NIEHS_Sprinkler_Inspection_Report_0001.pdf

System Information

LOCATION DESCRIPTION BARCODE MANUFACTURER MODEL SERIAL NUMBER SERVICE TYPE SIZE

Front Hood — Ansul R-102 — Electric N/A

FUEL SHUT OFF TYPE

FUEL SHUT OFF

'ON'

360 FUSIBLE LINK 450 FUSIBLE LINK 500 FUSIBLE LINK

OTHER FUSIBLE

LINK

# LINKS CHANGED

THIS SERVICE

Electric Shunt Trip Yes N/A N/A 3 N/A 3

Ventilation Equipment Information

HOOD SIZE PLENUM SIZE FILTER TYPE FILTER SIZE

48”x 10’ 1-10’ single bank baffle standard

SIZE OF DUCT #1 SIZE OF DUCT #2 SIZE OF DUCT #3 SIZE OF DUCT #4

N/A N/A N/A N/A

Cylinder Details

Kitchen Hood Cylinder

LOCATION DESCRIPTION BARCODE MANUFACTURER MODEL SERIAL NUMBER

Cylinder 1 — Ansul R-102 —

AGENT SIZE LAST HYDRO TANK PRESSURE CARTRIDGE WEIGHT PSI

Ansulex 3 gal 07/22/2016 N/A N/A N/A

Cooking Appliance Locations

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

(1) Range Range 12”x 25” Electric Pass 1N 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

(2) Griddle Griddle 36”x 20.5” Electric Pass 1N 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

(3) Charbroiler Char Broiler 24”x 19.5” Electric Pass 1N 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

(4) Fryer Fryer 14”x 21” Electric Pass 230 1

Maintenance Items Results

How many 360 degree Thermal Detectors? N/A

How many 600 degree Thermal Detectors? N/A

Thermal Detectors Tested N/A

All appliances properly protected with correct nozzles? Yes

Duct and plenum protected with correct nozzles? Yes

All nozzles properly aimed at hazard/unobstructed? Yes

Proper separation between fryer(s) and open flame? Yes

Nozzle blow-off caps installed (replace if needed) Yes

Hood & duct penetrations sealed with weld or UL device? Yes

Check cartridge weight (replace if needed)? Yes

Kitchen Auto Extinguishing Systems–Semi-Annual

Customer: NIEHS Building: NIEHS

Address: 111 TW Alexander Dr, Durham, NC 27709

Kitchen Auto Extinguishing Systems | 02/26/2025 Page 2 of 7

Maintenance Items Results

Test detection system from terminal detector? Pass

Replace fusible links (every 6 months)? Yes

Date of links 2024

Test remote manual pull station? Pass

Test mechanical gas shut-off valve? N/A

Test electric solenoid gas shut-off valve with reset relay? N/A

Test electric switch for proper operation? N/A

Clean nozzles? Yes

System installed in accordance with mfg. UL listing? Yes

System meets UL 300 standards? Yes

Piping and conduit secured to rigid surface? Yes

Tamper seal(s) installed? Yes

Building fire alarm connected / activated? Pass

Actuation line vacuum test performed (every 6 months)? N/A

Distribution piping network last purged with dry air or nitrogen? No

Exhaust fan(s) operating? Yes

Make-up/return air fan(s) shut down? Yes

Air filters/spacers reinstalled? Yes

Personnel instructed in manual operation of system ? Yes

Class K extinguisher with placard present? Yes

Last regulator test date (every 12 years)? 02/26/2024

System returned to normal operation? Yes

Service and certification tag on system? Yes

Kitchen Auto Extinguishing Systems–Semi-Annual

Customer: NIEHS Building: NIEHS

Kitchen Auto Extinguishing Systems | 02/26/2025 Page 3 of 7

System Information

LOCATION DESCRIPTION BARCODE MANUFACTURER MODEL SERIAL NUMBER SERVICE TYPE SIZE

Rear Hood — Ansul R-102 — Electric N/A

FUEL SHUT OFF TYPE

FUEL SHUT OFF

'ON'

360 FUSIBLE LINK 450 FUSIBLE LINK 500 FUSIBLE LINK

OTHER FUSIBLE

LINK

# LINKS CHANGED

THIS SERVICE

Electric Shunt Trip N/A N/A N/A 5 N/A 5

Ventilation Equipment Information

HOOD SIZE PLENUM SIZE FILTER TYPE FILTER SIZE

53”x 9’ (4)-9’ single banks baffle standard

SIZE OF DUCT #1 SIZE OF DUCT #2 SIZE OF DUCT #3 SIZE OF DUCT #4

N/A N/A N/A N/A

Cylinder Details

Kitchen Hood Cylinder

LOCATION DESCRIPTION BARCODE MANUFACTURER MODEL SERIAL NUMBER

Cylinder 1 — Ansul R-102 —

AGENT SIZE LAST HYDRO TANK PRESSURE CARTRIDGE WEIGHT PSI

Ansulex 3 gal 07/21/2016 N/A N/A N/A

Kitchen Hood Tank Secondary

LOCATION DESCRIPTION BARCODE MANUFACTURER MODEL SERIAL NUMBER

Cylinder 2 — Ansul R-102 —

AGENT SIZE LAST HYDRO TANK PRESSURE CARTRIDGE WEIGHT PSI

Ansulex 3 gal 05/02/2024 N/A N/A N/A

Cooking Appliance Locations

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

(1) Tilt Skillet Tilt Skillet 44”x 27” Electric Pass 3N 3

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

(2) Fryer 1 Fryers with Drip

Board 19.5”x 23.5” Electric Pass 3N 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

(3) Fryer 2 Fryers with Drip

Board 19.5”x 23.5” Electric Pass 3N 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

(4) Range Range 36”x 24” Electric Pass 245, 1N 2

Maintenance Items Results

How many 360 degree Thermal Detectors? N/A

How many 600 degree Thermal Detectors? N/A

Kitchen Auto Extinguishing Systems–Semi-Annual

Customer: NIEHS Building: NIEHS

Kitchen Auto Extinguishing Systems | 02/26/2025 Page 4 of 7

Terms And Conditions

1. Limitation of Liability; Limitations Of Remedy. It is understood and agreed by the Customer that Company is not an insurer and that insurance coverage, if any, shall be obtained by the Customer and that amounts payable to Company hereunder are based upon the value of the services and the scope of liability set forth in this agreement and are unrelated to the value of the Customer's property and the property of others located on the premises. Customer agrees to look exclusively to the Customer's insurer to recover for injuries or damage in the event of any loss or injury and that Customer releases and waives all right of recovery against Company arising by way of subrogation. Company makes no guaranty or Warranty, including any implied warranty of merchantability or fitness for a particular purpose that equipment or services supplied by Company will detect or avert occurrences or the consequences there from that the equipment or service was designed to detect or avert.<br />It is impractical and extremely difficult to fix the actual damages, if any, which may proximately result from failure on the part of Company to perform any of its obligations under this agreement. Accordingly, Customer agrees that, Company shall be exempt from liability for any loss, damage or injury arising directly or indirectly from occurrences, or the consequences therefrom, which the equipment or service was designed to detect or avert. Should Company be found liable for any loss, damage or injury arising from a failure of the equipment or service in any respect, Company's liability shall be limited to an amount equal to the agreement price (as increased by the price for any additional work) or where the time and material payment term is selected, Customer's time and material payments to Company. Where this agreement covers multiple sites, liability shall be limited to the amount of the payments allocable to the site where the incident occurred. Such sum shall be complete and exclusive. If Customer desires Company to assume greater liability, the parties shall amend this agreement by attaching a rider setting forth the amount of additional liability and the additional amount payable by the Customer for the assumption by Company of such greater liability, provided however that such rider shall in no way be interpreted to hold Company as an insurer. IN NO EVENT SHALL COMPANY BE LIABLE FOR ANY DAMAGE, LOSS, INJURY, OR ANY OTHER CLAIM ARISING FROM ANY SERVICING, ALTERATIONS, MODIFICATIONS, CHANGES, OR MOVEMENTS OF THE COVERED SYSTEM(S) OR ANY OF ITS COMPONENT PARTS BY THE CUSTOMER OR ANY THIRD PARTY. COMPANY SHALL NOT BE LIABLE FOR INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO DAMAGES ARISING FROM THE USE, LOSS OF THE USE, PERFORMANCE, OR FAILURE OF THE COVERED SYSTEM(S) TO PERFORM. The limitations of liability set forth in this agreement shall inure to the benefit of all parents, subsidiaries and affiliates of Company, whether direct or indirect, Company's employees, agents, officers and directors.

2. Limited Warranty. COMPANY WARRANTS THAT ITS WORKMANSHIP AND MATERIAL FURNISHED UNDER THIS AGREEMENT WILL BE FREE FROM DEFECTS FOR A PERIOD OF NINETY

(90) DAYS FROM THE DATE OF FURNISHING. Where Company provides product or equipment of others, Company will warrant the product or equipment only to the extent warranted by such third party. EXCEPT AS EXPRESSLY SET FORTH HEREIN, COMPANY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE SERVICES PERFORMED OR THE PRODUCTS, SYSTEMS OR EQUIPMENT, IF ANY, SUPPORTED HEREUNDER. COMPANY MAKES NO WARRANTY OR REPRESENTATION, AND UNDERTAKES NO OBLIGATION TO ENSURE BY THE SERVICES PERFORMED UNDER THIS AGREEMENT, THAT COMPANY'S PRODUCTS OR THE SYSTEMS OR EQUIPMENT OF THE CUSTOMER WILL CORRECTLY HANDLE THE PROCESSING OF CALENDAR DATES BEFORE OR

AFTER DECEMBER 31, 1999.

3. Indemnity. Customer agrees to indemnify, hold harmless and defend Company against any and all losses, damages, costs, including expert fees and costs, and expenses including reasonable defense costs, arising from any and all third party claims for personal injury, death, property damage or economic loss, including specifically any damages resulting from the exposure of workers to Hazardous Conditions whether or not Customer pre-notifies Company of the existence of said hazardous conditions, arising in any way from any act or omission of Customer or Company relating in any way to this agreement, including but not limited to the Services under this agreement, whether such claims are based upon contract, warranty, tort (including but not limited to active or passive negligence), strict liability or otherwise. Company reserves the right to select counsel to represent it in any such action.

4. Hazardous Materials. Customer represents that, except to the extent that Company has been given written notice of the following hazards prior to the execution of this agreement, to the best of Customer's knowledge there is no:

a. "permit confined space," as defined by OSHA, or space in which work must be performed that, because of its construction, location, contents or work activity therein, accumulation of a hazardous gas, vapour, dust or fume or the creation of a risk of infectious disease

b. need for air monitoring, respiratory protection, or other medical risk

c. asbestos, asbestos-containing material, formaldehyde or other potentially toxic or otherwise hazardous material contained in or on the surface of the floors, walls, ceilings, insulation or other structural components of the area of any building

d. All of the above are hereinafter referred to as "Hazardous Conditions". Company shall have the right to rely on the representations listed above. If hazardous conditions are encountered by Company during the course of Company's work, the discovery of such conditions shall constitute an event beyond Company's control and Company shall have no obligation to further perform in the area where the hazardous conditions exist until the area has been made safe by Customer as certified in writing by an independent testing agency, and Customer shall pay disruption expenses and re-mobilization expenses as determined by Company. This agreement does not provide for the cost of capture, containment or disposal of any hazardous waste materials, or hazardous materials, encountered in any of the Covered System(s) and/or during performance of the Services. Said materials shall at all times remain the responsibility and property of Customer. Company shall not be responsible for the testing, removal or disposal of such hazardous materials.

5. Equipment Disconnections. This represents Company's notice to you that the system(s)/device(s) listed on the face of this agreement as temporarily or permanently disconnected are no longer in service and, thus, cannot detect, perform and/or report

6. General. Unless otherwise specified, work shall be performed during company's regular business hours,, exclusive of Saturdays, Sundays and Company holidays. All work is subject to review and rebilling in accordance with the terms and conditions of Customer's agreement/contract with Company, if one is in effect. Company shall not be responsible for failure to render services due to causes beyond its control, including but not limited to material shortages, work stoppages, fires, civil disobedience or unrest, severe weather, fire or any other cause beyond the control of Company. Customer is aware that the Limitation of Liability and other provisions set forth in any existing agreement/contract, if one is in effect, or set forth above, apply to services performed and materials supplied. The terms of this agreement shall govern notwithstanding any inconsistent or additional terms and conditions in any purchase order or other document submitted by Customer.

Kitchen Auto Extinguishing Systems–Semi-Annual

Customer: NIEHS Building: NIEHS

Kitchen Auto Extinguishing Systems | 02/26/2025 Page 6 of 7

DEVICE NOTE IMAGE APPENDICES

Kitchen Auto Extinguishing Systems–Semi-Annual

Customer: NIEHS Building: NIEHS

Kitchen Auto Extinguishing Systems | 02/26/2025 Page 7 of 7

CUSTOMER NAME: NIEHS

BUILDING NAME: NIEHS - Building 102 - 103 BUILDING ADDRESS: 111 TW Alexander Dr, Durham, NC 27709 INSPECTION TYPE: Sprinkler FREQUENCY: Quarterly

WORK ORDER: 58840210

INSPECTION START DATE: 05/28/2025

INSPECTION END DATE: 05/28/2025

INSPECTOR:

INSPECTOR LICENSE:

ACCOUNT NAME:

OFFICE ADDRESS:

OFFICE PHONE:

OFFICE LICENSE:

TIMEZONE: EDT

SPRINKLER INSPECTION REPORT

DEVICE DEFICIENCIES

LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES

Dry System loading dock building 103

— Dry System — — — 05/28/2025

FUNCTIONAL

FAILURE

FAILURE REASON: 1) 5 year internal and gauge testing is due

2) 3 year air testing is due

General

To be Answered with the Owner

1. Have there been any changes in the occupancy classification, machinery or operations since the last inspection? No

2. Have there been any changes or repairs to the fire protection systems since the last inspection? No

3. Are Special Ladders or Lifts Required to perform the 5 Year Internal Pipe Inspection? If So, please list Size and Type. (12 Foot Stepladder, 20 Foot Scissor Lift Etc…)

No

To be Answered by the Inspector

1. Inspection and Testing Performed in accordance with NFPA 25 Edition NFPA 25-2014

2. Number Of Water Gauges 4

3. Number Of Air Gauges 4

4. Are all Tanks, Fire Pumps, and Fire Department Connections Inspected and Tested Per NFPA 25? Yes

5. All Systems Restored To Normal Yes

Water Supplies

1. Type City

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 102 - 103

Sprinkler | 05/28/2025 Page 1 of 5

Devices

INSPECTION RESULTS SUMMARY

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT

Control Valve 1 1 0 0

Dry System 1 0 1 0

Fire Dept. Connection 1 1 0 0

High/Low Air Device 1 1 0 0

Tamper Switch 1 1 0 0

Water Flow Switch 1 1 0 0

DRY SYSTEMS

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Dry System loading dock building 103

Dry System — 05/28/2025 Failed

Make and Model Tyco

What Size Is This Dry Pipe Valve 3

Hydraulic Name Plate Present Yes

Valve Enclosure Secured Yes

Valve Enclosure Heater Operational Yes

Do dry valves appear to be protected from freezing? Yes

Valve Enclosures Temperature Greater Than 40 F Yes

Visually Inspect - Is Intermediate Chamber Free From Leakage Yes

Are the air pressure and priming water levels normal? Yes

Does the Air Supply operate satisfactorily? Yes

Visually Inspect - Is Exterior Of The Valve In Good Condition And Both Gauges Operable Yes

Visually Inspect - Are Trim Valves In Their Appropriate Open Or Closed Positions Yes

Valve Seat Leak Tight Yes

Trim Piping Leak Tight Yes

System Gauges Undamaged And Reading Within Limits Yes

Wet Gauge PSI 100

Dry Gauge PSI 38

Quantity of Auxiliary / Low Point drains drained during this inspection? 1

All Wet Pipe Protected From Freezing Yes

Date of Last Full Flow Dry Trip Test 09/24/2024

Reason for failure: (Functional Failure) 1) 5 year internal and gauge testing is due

2) 3 year air testing is due

FIRE DEPARTMENT CONNECTIONS

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Building 103 Fire Dept. Connection — 05/28/2025 Passed

Is FDC Visible / Accessible? Yes

Are Couplings / Swivels / Plugs / Caps in place? Yes

Identification Signs In Place Yes

Check Valve Not Leaking / Gaskets In Good Condition / Ball Drip and Clapper in Place and Operating Properly Yes

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 102 - 103

Sprinkler | 05/28/2025 Page 2 of 5

1. Limitation of Liability; Limitations Of Remedy. It is understood and agreed by the Customer that Company is not an insurer and that insurance coverage, if any, shall be obtained by the Customer and that amounts payable to Company hereunder are based upon the value of the services and the scope of liability set forth in this agreement and are unrelated to the value of the Customer's property and the property of others located on the premises. Customer agrees to look exclusively to the Customer's insurer to recover for injuries or damage in the event of any loss or injury and that Customer releases and waives all right of recovery against Company arising by way of subrogation. Company makes no guaranty or Warranty, including any implied warranty of merchantability or fitness for a particular purpose that equipment or services supplied by Company will detect or avert occurrences or the consequences there from that the equipment or service was designed to detect or avert.<br />It is impractical and extremely difficult to fix the actual damages, if any, which may proximately result from failure on the part of Company to perform any of its obligations under this agreement. Accordingly, Customer agrees that, Company shall be exempt from liability for any loss, damage or injury arising directly or indirectly from occurrences, or the consequences therefrom, which the equipment or service was designed to detect or avert. Should Company be found liable for any loss, damage or injury arising from a failure of the equipment or service in any respect, Company's liability shall be limited to an amount equal to the agreement price (as increased by the price for any additional work) or where the time and material payment term is selected, Customer's time and material payments to Company. Where this agreement covers multiple sites, liability shall be limited to the amount of the payments allocable to the site where the incident occurred. Such sum shall be complete and exclusive. If Customer desires Company to assume greater liability, the parties shall amend this agreement by attaching a rider setting forth the amount of additional liability and the additional amount payable by the Customer for the assumption by Company of such greater liability, provided however that such rider shall in no way be interpreted to hold Company as an insurer. IN NO EVENT SHALL COMPANY BE LIABLE FOR ANY DAMAGE, LOSS, INJURY, OR ANY OTHER CLAIM ARISING FROM ANY SERVICING, ALTERATIONS, MODIFICATIONS, CHANGES, OR MOVEMENTS OF THE COVERED SYSTEM(S) OR ANY OF ITS COMPONENT PARTS BY THE CUSTOMER OR ANY THIRD PARTY. COMPANY SHALL NOT BE LIABLE FOR INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO DAMAGES ARISING FROM THE USE, LOSS OF THE USE, PERFORMANCE, OR FAILURE OF THE COVERED SYSTEM(S) TO PERFORM. The limitations of liability set forth in this agreement shall inure to the benefit of all parents, subsidiaries and affiliates of Company, whether direct or indirect, Company's employees, agents, officers and directors.

2. Limited Warranty. COMPANY WARRANTS THAT ITS WORKMANSHIP AND MATERIAL FURNISHED UNDER THIS AGREEMENT WILL BE FREE FROM DEFECTS FOR A PERIOD OF NINETY

(90) DAYS FROM THE DATE OF FURNISHING. Where Company provides product or equipment of others, Company will warrant the product or equipment only to the extent warranted by such third party. EXCEPT AS EXPRESSLY SET FORTH HEREIN, COMPANY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE SERVICES PERFORMED OR THE PRODUCTS, SYSTEMS OR EQUIPMENT, IF ANY, SUPPORTED HEREUNDER. COMPANY MAKES NO WARRANTY OR REPRESENTATION, AND UNDERTAKES NO OBLIGATION TO ENSURE BY THE SERVICES PERFORMED UNDER THIS AGREEMENT, THAT COMPANY'S PRODUCTS OR THE SYSTEMS OR EQUIPMENT OF THE CUSTOMER WILL CORRECTLY HANDLE THE PROCESSING OF CALENDAR DATES BEFORE OR

AFTER DECEMBER 31, 1999.

3. Indemnity. Customer agrees to indemnify, hold harmless and defend Company against any and all losses, damages, costs, including expert fees and costs, and expenses including reasonable defense costs, arising from any and all third party claims for personal injury, death, property damage or economic loss, including specifically any damages resulting from the exposure of workers to Hazardous Conditions whether or not Customer pre-notifies Company of the existence of said hazardous conditions, arising in any way from any act or omission of Customer or Company relating in any way to this agreement, including but not limited to the Services under this agreement, whether such claims are based upon contract, warranty, tort (including but not limited to active or passive negligence), strict liability or otherwise. Company reserves the right to select counsel to represent it in any such action.

4. Hazardous Materials. Customer represents that, except to the extent that Company has been given written notice of the following hazards prior to the execution of this agreement, to the best of Customer's knowledge there is no:

a. "permit confined space," as defined by OSHA, or space in which work must be performed that, because of its construction, location, contents or work activity therein, accumulation of a hazardous gas, vapour, dust or fume or the creation of a risk of infectious disease

b. need for air monitoring, respiratory protection, or other medical risk

c. asbestos, asbestos-containing material, formaldehyde or other potentially toxic or otherwise hazardous material contained in or on the surface of the floors, walls, ceilings, insulation or other structural components of the area of any building

d. All of the above are hereinafter referred to as "Hazardous Conditions". Company shall have the right to rely on the representations listed above. If hazardous conditions are encountered by Company during the course of Company's work, the discovery of such conditions shall constitute an event beyond Company's control and Company shall have no obligation to further perform in the area where the hazardous conditions exist until the area has been made safe by Customer as certified in writing by an independent testing agency, and Customer shall pay disruption expenses and re-mobilization expenses as determined by Company. This agreement does not provide for the cost of capture, containment or disposal of any hazardous waste materials, or hazardous materials, encountered in any of the Covered System(s) and/or during performance of the Services. Said materials shall at all times remain the responsibility and property of Customer. Company shall not be responsible for the testing, removal or disposal of such hazardous materials.

5. Equipment Disconnections. This represents Company's notice to you that the system(s)/device(s) listed on the face of this agreement as temporarily or permanently disconnected are no longer in service and, thus, cannot detect, perform and/or report

6. General. Unless otherwise specified, work shall be performed during company's regular business hours,, exclusive of Saturdays, Sundays and Company holidays. All work is subject to review and rebilling in accordance with the terms and conditions of Customer's agreement/contract with Company, if one is in effect. Company shall not be responsible for failure to render services due to causes beyond its control, including but not limited to material shortages, work stoppages, fires, civil disobedience or unrest, severe weather, fire or any other cause beyond the control of Company. Customer is aware that the Limitation of Liability and other provisions set forth in any existing agreement/contract, if one is in effect, or set forth above, apply to services performed and materials supplied. The terms of this agreement shall govern notwithstanding any inconsistent or additional terms and conditions in any purchase order or other document submitted by Customer.

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 102 - 103

Sprinkler | 05/28/2025 Page 4 of 5

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 102 - 103

Sprinkler | 05/28/2025 Page 5 of 5

General

To be Answered with the Owner

1. Have there been any changes in the occupancy classification, machinery or operations since the last inspection? No

2. Have there been any changes or repairs to the fire protection systems since the last inspection? No

3. Have you had an internal pipe inspection performed in the last 5 years? No

4. Are Special Ladders or Lifts Required to perform the 5 Year Internal Pipe Inspection? If So, please list Size and Type. (12 Foot Stepladder, 20 Foot Scissor Lift Etc…)

No

To be Answered by the Inspector

1. Inspection and Testing Performed in accordance with NFPA 25 Edition NFPA 25-2014

2. Number Of Water Gauges 2

3. Number Of Air Gauges 2

4. Are all Tanks, Fire Pumps, and Fire Department Connections Inspected and Tested Per NFPA 25? Yes

5. All Systems Restored To Normal Yes

Water Supplies

1. Type City

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 101

Sprinkler | 05/28/2025 Page 2 of 13

1. Limitation of Liability; Limitations Of Remedy. It is understood and agreed by the Customer that Company is not an insurer and that insurance coverage, if any, shall be obtained by the Customer and that amounts payable to Company hereunder are based upon the value of the services and the scope of liability set forth in this agreement and are unrelated to the value of the Customer's property and the property of others located on the premises. Customer agrees to look exclusively to the Customer's insurer to recover for injuries or damage in the event of any loss or injury and that Customer releases and waives all right of recovery against Company arising by way of subrogation. Company makes no guaranty or Warranty, including any implied warranty of merchantability or fitness for a particular purpose that equipment or services supplied by Company will detect or avert occurrences or the consequences there from that the equipment or service was designed to detect or avert.<br />It is impractical and extremely difficult to fix the actual damages, if any, which may proximately result from failure on the part of Company to perform any of its obligations under this agreement. Accordingly, Customer agrees that, Company shall be exempt from liability for any loss, damage or injury arising directly or indirectly from occurrences, or the consequences therefrom, which the equipment or service was designed to detect or avert. Should Company be found liable for any loss, damage or injury arising from a failure of the equipment or service in any respect, Company's liability shall be limited to an amount equal to the agreement price (as increased by the price for any additional work) or where the time and material payment term is selected, Customer's time and material payments to Company. Where this agreement covers multiple sites, liability shall be limited to the amount of the payments allocable to the site where the incident occurred. Such sum shall be complete and exclusive. If Customer desires Company to assume greater liability, the parties shall amend this agreement by attaching a rider setting forth the amount of additional liability and the additional amount payable by the Customer for the assumption by Company of such greater liability, provided however that such rider shall in no way be interpreted to hold Company as an insurer. IN NO EVENT SHALL COMPANY BE LIABLE FOR ANY DAMAGE, LOSS, INJURY, OR ANY OTHER CLAIM ARISING FROM ANY SERVICING, ALTERATIONS, MODIFICATIONS, CHANGES, OR MOVEMENTS OF THE COVERED SYSTEM(S) OR ANY OF ITS COMPONENT PARTS BY THE CUSTOMER OR ANY THIRD PARTY. COMPANY SHALL NOT BE LIABLE FOR INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO DAMAGES ARISING FROM THE USE, LOSS OF THE USE, PERFORMANCE, OR FAILURE OF THE COVERED SYSTEM(S) TO PERFORM. The limitations of liability set forth in this agreement shall inure to the benefit of all parents, subsidiaries and affiliates of Company, whether direct or indirect, Company's employees, agents, officers and directors.

2. Limited Warranty. COMPANY WARRANTS THAT ITS WORKMANSHIP AND MATERIAL FURNISHED UNDER THIS AGREEMENT WILL BE FREE FROM DEFECTS FOR A PERIOD OF NINETY

(90) DAYS FROM THE DATE OF FURNISHING. Where Company provides product or equipment of others, Company will warrant the product or equipment only to the extent warranted by such third party. EXCEPT AS EXPRESSLY SET FORTH HEREIN, COMPANY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE SERVICES PERFORMED OR THE PRODUCTS, SYSTEMS OR EQUIPMENT, IF ANY, SUPPORTED HEREUNDER. COMPANY MAKES NO WARRANTY OR REPRESENTATION, AND UNDERTAKES NO OBLIGATION TO ENSURE BY THE SERVICES PERFORMED UNDER THIS AGREEMENT, THAT COMPANY'S PRODUCTS OR THE SYSTEMS OR EQUIPMENT OF THE CUSTOMER WILL CORRECTLY HANDLE THE PROCESSING OF CALENDAR DATES BEFORE OR

AFTER DECEMBER 31, 1999.

3. Indemnity. Customer agrees to indemnify, hold harmless and defend Company against any and all losses, damages, costs, including expert fees and costs, and expenses including reasonable defense costs, arising from any and all third party claims for personal injury, death, property damage or economic loss, including specifically any damages resulting from the exposure of workers to Hazardous Conditions whether or not Customer pre-notifies Company of the existence of said hazardous conditions, arising in any way from any act or omission of Customer or Company relating in any way to this agreement, including but not limited to the Services under this agreement, whether such claims are based upon contract, warranty, tort (including but not limited to active or passive negligence), strict liability or otherwise. Company reserves the right to select counsel to represent it in any such action.

4. Hazardous Materials. Customer represents that, except to the extent that Company has been given written notice of the following hazards prior to the execution of this agreement, to the best of Customer's knowledge there is no:

a. "permit confined space," as defined by OSHA, or space in which work must be performed that, because of its construction, location, contents or work activity therein, accumulation of a hazardous gas, vapour, dust or fume or the creation of a risk of infectious disease

b. need for air monitoring, respiratory protection, or other medical risk

c. asbestos, asbestos-containing material, formaldehyde or other potentially toxic or otherwise hazardous material contained in or on the surface of the floors, walls, ceilings, insulation or other structural components of the area of any building

d. All of the above are hereinafter referred to as "Hazardous Conditions". Company shall have the right to rely on the representations listed above. If hazardous conditions are encountered by Company during the course of Company's work, the discovery of such conditions shall constitute an event beyond Company's control and Company shall have no obligation to further perform in the area where the hazardous conditions exist until the area has been made safe by Customer as certified in writing by an independent testing agency, and Customer shall pay disruption expenses and re-mobilization expenses as determined by Company. This agreement does not provide for the cost of capture, containment or disposal of any hazardous waste materials, or hazardous materials, encountered in any of the Covered System(s) and/or during performance of the Services. Said materials shall at all times remain the responsibility and property of Customer. Company shall not be responsible for the testing, removal or disposal of such hazardous materials.

5. Equipment Disconnections. This represents Company's notice to you that the system(s)/device(s) listed on the face of this agreement as temporarily or permanently disconnected are no longer in service and, thus, cannot detect, perform and/or report

6. General. Unless otherwise specified, work shall be performed during company's regular business hours,, exclusive of Saturdays, Sundays and Company holidays. All work is subject to review and rebilling in accordance with the terms and conditions of Customer's agreement/contract with Company, if one is in effect. Company shall not be responsible for failure to render services due to causes beyond its control, including but not limited to material shortages, work stoppages, fires, civil disobedience or unrest, severe weather, fire or any other cause beyond the control of Company. Customer is aware that the Limitation of Liability and other provisions set forth in any existing agreement/contract, if one is in effect, or set forth above, apply to services performed and materials supplied. The terms of this agreement shall govern notwithstanding any inconsistent or additional terms and conditions in any purchase order or other document submitted by Customer.

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 101

Sprinkler | 05/28/2025 Page 12 of 13

Customer: NIEHS Building: NIEHS - Building 101

Sprinkler | 05/28/2025 Page 13 of 13

BUILDING NAME: NIEHS - Building 105 BUILDING ADDRESS: 111 TW Alexander Dr, Durham, NC 27709 INSPECTION TYPE: Sprinkler FREQUENCY: Quarterly

WORK ORDER: 58840200

INSPECTION START DATE: 05/28/2025

INSPECTION END DATE: 05/28/2025

INSPECTOR:

INSPECTOR LICENSE:

ACCOUNT NAME:

OFFICE ADDRESS:

OFFICE PHONE:

OFFICE LICENSE:

TIMEZONE: EDT

SPRINKLER INSPECTION REPORT

DEVICE DEFICIENCIES

LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES

Building 105 dry

System

— Dry System — — — 05/28/2025

FUNCTIONAL

FAILURE

FAILURE REASON: 1) 5 year internal and gauge testing is due

2) 3 year air testing is due

3) System is out of service due to project

Building 105 dry

System

— Main Drain Test — — — 05/28/2025 VISUAL FAILURE —

FAILURE REASON: Water is Shut off to system due to project being performed.

General

To be Answered with the Owner

1. Have there been any changes in the occupancy classification, machinery or operations since the last inspection? No

2. Have there been any changes or repairs to the fire protection systems since the last inspection?

System out of service

Yes

3. Are Special Ladders or Lifts Required to perform the 5 Year Internal Pipe Inspection? If So, please list Size and Type. (12 Foot Stepladder, 20 Foot Scissor Lift Etc…)

No

To be Answered by the Inspector

1. Inspection and Testing Performed in accordance with NFPA 25 Edition NFPA 25-2014

2. Number Of Water Gauges 2

3. Number Of Air Gauges 1

4. All Systems Restored To Normal Yes

Water Supplies

1. Type City

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 105

Sprinkler | 05/28/2025 Page 1 of 5

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT

Dry System 1 0 1 0

Main Drain Test 1 0 1 0

DRY SYSTEMS

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Building 105 dry System Dry System — 05/28/2025 Failed

Make and Model Tyco

What Size Is This Dry Pipe Valve 2.5

Hydraulic Name Plate Present Yes

Valve Enclosure Secured Yes

Valve Enclosure Heater Operational Yes

Do dry valves appear to be protected from freezing? Yes

Valve Enclosures Temperature Greater Than 40 F Yes

Visually Inspect - Is Intermediate Chamber Free From Leakage Yes

Are the air pressure and priming water levels normal? Yes

Does the Air Supply operate satisfactorily? Yes

Visually Inspect - Is Exterior Of The Valve In Good Condition And Both Gauges Operable Yes

Visually Inspect - Are Trim Valves In Their Appropriate Open Or Closed Positions Yes

Valve Seat Leak Tight Yes

Trim Piping Leak Tight Yes

System Gauges Undamaged And Reading Within Limits Yes

Dry Gauge PSI 35

Quantity of Auxiliary / Low Point drains drained during this inspection? 1

All Wet Pipe Protected From Freezing Yes

Trim Valves Sealed Yes

Reason for failure: (Functional Failure) 1) 5 year internal and gauge testing is due

2) 3 year air testing is due

3) System is out of service due to project

MAIN DRAIN TESTS

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Building 105 dry

System Main Drain Test — 05/28/2025 Failed

Test pipe located At fenced in riser enclosure

Size of test pipe 2”

Previous Main Drain Test Date 09/25/2024

Previous Main Drain Static Pressure 75

Previous Main Drain Residual Pressure 70

Main Drain PSI Comparable to previous? No

Main drain opened & free of obstruction discoloration? No

Reason for failure: (Visual Failure) Water is Shut off to system due to project being performed.

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 105

1. Limitation of Liability; Limitations Of Remedy. It is understood and agreed by the Customer that Company is not an insurer and that insurance coverage, if any, shall be obtained by the Customer and that amounts payable to Company hereunder are based upon the value of the services and the scope of liability set forth in this agreement and are unrelated to the value of the Customer's property and the property of others located on the premises. Customer agrees to look exclusively to the Customer's insurer to recover for injuries or damage in the event of any loss or injury and that Customer releases and waives all right of recovery against Company arising by way of subrogation. Company makes no guaranty or Warranty, including any implied warranty of merchantability or fitness for a particular purpose that equipment or services supplied by Company will detect or avert occurrences or the consequences there from that the equipment or service was designed to detect or avert.<br />It is impractical and extremely difficult to fix the actual damages, if any, which may proximately result from failure on the part of Company to perform any of its obligations under this agreement. Accordingly, Customer agrees that, Company shall be exempt from liability for any loss, damage or injury arising directly or indirectly from occurrences, or the consequences therefrom, which the equipment or service was designed to detect or avert. Should Company be found liable for any loss, damage or injury arising from a failure of the equipment or service in any respect, Company's liability shall be limited to an amount equal to the agreement price (as increased by the price for any additional work) or where the time and material payment term is selected, Customer's time and material payments to Company. Where this agreement covers multiple sites, liability shall be limited to the amount of the payments allocable to the site where the incident occurred. Such sum shall be complete and exclusive. If Customer desires Company to assume greater liability, the parties shall amend this agreement by attaching a rider setting forth the amount of additional liability and the additional amount payable by the Customer for the assumption by Company of such greater liability, provided however that such rider shall in no way be interpreted to hold Company as an insurer. IN NO EVENT SHALL COMPANY BE LIABLE FOR ANY DAMAGE, LOSS, INJURY, OR ANY OTHER CLAIM ARISING FROM ANY SERVICING, ALTERATIONS, MODIFICATIONS, CHANGES, OR MOVEMENTS OF THE COVERED SYSTEM(S) OR ANY OF ITS COMPONENT PARTS BY THE CUSTOMER OR ANY THIRD PARTY. COMPANY SHALL NOT BE LIABLE FOR INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO DAMAGES ARISING FROM THE USE, LOSS OF THE USE, PERFORMANCE, OR FAILURE OF THE COVERED SYSTEM(S) TO PERFORM. The limitations of liability set forth in this agreement shall inure to the benefit of all parents, subsidiaries and affiliates of Company, whether direct or indirect, Company's employees, agents, officers and directors.

2. Limited Warranty. COMPANY WARRANTS THAT ITS WORKMANSHIP AND MATERIAL FURNISHED UNDER THIS AGREEMENT WILL BE FREE FROM DEFECTS FOR A PERIOD OF NINETY

(90) DAYS FROM THE DATE OF FURNISHING. Where Company provides product or equipment of others, Company will warrant the product or equipment only to the extent warranted by such third party. EXCEPT AS EXPRESSLY SET FORTH HEREIN, COMPANY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE SERVICES PERFORMED OR THE PRODUCTS, SYSTEMS OR EQUIPMENT, IF ANY, SUPPORTED HEREUNDER. COMPANY MAKES NO WARRANTY OR REPRESENTATION, AND UNDERTAKES NO OBLIGATION TO ENSURE BY THE SERVICES PERFORMED UNDER THIS AGREEMENT, THAT COMPANY'S PRODUCTS OR THE SYSTEMS OR EQUIPMENT OF THE CUSTOMER WILL CORRECTLY HANDLE THE PROCESSING OF CALENDAR DATES BEFORE OR

AFTER DECEMBER 31, 1999.

3. Indemnity. Customer agrees to indemnify, hold harmless and defend Company against any and all losses, damages, costs, including expert fees and costs, and expenses including reasonable defense costs, arising from any and all third party claims for personal injury, death, property damage or economic loss, including specifically any damages resulting from the exposure of workers to Hazardous Conditions whether or not Customer pre-notifies Company of the existence of said hazardous conditions, arising in any way from any act or omission of Customer or Company relating in any way to this agreement, including but not limited to the Services under this agreement, whether such claims are based upon contract, warranty, tort (including but not limited to active or passive negligence), strict liability or otherwise. Company reserves the right to select counsel to represent it in any such action.

4. Hazardous Materials. Customer represents that, except to the extent that Company has been given written notice of the following hazards prior to the execution of this agreement, to the best of Customer's knowledge there is no:

a. "permit confined space," as defined by OSHA, or space in which work must be performed that, because of its construction, location, contents or work activity therein, accumulation of a hazardous gas, vapour, dust or fume or the creation of a risk of infectious disease

b. need for air monitoring, respiratory protection, or other medical risk

c. asbestos, asbestos-containing material, formaldehyde or other potentially toxic or otherwise hazardous material contained in or on the surface of the floors, walls, ceilings, insulation or other structural components of the area of any building

d. All of the above are hereinafter referred to as "Hazardous Conditions". Company shall have the right to rely on the representations listed above. If hazardous conditions are encountered by Company during the course of Company's work, the discovery of such conditions shall constitute an event beyond Company's control and Company shall have no obligation to further perform in the area where the hazardous conditions exist until the area has been made safe by Customer as certified in writing by an independent testing agency, and Customer shall pay disruption expenses and re-mobilization expenses as determined by Company. This agreement does not provide for the cost of capture, containment or disposal of any hazardous waste materials, or hazardous materials, encountered in any of the Covered System(s) and/or during performance of the Services. Said materials shall at all times remain the responsibility and property of Customer. Company shall not be responsible for the testing, removal or disposal of such hazardous materials.

5. Equipment Disconnections. This represents Company's notice to you that the system(s)/device(s) listed on the face of this agreement as temporarily or permanently disconnected are no longer in service and, thus, cannot detect, perform and/or report

6. General. Unless otherwise specified, work shall be performed during company's regular business hours,, exclusive of Saturdays, Sundays and Company holidays. All work is subject to review and rebilling in accordance with the terms and conditions of Customer's agreement/contract with Company, if one is in effect. Company shall not be responsible for failure to render services due to causes beyond its control, including but not limited to material shortages, work stoppages, fires, civil disobedience or unrest, severe weather, fire or any other cause beyond the control of Company. Customer is aware that the Limitation of Liability and other provisions set forth in any existing agreement/contract, if one is in effect, or set forth above, apply to services performed and materials supplied. The terms of this agreement shall govern notwithstanding any inconsistent or additional terms and conditions in any purchase order or other document submitted by Customer.

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 105

Customer: NIEHS Building: NIEHS - Building 105

BUILDING NAME: NIEHS - Building 110 BUILDING ADDRESS: 111 TW Alexander Dr, Durham, NC 27709 INSPECTION TYPE: Sprinkler FREQUENCY: Quarterly

WORK ORDER: 58851550

INSPECTION START DATE: 05/28/2025

INSPECTION END DATE: 05/28/2025

INSPECTOR:

INSPECTOR LICENSE:

ACCOUNT NAME:

OFFICE ADDRESS:

OFFICE PHONE:

OFFICE LICENSE:

TIMEZONE: EDT

SPRINKLER INSPECTION REPORT

DEVICE DEFICIENCIES

LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES

— Building 110 — Pre-Action System — — — 05/28/2025

FUNCTIONAL

FAILURE

FAILURE REASON: 1) 3 year air leak testing appears due.

General

To be Answered with the Owner

1. Have there been any changes in the occupancy classification, machinery or operations since the last inspection? No

2. Have there been any changes or repairs to the fire protection systems since the last inspection? No

3. Have you had an internal pipe inspection performed in the last 5 years? Yes

4. Date the internal pipe inspection was performed? 09/27/2023

5. Are Special Ladders or Lifts Required to perform the 5 Year Internal Pipe Inspection? If So, please list Size and Type. (12 Foot Stepladder, 20 Foot Scissor Lift Etc…)

No

To be Answered by the Inspector

1. Inspection and Testing Performed in accordance with NFPA 25 Edition NFPA 25-2014

2. Number Of Water Gauges 2

3. Number Of Air Gauges 1

4. All Systems Restored To Normal Yes

Water Supplies

1. Type City

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 110

Sprinkler | 05/28/2025 Page 1 of 6

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT

Control Valve 1 1 0 0

High/Low Air Device 1 1 0 0

Pre-Action System 1 0 1 0

Tamper Switch 1 1 0 0

Water Flow Switch 1 1 0 0

Main Drain Test 1 1 0 0

PRE ACTION SYSTEMS

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Building 110 Pre-Action System — 05/28/2025 Failed

Make and Model Reliable DDX

What Size Is This Pre-Action Valve 2.5

Hydraulic Name Plate Present? No

Is this Pre-Action System a Single or Double Interlock System Double Interlock

Valve Enclosure Secured Yes

Valve Enclosure Heater Operational Yes

Valve Enclosures Temperature Greater Than 40 F Yes

Pre-Action Equipment Protected From Freezing Yes

Visually Inspect - Is Exterior Of The Valve In Good Condition And Both Gauges Operable Yes

Visually Inspect - Are Trim Valves In Their Appropriate Open Or Closed Positions Yes

Valve Seat Leak Tight Yes

Trim Piping Leak Tight Yes

System Gauges Undamaged And Reading Within Limits Yes

Wet Gauge PSI 155

Dry Gauge PSI 40

Pre-Action Maintaining Test Air Yes

Are the air pressure and priming water levels normal? Yes

Test Low Air Pressure Alarm Yes

Date of Last Full Flow Pre-Action Trip Test 02/08/2024

Date of Check Valve Internal Inspection 09/27/2023

Date the internal pipe inspection was performed? 09/27/2023

Date of Gauges Replacement 09/27/2023

Date of Internal Inspection of PreAction Strainers, Filters, And Restriction Orifices. 09/27/2023

Reason for failure: (Functional Failure) 1) 3 year air leak testing appears due.

Sprinkler–Quarterly

Customer: NIEHS Building: NIEHS - Building 110

Sprinkler | 05/28/2025 Page 2 of 6

MAIN DRAIN TESTS

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Building 110 pre-action Main Drain Test — 05/28/2025 Passed

Test pipe located Building 110 riser room

Size of test pipe 2”

Previous Main Drain Test Date 03/05/2025

Previous Main Drain Static Pressure 150

Static supply pressure 150

Time to return to normal system pressure 2 sec

Static supply pressure after completion of test 160

Main Drain PSI Comparable to previous? Yes

Main drain opened & free of obstruction discoloration? Yes

CONTROL VALVES AGG

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Building 110 reaction Control Valve — 05/28/2025 Passed

Type and Size Butterfly

Easily Accessible? Yes

Signs? Yes

Valve in the Appropriate Open or Closed Position? Yes

Sealed, Locked, and/or Supervised Secured in a Locked Enclosure

Free from External Leaks? Yes

WATER FLOW SWITCHES

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Building 110 preaction Water Flow Switch — 05/28/2025 Passed

Quarterly Visual Inspection - Is flow switch free of damage with its electrical connections secure? Yes

TAMPER SWITCHES

# LOCATION DESCRIPTION DEVICE TYPE BARCODE INSPECTOR DATE OF TEST RESULT

1 — Building 110 reaction control valve Tamper Switch — 05/28/2025 Passed

Quarterly Visual Inspection - Is tamper switch free of damage with its electrical connections secure? Yes

SUPERVISORY POINTS

#…