14 Download Date: 02/04/2026

1-11/1- 10

Speaker/Strobe 1st Floor FACP Room B 114 45207732 1-ST1/SP1

1-1/1-1

03/12-P 01/29-P

Speaker/Strobe 4th Floor Room B-421C 45208195 1-ST4/SP4

1-1/1-1

03/12-P 01/29-P

Speaker/Strobe 4th Floor Corr Near Room B-422 45208196 1-ST4/SP4

1-2/1-2

03/12-P 01/29-P

Speaker/Strobe 4th Floor Corr Near Room B-414 45208200 1-ST4/SP4

1-6/1-5

03/12-P 01/29-P

Speaker/Strobe 4th Floor Room B-414 45208202 1-ST4/SP4

1-5/1-4

03/12-P 01/29-P

Speaker/Strobe 4th Floor Room B-427 45208204 1-ST4/SP4

1-7/1-6

03/12-P 01/29-P

Speaker/Strobe 4th Floor Room B-430 45208207 1-ST4/SP4

1-9/1-9

03/12-P 01/29-P

Speaker/Strobe 4th Floor Men's Restroom Across A-431 45208209 1-ST4/SP4

2-1/2-1

03/12-P 01/29-P

Speaker/Strobe 4th Floor Corr Near A-431 45208210 1-ST4/SP4

2-2/2-2

03/12-P 01/29-P

Speaker/Strobe Basement Boiler Room B-113 45210819 1-ST1/SP1

1-18/1-15

03/12-P 01/29-P

Speaker/Strobe Basement Boiler Room B-113 45210823 1-ST1/SP1

1-17/1-14

03/12-P 01/29-P

Speaker/Strobe 1st Room A-117B 45208184 1-ST1/SP1

2-5/2-5

03/12-P 01/29-P

Speaker/Strobe 1st Amputee SVC Room B136 45208188 1-ST1/SP1

1-7/1-8

03/12-P 01/29-P

Speaker/Strobe 1st Wheel Chair Repair Room 45208194 1-ST1/SP1

2-1/2-1

03/12-P 01/29-P

Speaker/Strobe 1st Lobby Area Of A-100 45210807 1-ST1/SP1

2-6/2-6

03/12-P 01/29-P

Speaker/Strobe 1st Women's Restroom 45210808 1-ST1/SP1

2-12/2-13 EOL

03/12-P 01/29-P

Speaker/Strobe 1st Corridor By C-180 45210809 1-ST1/SP1

3-3/3-3

03/12-P 01/29-P

Speaker/Strobe 1st Corridor By C-176 45210810 1-ST1/SP1

3-5/3-5

03/12-P 01/29-P

Speaker/Strobe 1st Corridor By C-151 45210813 1-ST1/SP1

3-6/3-6

03/12-P 01/29-P

Speaker/Strobe 2nd Ceiling Room A-250 45208410 1-ST2.2.3 / SP2. 03/12-P 01/29-P

Speaker/Strobe 2nd South Hallway Ceiling Outside RM

B-202

45210607 1-ST2.1 / SP2.1 8

/ 9 EOL

03/12-P 01/29-P

Speaker/Strobe 2nd South Ceiling Inside Room B-209 45210609 1-ST2.1 / SP2.1

8-Jul

03/13-P 01/29-P

Speaker/Strobe 2nd South Ceiling Main Hallway

Intersection

45210612 1-ST2.1 / SP2.1

6-May

03/13-P 01/29-P

Speaker/Strobe 2nd South Ceiling Hallway Outside RM

B-225

45210613 1-ST2.1 / SP2.1

5-Apr

03/13-P 01/29-P

Speaker/Strobe 2nd South Hallway Ceiling Outside RM

B-222

45210615 1-ST2.1 / SP2.1

2-Feb

03/13-P 01/29-P

Speaker/Strobe 2nd South Hallway Ceiling Outside Room

B-232

45210617 1-ST2.1 / SP2.1

1-Jan

03/13-P 01/29-P

Speaker/Strobe 2nd South Waiting Room B West End 45210619 1-ST2.2 / SP2.2

1-Jan

03/13-P 01/29-P

Speaker/Strobe 2nd South Waiting Room B East End 45210620 1-ST2.2 / SP2.2

2-Feb

03/13-P 01/29-P

Speaker/Strobe 2nd Men's Bathroom Ceiling A-241 45210622 1-ST2.2 / SP2.2

4-Apr

03/13-P 01/29-P

Speaker/Strobe 2nd Central Hallway Outside Entrance To

Fire Exit

45210624 1-ST2.2 / SP2.2

5-May

03/13-P 01/29-P scDataCom 15 Download Date: 02/04/2026

Speaker/Strobe 2nd Resource Room Ceiling A-244 45210625 1-ST2.2 / SP2.2

6-Jun

03/13-P 01/29-P

Speaker/Strobe 2nd Ceiling Room A-240 45210626 1-ST2.2 / SP2.2

3-Mar

03/13-P 01/29-P

Speaker/Strobe 2nd Ceiling Woman's Resource Center

A-247

45210628 1-ST2.2 / SP2.2

7-Aug

03/13-P 01/29-P

Speaker/Strobe 2nd Ceiling Room A-250 45210632 1-ST2.2 / SP2.2

10-Oct

03/13-P 01/29-P

Speaker/Strobe 2nd Ceiling Room A-250 45210633 1-ST2.2 / SP2.2

9-Sep

03/13-P 01/29-P

Speaker/Strobe 2nd Check-In Room A-252 45210634 1-ST2.2 / SP2.2

12-Dec

03/13-P 01/29-P

Speaker/Strobe 2nd Central Hallway Outside RM A-252 45210635 1-ST2.2 / SP2.2

11-Nov

03/13-P 01/29-P

Speaker/Strobe 2nd Waiting Room C 45210638 1-ST2.3 / SP2.3

1-Jan

03/13-P 01/29-P

Speaker/Strobe 2nd Waiting Room C 45210639 1-ST2.3 / SP2.3

2-Feb

03/13-P 01/29-P

Speaker/Strobe 2nd North Women's Bathroom 45210640 1-ST2.2 / SP2.2

13 / 13 EOL

03/13-P 01/29-P

Speaker/Strobe 2nd North Hallway Outside Room C-258 45210641 1-ST2.3 / SP2.3

3-Mar

03/13-P 01/29-P

Speaker/Strobe 2nd North Hallway Intersection Outside

Nurses Station

45210642 1-ST2.3 / SP2.3

3-Mar

03/13-P 01/29-P

Speaker/Strobe 2nd North Hallway Outside C-270 45210644 1-ST2.3 / SP2.3

6-May

03/13-P 01/29-P

Speaker/Strobe 2nd North Hallway Outside C-267 45210645 1-ST2.3 / SP2.3

8-Jul

03/13-P 01/29-P

Speaker/Strobe 2nd North Stairwell Elevator Alcove 45210647 1-ST2.3 / SP2.3

9-Sep

03/13-P 01/29-P

Speaker/Strobe 2nd North Hallway Outside Room C-288 45210650 1-ST2.3 / SP2.3

12-Nov

03/13-P 01/29-P

Speaker/Strobe 2nd North Conference Room A-281 45210651 1-ST2.3 / SP2.3

11-Oct

03/13-P 01/29-P

Speaker/Strobe 3rd Room A-349 45210234 1-ST/SP

3.2-4/3.2-4

03/13-P 01/29-P

Speaker/Strobe 3rd Staff Break Room 45210232 1-ST/SP

3.2-5/3.2-6

03/13-P 01/29-P

Speaker/Strobe 3rd In Front of Elevator 45210229 1-ST/SP

3.2-6/3.2-7

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near C-377 45210216 1-ST/SP 3.3-5

EOL/3.3-7

03/13-P 01/29-P

Speaker/Strobe 3rd Room A-352 45210228 1-ST/SP

3.2-7/3.2-8

03/13-P 01/29-P

Speaker/Strobe 3rd Center Elevator 45210222 1-ST/SP 3.3-4

/3.3-5

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near C-387 45210223 1-ST/SP

3.3-3/3.3-4

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near A-354 45210227 1-ST/SP

3.2-8/3.2-9

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near C-362 45210225 1-ST/SP

3.3-2/3.3-3

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near C-391 45210226 1-ST/SP

3.3-1/3.3-1

03/13-P 01/29-P

Speaker/Strobe 3rd Near Room A-349C 45210235 1-ST/SP

3.2-3/3.2-3

03/13-P 01/29-P

Speaker/Strobe 3rd Bathroom Men's 45210237 1-ST/SP

3.2-1/3.2-1

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near Room A-328 45210238 1-ST/SP

3.2-2/3.2-2

03/13-P 01/29-P scDataCom 16 Download Date: 02/04/2026

Speaker/Strobe 3rd Bathroom Women's 45210239 1-ST/SP

3.2-9/3.2-10

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near B-325 45210240 1-ST/SP 3.1-8

EOL/3.1-5

03/13-P 01/29-P

Speaker/Strobe 3rd Women's Locker Room B-323 45210241 1-ST/SP

3.1-5/3.1-5

03/13-P 01/29-P

Speaker/Strobe 3rd Room B-324 45210242 1-ST/SP

3.1-7/3.1-7

03/13-P 01/29-P

Speaker/Strobe 3rd Near Room B-312 45210243 1-ST/SP

3.1-6/3.1-6

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near Room B321 45210244 1-ST/SP

3.1-4/3.1-4

03/13-P 01/29-P

Speaker/Strobe 3rd Hallway Near Room B302 45210247 1-ST/SP

3.2-1/3.1-1

03/13-P 01/29-P

Speaker/Strobe 3rd Employee Fitness Room 45210249 1-ST/SP

3.1-3/3.1-3

03/13-P 01/29-P

Speaker/Strobe 4th North Room C-443 45210652 1-ST4.3 / SP4.3 9

EOL / 8

03/13-P 01/29-P

Speaker/Strobe 4th North Hallway Outside Room C-444 45210653 1-ST4.3 / SP4.3

7-Aug

03/13-P 01/29-P

Speaker/Strobe 4th North Fire Exit Stairwell Elevator

Alcove

45210655 1-ST4.3 / SP4.3

6-Jul

03/13-P 01/29-P

Speaker/Strobe 4th North Room C-449 45210657 1-ST4.3 / SP4.3

3-Apr

03/13-P 01/29-P

Speaker/Strobe 4th North Hallway Intersection Outside

RM C-435

45210658 1-ST4.3 / SP4.3

3-Apr

03/13-P 01/29-P

Speaker/Strobe 4th North Inside Room C-347 45210659 1-ST4.3 / SP4.3

4-May

03/13-P 01/29-P

Speaker/Strobe 4th North Inside Room C-347 45210660 1-ST4.3 / SP4.3

5-Jun

03/13-P 01/29-P

Speaker/Strobe 4th North Hallway Outside RM-454 45210662 1-ST4.3 / SP4.3

1-Jan

03/13-P 01/29-P

Speaker/Strobe 4th North Inside Women's Bathroom 45210663 1-ST4.3 / SP4.3

10 EOL / 10 EOL

03/13-P 01/29-P

Speaker/Strobe 4th North Hallway Outside Women's

Bathroom

45210664 1-ST4.2 / SP4.2

9-Sep

03/13-P 01/29-P

Speaker/Strobe 4th North Inside Room A-432 45210665 1-ST4.2 / SP4.2

8-Aug

03/13-P 01/29-P

Speaker/Strobe 4th North Inside Room A-432 Back

Hallway

45210666 1-ST4.2 / SP4.2

7-Jul

03/13-P 01/29-P

Speaker/Strobe 4th S7 Elevator Alcove 45210667 1-ST4.2 / SP4.2

6-May

03/13-P 01/29-P

Speaker/Strobe 4th Inside Room A-431 45210673 1-ST4.2 / SP4.2

4-May

03/13-P 01/29-P

Speaker/Strobe 4th Inside Room A-431 45210674 1-ST4.2 / SP4.2

3-Apr

03/13-P 01/29-P

Speaker/Strobe Roof South Exit Penthouse 45208212 1-ST4/SP4

4-1/4-1

03/13-P 01/29-P

Speaker/Strobe Roof Penthouse ENTRANCE ON COLUMN

AHU Room

12535534 1-ST4.4 / SP4.4

2-Feb

03/13-P 01/29-P

Speaker/Strobe Roof Penthouse North Exit To Roof 45210676 1-ST4.4 / SP4.4

2-Feb

03/12-P 01/29-P

Device Total: 114 scDataCom 17 Download Date: 02/04/2026

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 12 12 0 12 12

Strobe 1st Floor Amputee SVC Room B136

Restroom

45208190 1-ST1 8-Jan 03/12-P 01/29-P

Strobe 1st Floor Men's Restroom Near Area B

Stair

45207745 1-ST1 15-Jan 03/12-P 01/29-P

Strobe 1st Floor By Room B-109C 45207737 1-ST1 10-Jan 03/12-P 01/29-P

Strobe 1st Floor Women's Restroom Near B-110 45207736 1-ST1 13-Jan 03/12-P 01/29-P

Strobe 4th Floor Restroom Near B-411 45208208 1-ST4 8-Jan 03/12-P 01/29-P

Strobe 4th Floor Kitchen B-415 45208201 1-ST4 4-Jan 03/12-P 01/29-P

Strobe 4th Floor B-Wing Restroom 45208199 1-ST4 3-Jan 03/12-P 01/29-P

Strobe 2nd Ceiling Woman's Resource Center

A-247H

45210629 1-ST2.2 7 03/13-P 01/29-P

Strobe 2nd Resource Room A-244 12535373 1 03/12-P 01/29-P

Strobe 3rd Bathroom Men's Police 45210248 1-ST 3.1-2 03/13-P 01/29-P

Strobe 4th Unisex Bathroom RM A-404 45210671 1-ST4.3 2 03/13-P 01/29-P

Strobe 4th North Unisex Bathroom RM C-451 45210661 1-ST4.3 2 03/13-P 01/29-P

Device Total: 12 scDataCom 18 Download Date: 02/04/2026

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))

Voice Evacuation 3 3 0 3 3

Voice Evacuation 1st Floor Electrical Room Bldg 5 DAA 4 45207723 1 03/12-P 01/29-P

Voice Evacuation 1st Floor Electrical Room Bldg 5 DAA 3 45207722 1 03/12-P 01/29-P

Voice Evacuation 1st Floor Electrical Room Bldg 5 DAA 2 45207721 1 03/12-P 01/29-P

Device Total: 3 scDataCom 19 Download Date: 02/04/2026

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))

Monitor Device 6 6 0 6 6

Monitor Device 1st Floor Electrical Room Power Supply

Monitor Module

45207731 1-L001 M002 03/12-P 01/30-P

Monitor Device 1st Floor Electrical Room Power Supply

Relay Module

45207730 1-L001 M039 03/12-P 01/29-P

Monitor Device 1st Lower inside elec rm B-116 MC-RM

INSIDE FCPS 24S

44231100 2-1 M01 03/12-P 01/29-P

Monitor Device 3rd B-311 44230232 1-2 m02 03/13-P 01/29-P

Monitor Device 4th B-425 house keeping closet left battery

44230230 2-2 m51 03/13-P 01/29-P

Monitor Device Roof Roof AHU.5 AHU Room 45208350 1-L2 M56 03/13-P 01/30-P

Device Total: 6 scDataCom 20 Download Date: 02/04/2026

EC 02.03.05 EP 11

For automatic sprinkler systems: Every 12 months, the hospital tests fire pumps under flow. Fire pump supervisory signals for pump running and pump power loss are tested annually. NFPA 25 (2023) 8.3.3

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))

Fire Pump Auto 1 1 0 1 1

Fire Pump Auto Outside Fire Pump 45211868 1-L1 M057 03/12-P 01/29-P

Device Total: 1 scDataCom 21 Download Date: 02/04/2026

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 23 23 0 23 23

Duct Detector Basement Area C 45212593 1-L1 D36 03/17-P 01/29-P

Duct Detector Basement Boiler Room B-113 45210824 1-L1 D24 03/17-P 01/29-P

Duct Detector 1st Men's Restroom Area A 45212765 1-L1 D11 03/17-P 01/30-P

Duct Detector 1st Women's Restroom Area A 45212764 1-L1 D23 03/13-P 01/29-P

Duct Detector 1st Men's Restroom Area A 84048757 1-L1 D11

Duct Detector 1st Outside By Room A-117A Elevator

Lobby

45212766 1-L1 D9 03/13-P 01/29-P

Duct Detector 1st Room A-117A 45212767 1-L1 D8 03/13-P 01/29-P

Duct Detector 2nd In Room B-232 12535367 1-L1 D12 03/13-P 01/29-P

Duct Detector 2nd In Room B-226 12535368 1-L1 D13 03/13-P 01/29-P

Duct Detector 2nd Back Counter In Room A252 12535397 1-L1 D17 03/13-P 01/29-P

Duct Detector 2nd Women's Restroom Area A 45212759 1-L1 D35 03/17-P 01/29-P

Duct Detector 2nd Men's Restroom A-241 45212757 1-L01 D34 03/13-P 01/29-P

Duct Detector 3rd In Office B322 in Hatch 45212595 1-L02 D02 03/17-P 01/29-P

Duct Detector 3rd Women's Locker Room B323 45212594 1-L02 D03 03/17-P 01/29-P

Duct Detector 3rd Men's Restroom Area A 45212756 1-L02 D09 03/13-P 01/29-P

Duct Detector 3rd Women's Rest Room Area A 45212755 1-L02 D10 03/13-P 01/29-P

Duct Detector 3rd Elevator Corridor Area A 45212758 1-L02 D07 03/13-P 01/29-P

Duct Detector 4th Corner of rm Inside Room B-429 45212760 1-L2 D12 03/13-P 01/29-P

Duct Detector 4th Men's Restroom Area A 45212761 1-L2 D14 03/13-P 01/29-P

Duct Detector 4th Women's Restroom Area A 45212762 1-L2 D18 03/13-P 01/29-P

Duct Detector 4th Reception Area A-432 ABOVE COPIER

MACH.

45212763 1-L2 D17 03/13-P 01/29-P

Duct Detector Roof Roof AHU.4 ROOF mounted outside unit

45208351 1-L2 D023 03/17-P 01/29-P

Duct Detector Roof Roof AHU-3 45210815 1-L2 D24 03/13-P 01/29-P

Device Total: 23 scDataCom 22 Download Date: 02/04/2026

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))

Fan Shutdown 1 1 0 1 1

Fan Shutdown Basement Boiler Room B-113 45210818 1-L1 D24 03/17-P 01/30-P scDataCom 23 Download Date: 02/04/2026

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 Floor Electrical Room Bldg 5 FACP 45207719 1 03/13-P 01/30-P scDataCom 24 Download Date: 02/04/2026

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 2 2 0 2 2

Annunciator 1st Floor Lobby A-101 45208183 1 03/11-P 01/30-P

Annunciator 1st Floor Electrical Room Bldg 5 Digital

Voice Commands Center

45207720 1 03/12-P 01/30-P

Device Total: 2 scDataCom 25 Download Date: 02/04/2026

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 10 10 0 10 10

Battery 1st Floor Electrical Room DAA Battery

Left

45207724 1 03/12-P 01/30-P

Battery 1st Floor Electrical Room DAA Battery

Right

45207725 1 03/12-P 01/30-P

Battery 1st Floor Electrical Room FACP Battery

Left

45207726 1 03/12-P 01/30-P

Battery 1st Floor Electrical Room FACP Battery

Right

45207727 1 03/12-P 01/30-P

Battery 1st Floor Electrical Room Power Supply

Battery Left

45207728 1 03/12-P 01/30-P

Battery 1st Floor Electrical Room Power Supply

Battery Right

45207729 1 03/12-P 01/30-P

Battery 3rd B-311 right battery 44230234 1 03/13-P 01/30-P

Battery 3rd B-311 left battery 44230233 1 03/13-P 01/30-P

Battery 4th Electrical Room B-425 Right battery 45212099 1 03/13-P 01/30-P

Battery 4th B-425 house keeping closet left battery

45212098 1 03/13-P 01/30-P

Device Total: 10 scDataCom 26 Download Date: 02/04/2026

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 3 3 0 3 3

Power Supply 1st Floor Electrical Room 45207735 1 03/12-P 01/30-P

Power Supply 3rd B-311 44230231 1 03/13-P 01/30-P

Power Supply 4th B-425 house keeping closet left battery

44230229 1 03/13-P 01/30-P

Device Total: 3 scDataCom 27 Download Date: 02/04/2026

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))

Programmable Relay 1 1 0 1 1

Programmable Relay Roof AHU 1 45210250 1-2 57 03/12-P 01/29-P scDataCom 28 Download Date: 02/04/2026

LS 02.01.50 EP 07

Annual - Elevators are fully equipped and protected

Test interface equipment connections by operating or simulating the equipment being supervised. Verify signals required to be transmitted are received at the control unit. (NFPA 72-22 Table 14.4.3.2 (20))

Elevator 4 4 0 4 4

Elevator Roof Roof 45210817 1-L2 M27 03/17-P 01/30-P

Elevator Roof Roof 45210816 1-L2 M28 03/17-P 01/30-P

Elevator Roof P6 And P5 Elevator Machinery

Enclosure

45210680 1-L2 M26 03/17-P 01/29-P

Elevator Roof P6 And P5 Elevator Machinery

Enclosure

45210678 1-L2 M25 03/17-P 01/29-P

Device Total: 4 scDataCom 29 Download Date: 02/04/2026

Service Summary

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

Device Type Service Quantity

Passed

Annunciator Tested 2

Battery Tested 10

Control Panel Tested 1

Duct Detector Tested 23

Elevator Tested 4

Fan Shutdown Tested 1

Fire Pump Auto Tested 1

Heat Detector Tested 24

Monitor Device Tested 6

Power Supply Tested 3

Programmable Relay Tested 1

Pull Station Tested 28

Releasing Device Tested 8

Smoke Detector Tested/Cleaned 33

Speaker/Strobe Tested 114

Speaker Tested 16

Strobe Tested 12

Tamper Switch Tested 22

Voice Evacuation Tested 3

Waterflow Switch Tested 14

Total 326

Grand Total 326 scDataCom 30 Download Date: 02/04/2026

Auxiliary Functions Testing

Building: PA5 Control Panel: 1 - Notifier NFS-3030D

The Auxiliary Functions Testing section lists each of the ancillary items, systems, and emergency equipment that are controlled by the system control unit. Items are grouped by Passed or Failed/Other. The items are listed by device type, and a check box is provided to indicate if the test conducted was simulated.

Type Location Comment ScanID Simulated

Passed

Elevator

Roof P6 And P5 Elevator Machinery Enclosure Passed 45210678

Roof P6 And P5 Elevator Machinery Enclosure Passed 45210680

Roof Roof Passed 45210816

Roof Roof Passed 45210817

Fan Shutdown

Basement Boiler Room B-113 Passed 45210818

Programmable Relay

Roof AHU 1 Passed 45210250

Releasing Device

1st Corridor By A-116 Passed 45208347

1st Corridor By B-108 Passed 45208348

1st Corridor By B-108 Passed 45208349

1st Corridor By C-176 Passed 45212094

1st Corridor By C-181 Passed 45212095

1st Corridor By C-181 Passed 45212096

2nd Outside Men's Bathroom Ceiling A-241 Passed 45208345

2nd Outside Men's Bathroom Ceiling A-241 Passed 45208346 scDataCom 31 Download Date: 02/04/2026

Time, Temperature & Level Testing

Control Panel: 1 - Notifier

NFS-3030D

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 Floor Area B Stair Riser Passed 45 n/a n/a 12535330

1st Stair 1 Passed 45 n/a n/a 12535346

1st Stair 3 Passed 45 n/a n/a 12535303

1st Stair C Passed 46 n/a n/a 12535351

2nd Stair 1 Passed 42 n/a n/a 12535372

2nd North Stair 3 Passed 44 n/a n/a 12535377

2nd South Fire Exit Stairwell Passed 45 n/a n/a 12535405

3rd Stairs 1 Passed 45 n/a n/a 12535419

3rd Stairs Exit Police Passed 45 n/a n/a 12535526

3rd Stair 3 Stairs Exit Passed 45 n/a n/a 45210219

4th Area B Stair Riser Passed 75 n/a n/a 12535555

4th Stair 1 Passed 65 n/a n/a 12535551

4th North Stair 3 Passed 37 n/a n/a 12535543

Roof Area A Stair Riser Penthouse Passed 70 n/a n/a 12535537 scDataCom 32 Download Date: 02/04/2026

Battery & Power Supply Testing

NFS-3030D

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 Floor Electrical Room DAA

Battery Left

55-NB 12

Sealed Lead Acid 1st Floor Electrical Room DAA

Battery Right

55-NB 12

Sealed Lead Acid 1st Floor Electrical Room FACP

Battery Left

55-NB 12

Sealed Lead Acid 1st Floor Electrical Room FACP

Battery Right

55-NB 12

Sealed Lead Acid 1st Floor Electrical Room Power

Supply Battery Left

7 12

Sealed Lead Acid 1st Floor Electrical Room Power

Supply Battery Right

7 12

Sealed Lead Acid 3rd B-311 left battery 7 12

Sealed Lead Acid 3rd B-311 right battery 7 12

Sealed Lead Acid 4th Electrical Room B-425

Right battery

7 12

Sealed Lead Acid 4th B-425 house keeping closet left battery

7 12 scDataCom 33 Download Date: 02/04/2026

Inventory & Warranty Report

Building: PA5 Control Panel: 1 - Notifier NFS-3030D

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 0.61% 2

Battery Control 3.07% 10

Control Panel Control 0.31% 1

Duct Detector Initiating 7.06% 23

Elevator Auxiliary 1.23% 4

Fan Shutdown Auxiliary 0.31% 1

Fire Pump Auto Monitor 0.31% 1

Heat Detector Initiating 7.36% 24

Monitor Device Monitor 1.84% 6

Power Supply Control 0.92% 3

Programmable Relay Auxiliary 0.31% 1

Pull Station Initiating 8.59% 28

Releasing Device Auxiliary 2.45% 8

Smoke Detector Initiating 10.12% 33

Speaker Indicating 4.91% 16

Speaker/Strobe Indicating 34.97% 114

Strobe Indicating 3.68% 12

Tamper Switch Supervisory 6.75% 22

Voice Evacuation Control 0.92% 3

Waterflow Switch Initiating 4.29% 14

Type Qty Model # Description Install Date

New (under 90 days)

Continental

Battery 2 PS-127 Sealed Lead Acid 01/30/2026

Battery 2 PS-127 Sealed Lead Acid 11/15/2025

Interstate

Battery 2 PS1270 Sealed Lead Acid 11/15/2025

Battery 4 SLA1165 Sealed Lead Acid 11/15/2025

In Service - 5 Years to 10 Years

Notifier

Monitor Device 1

09/13/2017

Power-Sonic

Power Supply 2 PS-127

Magnetic Door Holder

Releasing Device 2

05/11/2017

Elevator 2 FCM-1

Programmable Relay 1 Frm-1 scDataCom 34 Download Date: 02/04/2026

Pull Station 6 LBG-12LX

Pull Station 3 NGB-12LX

Smoke Detector 4 FSP-851

Tamper Switch 3

Tamper Switch 1 Victaulic

Waterflow Switch 4 VSR-SF

Potter Electric

Waterflow Switch 3 VCD

SIMPLEX

Speaker/Strobe 1 SIMPLEX

SimplexGrinnell

Strobe 1

System Sensor

Smoke Detector 11 FSP-851

Speaker 10 SPCR

Speaker/Strobe 65 SPSCR

Strobe 4 SCR

Victaulic

Tamper Switch 3 V-40-1520

Honeywell

Pull Station 1 NBG-12LX

05/10/2017

Annunciator 1 DVC-EM

Annunciator 1 LCD2-80

Control Panel 1 NFS-3030D

Duct Detector 21 DNR FSP-851

Duct Detector 2 FSP-851

Elevator 2 FSP-851

Fan Shutdown 1 FRM-1

Heat Detector 12 FST-851R Hardwire - Rate-of-Rise 05/10/2017

Heat Detector 12 FST-951R Hardwire - Rate-of-Rise 05/10/2017

Monitor Device 3 FRM-1

Power Supply 1 FCPS-24S8

Pull Station 13 NBG -12LX

Pull Station 4 NBG-12LX

Releasing Device 6 FM990

Smoke Detector 18 FSP-851

Speaker/Strobe 16 SPSCR

Tamper Switch 3

Voice Evacuation 3 DAA-5070

Waterflow Switch 3 VSR-SF

Potter Electric

Fire Pump Auto 1 GPU-208/40/3/60

Tamper Switch 6

Tamper Switch 1 OSYSU-2

Tamper Switch 1 PCVS-1

Waterflow Switch 4 VSR-SF

Simplex scDataCom 35 Download Date: 02/04/2026

Pull Station 1

Speaker/Strobe 2 4903

System Sensor

Speaker 6 SPCR

Speaker/Strobe 27 SPSCR

Speaker/Strobe 3 SPSR

Strobe 7 SCR

Victaulic

Tamper Switch 4 SERIES 708W

Building: PA5 Control Panel: 2

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

Type Qty Model # Description Install Date

In Service - 5 Years to 10 Years

Monitor Device 1 FCM-1

Monitor Device 1 PS-127 scDataCom 36 Download Date: 02/04/2026

Zone Address Report

NFS-3030D

The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference.

Address Device Type Location Type ScanID

Zone/Circuit: 2

5 Pull Station 3rd Stairs Exit 45210245

57 Programmable Relay Roof AHU 1 45210250

D006 Smoke Detector 3rd Lobby Elevator P5 & P6 45210231

D008 Smoke Detector 3rd LOBBY Elevator S7 45210230

D11 Smoke Detector 3rd ELEV. S8 LOBBY STAIR 2 45210221

M12 Pull Station 3rd Stairs Exit 45210236 m02 Monitor Device 3rd B-311 44230232

Zone/Circuit: L001

D001 Smoke Detector 1st Floor FACP Room B 114 45207734

D01 Smoke Detector 2nd B-311 44230235

D002 Smoke Detector 1st Floor Corridor At B 106 45207755

D003 Smoke Detector 1st Floor Corridor At B 105 45207756

D004 Smoke Detector 1st Floor Elevator S7 LOBBY 45207762

D005 Smoke Detector 1st Floor Elevator P-5 & P-6 45207761

D006 Smoke Detector 1st Floor Corridor At A 183 45207765

D007 Smoke Detector 1st Floor Corridor At C 181 45207766

Zone/Circuit: L1

D8 Duct Detector 1st Room A-117A 45212767

D9 Duct Detector 1st Outside By Room A-117A Elevator

Lobby

45212766

Zone/Circuit: L001

D010 Smoke Detector 1st Floor STAIRWELL 2 Elevator Area C

NORTH

45207770

Zone/Circuit: L1

D11 Duct Detector 1st Men's Restroom Area A 45212765

D11 Duct Detector 1st Men's Restroom Area A 84048757

D12 Duct Detector 2nd In Room B-232 12535367

D13 Duct Detector 2nd In Room B-226 12535368

D16 Smoke Detector 2nd Central Hallway Elevator Lobby

ELEV. S7 LOBBY

45210631

D17 Duct Detector 2nd Back Counter In Room A252 12535397

D18 Smoke Detector 2nd Central Hallway Elevator Lobby P5 &

P6 ELEV..

45210630

D20 Smoke Detector 2nd North Entrance To Waiting Room C 45210636

D21 Smoke Detector 2nd…

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