Report 2178 PH Anual Extinguisher PMs 3-9-22.pdf
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- Solicitation number
- FA255024R0003
About this file
This document contains a pre-solicitation notice and draft performance work statement for base operations support services at Prospect Harbor Space Force Station in Maine. The Air Force plans to release a solicitation in January 2024 for a contractor to provide base operations and logistical support services at the government-owned, contractor-operated facility as it transitions from Navy to Space Force responsibility on October 1, 2024. Services will include physical security, civil engineering, communications systems administration, logistics management, environmental services, and meeting all safety and occupational health requirements. The acquisition is set aside for small businesses and will use a subjective best value source selection process in accordance with FAR and DFARS. Offerors must register in the Procurement Integrated Enterprise Environment to receive the solicitation and submit proposals through the solicitation module. No funds have been certified for this requirement at this time.
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Text version
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
YES NO
YES NO
YES NO
MATERIALS USED
MAINTENACE & INSPECTION REPORT
(ONE FOR EACH PIECE OF EQUIPMENT)
WILL MATERIALS NEED TO BE ORDERED? HOW LONG IS THE LEED TIME?
EXPLAIN BELOW
HAVE NOT BEEN MET
(BELOW) FOR ADMINISTRATION USE ONLY
DATE IT WILL BE RECEIVED :
PROPER PPE BEING WORN
YES
CONTRACTOR: TECHNICIANS NAME:
LOCATION WEATHERBUILDING NAME or #
CONTRACTOR/SIGNATURE CCI/ SIGNATURE SITE INSPECTOR/SIGNATURE
CONTRACT # ELIN # REPORT NO.
HAVE BEEN MET
DATE:
General Direct Condition Rating
TYPE OF EQUIPMENT MAKE MODEL
WORK DESCRIPTION & PROBLEMS FOUNDS
TIME TO COMPLETE TASK
IS INSPECTION CHECK LIST ATTACHED?
SAFETY REQUIREMENTS
WAS WORK COMPLETED?
IF NO EXPLAIN BELOW
General Direct Condition Rating Notes ( Explain Conditions found for the Rating given above)
N40085-17-D-7201
NO
HOUSE KEEPING COMPLETE
YES
NO
MAXIMO # Work Order #
Barry Prescott #135
200000047509Inspection Ref:
Conducted by:
Report of Inspection/Test
Property Owner/Agent
526 Western Ave.
Augusta, ME 04430
CCI Group, LLCProspect Harbor
Lighthouse Point Road
Prospect Harbor, ME
Annual Extinguisher
Derek McCaslin
(207)620-7172 x111 Print Date: 3/30/2022
03/09/2022
Equipment Summary
Site
Description
Inspected Unable to
Inspect Serviced
Repaired Failed
%Qty%Qty%Qty%QtyQty
Extinguisher Extinguisher
ABC 21 21 0 15100.0% 0.0% 71.4% 0 0.0%
K-class 1 1 0 0100.0% 0.0% 0.0% 0 0.0%
Fire Extinguisher Inspection List
Location
Description Size Type
Inspection - Service
G a u g e
P u ll P in
S ig n a g e
C o lla r
H o se /N o zz le
B ra ck e t
W e ig h t
Y e a r In sp
H yd ro T e stSerial #
Manufacturer
Model
Equip ID
(Item #)
@Area
Ok Ok Ok Ok Ok Ok Ok Ok OkBuckeye ABCBldg #103 10 lb
Bldg #110
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBoiler Rm 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCPool Table 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkBadger K-classKitchen 6 liter due for hydro test
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBack Stair 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCOutside porch 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCAmmo Locker 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBldg #102 10 lb
Bldg #105
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCOffice 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCRear Door 10 lb
Bldg #104
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBy Door 10 lb
Admin #112
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBy FACP 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCTop of E stair 10 lb
Print Date: 3/30/2022 Copyright 2002-2020 Life Safety Inspector, OnSite Software
Report of Inspection/Test
Prospect HarborProperty:
Owner: CCI Group, LLC 200000047509Inspection Ref:
Annual Extinguisher
03/09/2022
Fire Extinguisher Inspection List
Location
Description Size Type
Inspection - Service
G a u g e
P u ll P in
S ig n a g e
C o lla r
H o s e
/N o z zl e
B ra c k e t
W e ig h t
Y e a r In s p
H yd ro T e s t
Serial # Manufacturer
Model
Equip ID
(Item #)
Admin #112
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBoiler Rm 10 lb
Bldg #106
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBldg #106 5 lb
Bldg #53
Ok Ok Ok Ok Ok Ok Ok Ok OkBuckeye ABCBy front door 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkBuckeye ABCby rear door 10 lb
Bldg #52
Ok Ok Ok Ok Ok Ok Ok Ok OkBuckeye Mini guard automatic
ABCCeiling mount 15 lb
Bldg #101
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCSecure area 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBy release FACP 10 lb
Ok Ok Ok Ok Ok Ok Ok Ok OkAmerex ABCBy entrance 10 lb
Bldg #103
Ok Ok Ok Ok Ok Ok Ok Ok OkBuckeye ABCBldg #103 10 lb
Fire Extinguisher
Detail Summary Number of Items Requiring Service
Repaired, Replaced and Tested Ok
X
S Number of Items:
Print Date: 3/30/2022
Owner: CCI Group, LLC 200000047509Inspection Ref:
Annual Extinguisher
03/09/2022
Deficiency / Recommendations Summary
These items were deficient and do not meet the requirements of the applicable code at the time of the inspection. Items marked
Recommendation are not required by the applicable code but are opportunities to improve the Life Safety of the property.
Extinguisher ABC Inspection Boiler Rm 10 lb Bldg #110 Boiler Rm Amerex Extinguisher ABC Boiler Rm
2022 Date 6 Year Insp Due
Extinguisher ABC Inspection Pool Table 10 lb Bldg #110 Pool Table Amerex Extinguisher ABC Pool Table
2/1/2022 Date 6 Year Insp Due
Extinguisher Wet Chem Inspection Kitchen 6 liter Bldg #110 Kitchen Badger Extinguisher K-class Kitchen
Ok Hydro Test due for hydro test
Extinguisher ABC Inspection Back Stair 10 lb Bldg #110 Back Stair Amerex Extinguisher ABC Back Stair
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection Outside porch 10 lb Bldg #110 Outside porch Amerex Extinguisher ABC Outside porch
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection Ammo Locker 10 lb Bldg #110 Ammo Locker Amerex Extinguisher ABC Ammo Locker
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection Bldg #102 Amerex 10 lb Bldg #102 Amerex Extinguisher ABC Bldg #102
2022 Date 6 Year Insp Due
Extinguisher ABC Inspection Office 10 lb Bldg #105 Office Amerex Extinguisher ABC Office
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection Rear Door 10 lb Bldg #105 Rear Door Amerex Extinguisher ABC Rear Door
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection By Door 10 lb Bldg #104 By Door Amerex Extinguisher ABC By Door
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection By FACP 10 lb Admin #112 By FACP Amerex Extinguisher ABC By FACP
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection Top of E stair 10 lb Admin #112 Top of E stair Amerex Extinguisher ABC Top of E stair
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection Boiler Rm 10 lb Admin #112 Boiler Rm Amerex Extinguisher ABC Boiler Rm
2/1/2022 Date 6 Year Insp Due
Print Date: 3/30/2022
Owner: CCI Group, LLC 200000047509Inspection Ref:
Annual Extinguisher
03/09/2022
Extinguisher ABC Inspection Secure area 10 lb Bldg #101 Secure area Amerex Extinguisher ABC Secure area
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection By release FACP 10 lb Bldg #101 By release FACP Amerex Extinguisher ABC By release FACP
2/1/2022 Date 6 Year Insp Due
Extinguisher ABC Inspection By entrance Amerex 10 lb Bldg #101 By entrance Amerex Extinguisher ABC By entrance
2/1/2022 Date 6 Year Insp Due
Print Date: 3/30/2022
| DATE: 3/9/2022 |
| TYPE OF EQUIPMENTRow1: Fire extinguisher |
| MAKERow1: Amerex |
| MODELRow1: ABC |
| TIME TO COMPLETE TASKRow1: 2 |
| CONTRACTOR: Dean & Allyn, Inc. |
| TECHNICIANS NAME: Barry Prescott |
| LOCATIONRow1: Prospect Harbor |
| BUILDING NAME or Row1: Various |
| WEATHERRow1: Cool/overcast |
| General Direct Condition RatingRow1: Green + |
| General Direct Condition Rating Notes Explain Conditions found for the Rating given aboveRow1: |
| WILL MATERIALS NEED TO BE ORDERED HOW LONG IS THE LEED TIME EXPLAIN BELOW: |
| MATERIALS USEDRow1: |
| DATE IT WILL BE RECEIVED: |
| CCI SIGNATURERow1: |
| ELIN N4008517D7201: F002AM |
| REPORT NON4008517D7201: 2178 |
| REPORT NOWork Order: |
| MAXIMO Row1: |
| Work Order Row1: |
| REPORT NORow3: |
| Text1: Annual inspection of 22 portable fire extinguishers. 15 ten pound ABC extinguishers are due for 6 year maintenance in 2022 |
| Text2: |
| Check Box3: Yes |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Yes |
| Check Box7: Yes |
| Check Box8: Off |
| Check Box9: Yes |
| Check Box10: Off |
| Check Box11: Yes |
| Check Box12: Off |
| Check Box13: Yes |
| Check Box14: Off |
File details come from the government source that posted it. Updated .