FIRE_ALARM_INSPECTION_QTLY_REPORT_LOS_INDIOS_ADMIN.pdf

FIRE ALARM AND TESTING REPORT

Property/Customer Service Organization

System Testing Information

Date: Name:

Name: Address:

Address: Representative:

Representative: License No.

Control Unit Manufacturer: Type of Service:

Model No: Quarterly:

Last Date of Service: Annually:

Alarm Verification: Semi- Annually:

Other:

Prior to testing notifications are made to: Monitoring Entity:

Monitoring Entity: Contact:

Building Manager: Telephone:

Other: Account No:

Are signals transmitting properly?

Type Visual Functional Pass Fail

Control Unit

Lamps/Led Fuses

Silence Switch

Reset Switch

Primary power supply

Superior Alarms6/12/19 Los Indios Admin Building

460709

600 Ash ave. McAllen, Tx

Yes

FAL1821836

100 Los Indios blvd. Los Indios, Tx

Superior Central

Allen Helmer

Simplex

Comments:____________________________________________________________________

Device count and testing information Device type Quantity # Tested Functional Visual Pass Fail

Comments:____________________________________________________________________

Auxiliary Function testing information Type Quantity # Tested Funtional Visual Pass Fail

Comments:____________________________________________________________________

Monitoring Central Station Upon completion, were these signals transmitted?

Alarm signal _________________ Supervisory Signal _______________ Alarm Restoration _________________ Supervisory Restoration ________________

Battery back up

Remote Annunciator

NAC power supply

Primary phone line

Secondary phone line

Yes

Pullstations

Yes

3 3Valve tamp

Waterflow

N/A

N/A

Yes Yes

Trouble Signal ___________________ Trouble Restoration ___________________ Comments:____________________________________________________________________

After testing, notifications are made to:

Building Manager: _____________________ Time:__________________ Monitoring Entity: _____________________ Time:__________________ Other: _____________________ Time:__________________

Comments:_____________________________________________________________________

System restored to normal operation Date: ________________________ Time:__________________

This testing was performed in accordance with NFPA standards Name of inspector:______________ Signature:__________________ Date: __________ Name of Representative:__________ Signature:__________________ Date: __________

Yes

6/12/19

6/12/19

6/12/19 Juan Martinez

Yes

Allen Helmer