HFP_Inspection_Report.pdf
PDF 9 MB Posted
- Attached to
- INDU Fire Suppression System Inspection & Testing Federal contract opportunity
- Solicitation number
- 140P6425Q0034
About this file
These are Annual NFPA 25 Fire Protection System Inspection Reports for multiple buildings at Indiana Dunes National Park, conducted by Hill Fire Protection, LLC in October and November 2024. The reports cover 15 different properties including cabins, staff and director housing, a caretakers house, Douglas Center, and Sears House, all located at 700 Howe Road in Porter, Indiana. Each inspection report details the status of fire suppression systems, including wet and dry sprinkler systems, antifreeze loops, backflow preventers, and fire department connections, with comprehensive assessments of valves, sprinkler heads, alarms, pipes, and other critical components.
The inspection reports consistently identify multiple deficiencies across the properties, including: outdated sprinklers requiring batch testing, missing or improperly marked control valve signs, check valves needing internal inspections, water gauges requiring replacement, and alarm systems failing to report correctly. Most properties lack proper spare sprinkler cabinets and wrench sets, and several have antifreeze solutions that need recharging or replacement. The inspections were performed by Larry Roberts from Hill Fire Protection, with Samuel Gonzalez typically signing as the client representative, and each report is dated between October and November 2024, suggesting a comprehensive annual fire system evaluation across the entire Indiana Dunes National Park campus.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| UPDATED_Price_Schedule_0001.xlsx | XLSX spreadsheet | |
| Sol_140P6425Q0034_Amd_0001.pdf | ||
| Questions___Answers_0001.pdf | ||
| Location_Maps.pdf | ||
| Statement_of_Work.pdf | ||
| NPS_Structural_Fire_Management_Program.pdf | ||
| Price_Schedule.xlsx | XLSX spreadsheet | |
| SCA_WD_-_Porter_County___Lake_County__IN.pdf | ||
| Sol_140P6425Q0034.pdf |
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Report of Inspection / Test General Questions
OWNER SECTION
Is the building occupied? Yes
No
NA
Has the occupancy classification, hazard of contents, and/or storage method remained the same since the last inspection?
Yes
No
NA
Are all fire protection systems in service? Yes
No
NA
Has the system remained in service without modification since the last inspection?
Yes
No
NA
Was the system free of actuations of devices or alarms since the last inspection?
Yes
No
NA
VALVE AREA
Are the control valves supervised with seals, locked, or electrical supervision in correct (open or closed) position?
Yes
No
NA
Are the control valves supervised with seals locked or electrical supervision in place?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision accessible?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision free from leaks?
Yes
No
NA
Do the control valves supervised with seals, locked or electrical supervision have appropriate wrenches?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision properly identified?
Yes
No
NA
Are the gauges on system showing normal water supply pressure?
Yes
No
NA
Have the mechanical waterflow alarm devices passed tests by opening inspector's test connection/bypass connection with alarms actuating and flow observed?
Yes
No
NA
The electrical waterflow alarm devices passed test by opening inspector's test connection/bypass connection with alarms actuating and flow observed?
Yes
No
NA
All control valves operated through full range and returned to normal position?
Yes
No
NA
ALARMS
Are alarms and supervisory devices not damaged? Yes
No
NA
PIPES
Are the visible pipe and fittings in good condition with no external corrosion?
Yes
No
NA
Do visible pipe and fittings have no mechanical damage or leaks?
Yes
No
NA
Does visible pipe have no external loads? Yes
No
NA
Are visible pipe hangers and seismic braces not damaged or loose?
Yes
No
NA
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Copyright 2024 Inspect Point
SPRINKLER HEADS
Are there the proper number and type of spare sprinklers with a list in place?
Yes
No
NA
Are visible sprinklers in the proper position: upright, pendent, sidewall?
Yes
No
NA
Are visible sprinklers free of corrosion and physical damage?
Yes
No
NA
Is there proper clearance below the sprinklers? Yes
No
NA
Are visible sprinklers free of foreign materials including foreign paint?
Yes
No
NA
Is there liquid in all visible glass bulb sprinklers? Yes
No
NA
Are there spare sprinklers and a sprinkler wrench? Yes
No
NA
Are all the sprinklers dated 1920 or later? Yes
No
NA
Fast response sprinklers installed for 20 or more years replaced or successfully sample tested within last 10 years?
Yes
No
NA
MAINTENANCE
Was a valve status test conducted after opening any closed valve?
Yes
No
NA
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Report of Inspection / Test for System - Wet system
MAINTENANCE
Have gauges been checked by a calibrated gauge or replaced in the last 5 years?
Yes
No
NA
INTERNAL PIPE INSPECTION
Has system passed internal pipe assessment within last 5 years?
Yes
No
NA
Date of next 5-year internal pipe assessment? due
MAIN DRAIN FLOW TESTS
System Initial Static Residual Static Seconds to Return to
Initial Static
Flow Observed?
Did waterflow alarm operate?
Are results comparable to previous test?
Wet system 40 25 40 2 Yes Yes N/A
INSPECTORS TEST CONNECTION
System Location Description Time to
Alarm (seconds)
Reported? Smooth Orifice
Easily Accessible
Signs? Pass?
Basement ITV 10 Yes Yes Yes Yes Yes
VALVES
System Description Location Valve Type Size Secured Open
Easily Accessible Signs Exercised
Stems Lubricated
# of Turn s
Wet system Wet system control valve
Basement Butterball 1-1/4 " Sealed Yes Yes No Yes N/A
Incoming #1 fire system water tank make up line
Backflow Ball 3/4 " Sealed Yes Yes No Yes N/A
Incoming #2 fire system water tank make up line
Basement back flow
Ball 3/4 " Sealed Yes Yes No Yes N/A
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Questions with Photos and Notes
- Are the gauges on system showing normal water supply pressure? Yes
Notes:
Gauge replacement due to
Wet system - Did waterflow alarm operate? Yes
Notes:
Local bells basement and first floor
ITV - ITV Basement
Notes:
Local bells only basement and first floor
Back Flow - 975XL
Visit Photos
Kennedy hydrant does not drain properly. Will need to be repaired
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Deficiencies - General Questions
Deficiency #1
Fast response sprinklers installed for 20 or more years replaced or successfully sample tested within last 10 years?: No
Notes: Batch testing due to
Deficiency #2
Are the control valves supervised with seals, locked or electrical supervision properly identified?: No
Notes: Need control valve sign
Deficiencies - General Wet System Questions
None
Deficiencies - Wet system
Deficiency #3
Sprinkler Type: Wet Has system passed internal pipe assessment within last 5 years?: No
Notes:
Deficiency #4
Sprinkler Type: Wet Have gauges been checked by a calibrated gauge or replaced in the last 5 years?:
No
Notes:
Deficiencies - Check Valves
None
Deficiencies - Fire system water tank make up
None
Deficiencies - Inspectors Test Connection
None
Deficiencies - Valves
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Deficiency #5
Location: Basement back flow Valve Type: Ball Size: 3/4 Description: Incoming #2 fire system water tank make up line Signs: No
Notes: Need control valve signs
Deficiency #6
Location: Backflow Valve Type: Ball Size: 3/4 Description: Incoming #1 fire system water tank make up line Signs: No
Notes: Need signs
Deficiency #7
Location: Basement Valve Type: Butterball Size: 1-1/4 Description: Wet system control valve Signs: No
Notes: Needs control valve sign added
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Recommendations
Please note, there has been recommended repairs and/or inspection deficiency noted during our recent visit. A Hill Fire Protection representative will be reaching out to you to discuss next steps.
Sprinkler batch testing due Five year internals plus gauge replacement due
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Client Signature
I state that the information on this form is correct at the time and place of my inspection, and all equipment tested at this time was left in operational condition upon completion of this inspection except as noted.
Client Name Signature Date Completed
Samuel Gonzalez 2024-10-03
Report of Inspection / Test Annual NFPA 25
2024-10-03 Property 20 Dorm
1252 US 20
Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28715
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
BACKFLOW DEVICE TEST
State Form 55788 (2-15)
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
THIS FORM IS TO BE COMPLETED BY AN INDIANA CERTIFIED BACKFLOW TESTER.
By signing this backflow test report and checking this box, I hereby certify that I am familiar with the information contained in this form and that to the best of my knowledge and belief, such information is true, complete and accurate at the time of the test.
Customer and Device Information
1. Customer name 2. Customer company
3. Customer address (number and street, city, state, and ZIP code)
4. Location of device (and address if different from customer) 5. Is the device a new assembly? Yes No
Replacing serial number:
6.Type of service
Domestic Fire Irrigation
7. Type of assembly
RP DC PVB SVB Air Gap AVB
8. Type of protection Isolation Containment
9. Serial number of device
10. Size of device 11. Manufacturer of device 12. Model number of device
13. Additional information (optional)
14. Test Measurements
RP
DC PVB/SVB
Check Valve #1 Check Valve #2 Pressure Differential
Relief Valve Air Inlet
Initial Date (mm/dd/yy):
Time:
PASS
FAIL
Held at PSID
Closed Tight
Leaked
Held at PSID
Closed Tight
Leaked
Opened at
PSID
Did Not Open
Opened at PSID
Did Not Open
Check Valve Held PSID
Final Date (mm/dd/yy):
Time:
PASS
FAIL
Held at PSID
Closed Tight
Leaked
Held at PSID
Closed Tight
Leaked
Opened at
PSID
Did Not Open
Opened at PSID
Did Not Open
Check Valve Held PSID
AIR GAP
Measured vertical inches above overflow rim : Supply size diameter:
AVB
Opened fully? Yes No
15. Comments
Tester Information
Initial
Tester
16. Name and e-mail address of tester 17. Company name of tester (if applicable)
18. Telephone number 19. Signature and registration number of tester
20. Testing equipment serial number 21. Testing equipment calibration date (mm/dd/yy)
Final
Tester
22. Name and e-mail address of tester 23. Company name of tester (if applicable)
24. Telephone number 25. Signature and registration number of tester
26. Testing equipment serial number 27. Testing equipment calibration date (mm/dd/yy)
20 Dorm
■ 730571
HFP
975XL
Fire system water tanks make up line
10/2/24
8.4
8.2
1252 US 20, Porter, IN, 46304
2.0
Pass
Larry Roberts HFP
224-213-1139
Larry Roberts HFP
224-213-1139
Is the building occupied? Yes
No
NA
Has the occupancy classification, hazard of contents, and/or storage method remained the same since the last inspection?
Yes
No
NA
Are all fire protection systems in service? Yes
No
NA
Has the system remained in service without modification since the last inspection?
Yes
No
NA
Was the system free of actuations of devices or alarms since the last inspection?
Yes
No
NA
VALVE AREA
Are the control valves supervised with seals, locked, or electrical supervision in correct (open or closed) position?
Yes
No
NA
Are the control valves supervised with seals locked or electrical supervision in place?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision accessible?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision free from leaks?
Yes
No
NA
Do the control valves supervised with seals, locked or electrical supervision have appropriate wrenches?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision properly identified?
Yes
No
NA
Are all check valves externally inspected, operating properly, and are in good condition?
Yes
No
NA
Are the gauges on system showing normal water supply pressure?
Yes
No
NA
Have the mechanical waterflow alarm devices passed tests by opening inspector's test connection/bypass connection with alarms actuating and flow observed?
Yes
No
NA
The electrical waterflow alarm devices passed test by opening inspector's test connection/bypass connection with alarms actuating and flow observed?
Yes
No
NA
All control valves operated through full range and returned to normal position?
Yes
No
NA
ALARMS
Are alarms and supervisory devices not damaged? Yes
No
NA
PIPES
Are the visible pipe and fittings in good condition with no external corrosion?
Yes
No
NA
Do visible pipe and fittings have no mechanical damage or leaks?
Yes
No
NA
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Does visible pipe have no external loads? Yes
No
NA
Are visible pipe hangers and seismic braces not damaged or loose?
Yes
No
NA
SPRINKLER HEADS
Are there the proper number and type of spare sprinklers with a list in place?
Yes
No
NA
Are visible sprinklers in the proper position: upright, pendent, sidewall?
Yes
No
NA
Are visible sprinklers free of corrosion and physical damage?
Yes
No
NA
Is there proper clearance below the sprinklers? Yes
No
NA
Are visible sprinklers free of foreign materials including foreign paint?
Yes
No
NA
Is there liquid in all visible glass bulb sprinklers? Yes
No
NA
Are there spare sprinklers and a sprinkler wrench? Yes
No
NA
Are all the sprinklers dated 1920 or later? Yes
No
NA
Fast response sprinklers installed for 20 or more years replaced or successfully sample tested within last 10 years?
Yes
No
NA
MAINTENANCE
Was a valve status test conducted after opening any closed valve?
Yes
No
NA
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Report of Inspection / Test for System - Wet
Have gauges been checked by a calibrated gauge or replaced in the last 5 years?
Yes
No
NA
INTERNAL PIPE INSPECTION
Has system passed internal pipe assessment within last 5 years?
Yes
No
NA
Date of next 5-year internal pipe assessment? due
Report of Inspection / Test for Asset - Antifreeze system
ANTIFREEZE
Is the specific gravity of antifreeze correct at the interface with wet system?
Yes
No
NA
Is the freeze point of antifreeze solution correct for geographical location?
Yes
No
NA
Is the antifreeze the correct type? Yes
No
NA
Is the antifreeze information sign in place by the main system valve?
Yes
No
NA
Antifreeze manufacturer and type: N/A Antifreeze concentration % (by volume): N/A
Total volume of antifreeze in the system: N/A Is the antifreeze a listed factory premixed solution or of proper concentration?
Yes
No
NA
MAIN DRAIN FLOW TESTS
System Initial Static Residual Static Seconds to Return to
Initial Static
Flow Observed?
Did waterflow alarm operate?
Are results comparable to previous test?
Wet 70 N/A 70 N/A N/A Yes N/A
INSPECTORS TEST CONNECTION
System Location Description Time to
Alarm (seconds)
Reported? Smooth Orifice
Easily Accessible
Signs? Pass?
Wet Sprinkler closet ITV 51 Yes Yes Yes Yes Yes
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
VALVES
System Description Location Valve Type Size Secured Open
Easily Accessible Signs Exercised
Stems Lubricated
# of Turn s
Wet Wet system control valve
Sprinkler riser Ball 1-1/4 " Sealed Yes Yes No Yes N/A
Wet Wet system control valve #3 after backflow
Sprinkler closet 1-1/4 " Sealed Yes Yes No Yes N/A
Wet control valve #2 before backflow
Backflow suction
Ball 1-1/4 " Sealed Yes Yes No Yes N/A
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Wet - Is flow observed? N/A
Notes:
Gauge is located on antifreeze portion of system so can't do main drain with numbers
ITV - ITV Sprinkler closet
Notes:
Alarm in cabin did not activate but main panel across in dining lodge received alarm
Back Flow - Ames - 4000B
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Are there the proper number and type of spare sprinklers with a list in place?: No
Notes: No sprinkler cabinet
Deficiency #2
Are visible sprinklers free of foreign materials including foreign paint?: No
Notes: Paint on sprinkler deflector
Deficiency #2 - Photo #1
Date Taken: October 03, 2024
Deficiency #3
Are there spare sprinklers and a sprinkler wrench?: No
Notes:
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Deficiency #4
Fast response sprinklers installed for 20 or more years replaced or successfully sample tested within last 10 years?: No
Notes: Batch testing due Sprinklers are on Antifreeze loop and should be replaced upon recharge 2 1/2" 155 degree chrome SW 2 1/2" 155 degree pendants
Deficiency #4 - Photo #1
Date Taken: October 03, 2024
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Deficiency #4 - Photo #2
Date Taken: October 03, 2024
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Deficiency #4 - Photo #3
Deficiency #5
Are the control valves supervised with seals, locked or electrical supervision properly identified?: No
Notes: Need sign
Deficiencies - General Wet System Questions
None
Deficiencies - Wet
Deficiency #6
Sprinkler Type: Wet Has system passed internal pipe assessment within last 5 years?: No
Notes:
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Deficiency #7
Sprinkler Type: Wet Have gauges been checked by a calibrated gauge or replaced in the last 5 years?:
No
Notes:
Deficiencies - Antifreeze system
Deficiency #8
Is the freeze point of antifreeze solution correct for geographical location? : No
Notes: Sample tested good to 30 degrees Fahrenheit and should be replaced
Deficiency #9
Is the antifreeze information sign in place by the main system valve?: No
Notes:
Deficiency #10
Is the antifreeze a listed factory premixed solution or of proper concentration? :
No
Notes:
Deficiencies - Check Valves
None
Deficiencies - Fire system
None
Deficiencies - Inspectors Test Connection
None
Deficiencies - Valves
Deficiency #11
Location: Backflow suction Valve Type: Ball Size: 1-1/4 Description: control valve #2 before backflow Signs: No
Notes: Needs sign
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Deficiency #12
Location: Sprinkler closet Size: 1-1/4 Description: Wet system control valve #3 after backflow Signs: No
Notes: Needs sign
Deficiency #13
Location: Sprinkler riser Valve Type: Ball Size: 1-1/4 Description: Wet system control valve Signs: No
Notes: Needs control valve sign added
Deficiency #13 - Photo #1
Date Taken: October 03, 2024
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Please note, there has been recommended repairs and/or inspection deficiency noted during our recent visit. A Hill Fire Protection representative will be reaching out to you to discuss next steps.
Antifreeze loop test failed and needs recharging. Tested 30 degrees Fahrenheit All 4 Sprinklers should be replaced during recharge because they are corroded and due for batch testing Five year testing is due on piping and check valve plus gauge replacement All piping is located inside attic
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
Inspector Signature
I state that the information on this form is correct at the time and place of my inspection, and all equipment tested at this time was left in operational condition upon completion of this inspection except as noted.
Inspector Name Signature Date Completed
Larry Roberts 2024-10-03
Client Signature
I state that the information on this form is correct at the time and place of my inspection, and all equipment tested at this time was left in operational condition upon completion of this inspection except as noted.
Client Name Signature Date Completed
Samuel Gonzalez 2024-10-03
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 1 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28723
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
950 Wabash Ave, Suite 1 Chesterton Indiana 46304
(219) 728-2997
State Form 55788 (2-15)
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
THIS FORM IS TO BE COMPLETED BY AN INDIANA CERTIFIED BACKFLOW TESTER.
By signing this backflow test report and checking this box, I hereby certify that I am familiar with the information contained in this form and that to the best of my knowledge and belief, such information is true, complete and accurate at the time of the test.
Customer and Device Information
1. Customer name 2. Customer company
3. Customer address (number and street, city, state, and ZIP code)
4. Location of device (and address if different from customer) 5. Is the device a new assembly? Yes No
Replacing serial number:
6.Type of service
Domestic Fire Irrigation
7. Type of assembly
RP DC PVB SVB Air Gap AVB
8. Type of protection Isolation Containment
9. Serial number of device
10. Size of device 11. Manufacturer of device 12. Model number of device
13. Additional information (optional)
14. Test Measurements
RP
DC PVB/SVB
Check Valve #1 Check Valve #2 Pressure Differential
Relief Valve Air Inlet
Initial Date (mm/dd/yy):
Time:
PASS
FAIL
Held at PSID
Closed Tight
Leaked
Held at PSID
Closed Tight
Leaked
Opened at
PSID
Did Not Open
Opened at PSID
Did Not Open
Check Valve Held PSID
Final Date (mm/dd/yy):
Time:
PASS
FAIL
Held at PSID
Closed Tight
Leaked
Held at PSID
Closed Tight
Leaked
Opened at
PSID
Did Not Open
Opened at PSID
Did Not Open
Check Valve Held PSID
AIR GAP
Measured vertical inches above overflow rim : Supply size diameter:
AVB
Opened fully? Yes No
15. Comments
Tester Information
Initial
Tester
16. Name and e-mail address of tester 17. Company name of tester (if applicable)
18. Telephone number 19. Signature and registration number of tester
20. Testing equipment serial number 21. Testing equipment calibration date (mm/dd/yy)
Final
Tester
22. Name and e-mail address of tester 23. Company name of tester (if applicable)
24. Telephone number 25. Signature and registration number of tester
26. Testing equipment serial number 27. Testing equipment calibration date (mm/dd/yy)
Cabin 1
■ 0000154
1.25
HFP
Ames 4000B
10/3/24 8.0
7.9
700 Howe Road, Porter, IN, 46304
2.3
Sprinkler closet
Pass
Larry Roberts HFP
224-213-1139
Larry Roberts HFP
Is the building occupied? Yes
No
NA
Has the occupancy classification, hazard of contents, and/or storage method remained the same since the last inspection?
Yes
No
NA
Are all fire protection systems in service? Yes
No
NA
Has the system remained in service without modification since the last inspection?
Yes
No
NA
Was the system free of actuations of devices or alarms since the last inspection?
Yes
No
NA
VALVE AREA
Are the control valves supervised with seals, locked, or electrical supervision in correct (open or closed) position?
Yes
No
NA
Are the control valves supervised with seals locked or electrical supervision in place?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision accessible?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision free from leaks?
Yes
No
NA
Do the control valves supervised with seals, locked or electrical supervision have appropriate wrenches?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision properly identified?
Yes
No
NA
Are all check valves externally inspected, operating properly, and are in good condition?
Yes
No
NA
Are the gauges on system showing normal water supply pressure?
Yes
No
NA
Have the mechanical waterflow alarm devices passed tests by opening inspector's test connection/bypass connection with alarms actuating and flow observed?
Yes
No
NA
The electrical waterflow alarm devices passed test by opening inspector's test connection/bypass connection with alarms actuating and flow observed?
Yes
No
NA
All control valves operated through full range and returned to normal position?
Yes
No
NA
ALARMS
Are alarms and supervisory devices not damaged? Yes
No
NA
PIPES
Are the visible pipe and fittings in good condition with no external corrosion?
Yes
No
NA
Do visible pipe and fittings have no mechanical damage or leaks?
Yes
No
NA
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
NA
Are visible pipe hangers and seismic braces not damaged or loose?
Yes
No
NA
SPRINKLER HEADS
Are there the proper number and type of spare sprinklers with a list in place?
Yes
No
NA
Are visible sprinklers in the proper position: upright, pendent, sidewall?
Yes
No
NA
Are visible sprinklers free of corrosion and physical damage?
Yes
No
NA
Is there proper clearance below the sprinklers? Yes
No
NA
Are visible sprinklers free of foreign materials including foreign paint?
Yes
No
NA
Is there liquid in all visible glass bulb sprinklers? Yes
No
NA
Are there spare sprinklers and a sprinkler wrench? Yes
No
NA
Are all the sprinklers dated 1920 or later? Yes
No
NA
Fast response sprinklers installed for 20 or more years replaced or successfully sample tested within last 10 years?
Yes
No
NA
Is list of the sprinklers installed in the property posted in the sprinkler cabinet?
Yes
No
NA
MAINTENANCE
Was a valve status test conducted after opening any closed valve?
Yes
No
NA
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Have gauges been checked by a calibrated gauge or replaced in the last 5 years?
Yes
No
NA
INTERNAL PIPE INSPECTION
Has system passed internal pipe assessment within last 5 years?
Yes
No
NA
Date of next 5-year internal pipe assessment? due
Report of Inspection / Test for Asset - Antifreeze
ANTIFREEZE
Is the specific gravity of antifreeze correct at the interface with wet system?
Yes
No
NA
Is the freeze point of antifreeze solution correct for geographical location?
Yes
No
NA
Is the antifreeze the correct type? Yes
No
NA
Is the antifreeze information sign in place by the main system valve?
Yes
No
NA
Total volume of antifreeze in the system: unknown Is the antifreeze a listed factory premixed solution or of proper concentration?
Yes
No
NA
MAIN DRAIN FLOW TESTS
System Initial Static Residual Static Seconds to Return to
Initial Static
Flow Observed?
Did waterflow alarm operate?
Are results comparable to previous test?
Wet 70 N/A 70 N/A N/A Yes Yes
INSPECTORS TEST CONNECTION
System Location Description Time to
Alarm (seconds)
Reported? Smooth Orifice
Easily Accessible
Signs? Pass?
Wet Sprinkler closet ITV 35 Yes Yes Yes Yes Yes
VALVES
System Description Location Valve Type Size Secured Open
Easily Accessible Signs Exercised
Stems Lubricated
# of Turns
Wet CV#1 Sprinkler closet Ball 1-1/4 " Sealed Yes Yes No Yes N/A
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Valve Type Size Secured Open
Easily Accessible Signs Exercised
Stems Lubricated
# of Turns
Wet CV#2 Sprinkler closet Ball 1-1/4 " Sealed Yes Yes No Yes N/A
Wet CV#3 Sprinkler closet Ball 1-1/4 " Sealed Yes Yes No Yes N/A
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Equipment
Address Location QTY Name Type Status Notes Pass/Fail
Antifreeze check valve Sprinkler closet 1 Antifreeze check valve Check Valves Active Fail
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
- Are the gauges on system showing normal water supply pressure? Yes
Notes:
Gauge replacement due
- Are all check valves externally inspected, operating properly, and are in good condition? Yes
Notes:
Internals are due
ITV - ITV Sprinkler closet
Notes:
1.25" screw in type
Back Flow - Ames - 4000B
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Are there the proper number and type of spare sprinklers with a list in place?: No
Notes: No spare sprinkler cabinet
Deficiency #2
Are there spare sprinklers and a sprinkler wrench?: No
Notes:
Deficiency #3
Fast response sprinklers installed for 20 or more years replaced or successfully sample tested within last 10 years?: No
Notes: Batch testing due
Deficiency #4
Is list of the sprinklers installed in the property posted in the sprinkler cabinet? :
No
Notes:
Deficiency #5
Are the control valves supervised with seals, locked or electrical supervision properly identified?: No
Notes: Need three control valve signs
Deficiencies - General Wet System Questions
None
Deficiencies - Wet
Deficiency #6
Sprinkler Type: Wet Has system passed internal pipe assessment within last 5 years?: No
Notes:
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Have gauges been checked by a calibrated gauge or replaced in the last 5 years?:
No
Notes:
Deficiencies - Antifreeze
Deficiency #8
Is the specific gravity of antifreeze correct at the interface with wet system?: No
Notes: Sample not in range and loop needs recharging
Deficiency #9
Is the freeze point of antifreeze solution correct for geographical location? : No
Notes:
Deficiency #10
Is the antifreeze information sign in place by the main system valve?: No
Notes: No sign of current type of solution found
Deficiency #11
Is the antifreeze a listed factory premixed solution or of proper concentration? :
No
Notes:
Deficiencies - Check Valves
Deficiency #12
Address: Antifreeze check valve Location: Sprinkler closet Equipment Type: Check Valves
QTY: 1
Description: Antifreeze 1.25 screwed check valve
Status: Fail
Notes: Antifreeze loop check valve
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Deficiency #12 - Photo #1
Deficiencies - Backflow
None
Deficiencies - Inspectors Test Connection
None
Deficiencies - Valves
Deficiency #13
Location: Sprinkler closet Valve Type: Ball Size: 1-1/4 Description: CV#3 Signs: No
Notes: Needs control valve sign
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Deficiency #14
Valve Type: Ball Size: 1-1/4 Description: CV#1 Signs: No
Notes: Needs control valve sign
Deficiency #15
Location: Sprinkler closet Valve Type: Ball Size: 1-1/4 Description: CV#2 Signs: No
Notes: Needs control valve sign
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Please note, there has been recommended repairs and/or inspection deficiency noted during our recent visit. A Hill Fire Protection representative will be reaching out to you to discuss next steps.
Sprinklers are due for batch testing Antifreeze loop sample failed and should be recharged Internals are due of system plus check valve and water gauge replacement.
Control valve signs should be added to 3 valves
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
I state that the information on this form is correct at the time and place of my inspection, and all equipment tested at this time was left in operational condition upon completion of this inspection except as noted.
Inspector Name Signature Date Completed
Larry Roberts 2024-10-03
Client Signature
I state that the information on this form is correct at the time and place of my inspection, and all equipment tested at this time was left in operational condition upon completion of this inspection except as noted.
Client Name Signature Date Completed
Samuel Gonzalez 2024-10-03
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 2 700 Howe Road Porter IN 46304 Print Date: 2024-11-18 Inspection Ref #: 28716
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
State Form 55788 (2-15)
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
THIS FORM IS TO BE COMPLETED BY AN INDIANA CERTIFIED BACKFLOW TESTER.
By signing this backflow test report and checking this box, I hereby certify that I am familiar with the information contained in this form and that to the best of my knowledge and belief, such information is true, complete and accurate at the time of the test.
Customer and Device Information
1. Customer name 2. Customer company
3. Customer address (number and street, city, state, and ZIP code)
4. Location of device (and address if different from customer) 5. Is the device a new assembly? Yes No
Replacing serial number:
6.Type of service
Domestic Fire Irrigation
7. Type of assembly
RP DC PVB SVB Air Gap AVB
8. Type of protection Isolation Containment
9. Serial number of device
10. Size of device 11. Manufacturer of device 12. Model number of device
13. Additional information (optional)
14. Test Measurements
RP
DC PVB/SVB
Check Valve #1 Check Valve #2 Pressure Differential
Relief Valve Air Inlet
Initial Date (mm/dd/yy):
Time:
PASS
FAIL
Held at PSID
Closed Tight
Leaked
Held at PSID
Closed Tight
Leaked
Opened at
PSID
Did Not Open
Opened at PSID
Did Not Open
Check Valve Held PSID
Final Date (mm/dd/yy):
Time:
PASS
FAIL
Held at PSID
Closed Tight
Leaked
Held at PSID
Closed Tight
Leaked
Opened at
PSID
Did Not Open
Opened at PSID
Did Not Open
Check Valve Held PSID
AIR GAP
Measured vertical inches above overflow rim : Supply size diameter:
AVB
Opened fully? Yes No
15. Comments
Tester Information
Initial
Tester
16. Name and e-mail address of tester 17. Company name of tester (if applicable)
18. Telephone number 19. Signature and registration number of tester
20. Testing equipment serial number 21. Testing equipment calibration date (mm/dd/yy)
Final
Tester
22. Name and e-mail address of tester 23. Company name of tester (if applicable)
24. Telephone number 25. Signature and registration number of tester
26. Testing equipment serial number 27. Testing equipment calibration date (mm/dd/yy)
Cabin 2
■ 0000145
1.25
HFP
Ames 4000B
10/3/24
8.6
8.5
700 Howe Road, Porter, IN, 46304
2.6
Sprinkler closet
Pass
Larry Roberts HFP
224-213-1139
Larry Roberts HFP
Is the building occupied? Yes
No
NA
Has the occupancy classification, hazard of contents, and/or storage method remained the same since the last inspection?
Yes
No
NA
Are all fire protection systems in service? Yes
No
NA
Has the system remained in service without modification since the last inspection?
Yes
No
NA
Was the system free of actuations of devices or alarms since the last inspection?
Yes
No
NA
VALVE AREA
Are the control valves supervised with seals, locked, or electrical supervision in correct (open or closed) position?
Yes
No
NA
Are the control valves supervised with seals locked or electrical supervision in place?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision accessible?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision free from leaks?
Yes
No
NA
Do the control valves supervised with seals, locked or electrical supervision have appropriate wrenches?
Yes
No
NA
Are the control valves supervised with seals, locked or electrical supervision properly identified?
Yes
No
NA
Are all check valves externally inspected, operating properly, and are in good condition?
Yes
No
NA
Are the gauges on system showing normal water supply pressure?
Yes
No
NA
Have the mechanical waterflow alarm devices passed tests by opening inspector's test connection/bypass connection with alarms actuating and flow observed?
Yes
No
NA
The electrical waterflow alarm devices passed test by opening inspector's test connection/bypass connection with alarms actuating and flow observed?
Yes
No
NA
All control valves operated through full range and returned to normal position?
Yes
No
NA
ALARMS
Are alarms and supervisory devices not damaged? Yes
No
NA
PIPES
Are the visible pipe and fittings in good condition with no external corrosion?
Yes
No
NA
Do visible pipe and fittings have no mechanical damage or leaks?
Yes
No
NA
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
NA
Are visible pipe hangers and seismic braces not damaged or loose?
Yes
No
NA
SPRINKLER HEADS
Are there the proper number and type of spare sprinklers with a list in place?
Yes
No
NA
Are visible sprinklers in the proper position: upright, pendent, sidewall?
Yes
No
NA
Are visible sprinklers free of corrosion and physical damage?
Yes
No
NA
Is there proper clearance below the sprinklers? Yes
No
NA
Are visible sprinklers free of foreign materials including foreign paint?
Yes
No
NA
Is there liquid in all visible glass bulb sprinklers? Yes
No
NA
Are there spare sprinklers and a sprinkler wrench? Yes
No
NA
Are all the sprinklers dated 1920 or later? Yes
No
NA
Fast response sprinklers installed for 20 or more years replaced or successfully sample tested within last 10 years?
Yes
No
NA
Were missing escutcheons and coverplates for recessed, flush and concealed sprinklers replaced with their listed escutcheon or coverplate?
Yes
No
NA
Is list of the sprinklers installed in the property posted in the sprinkler cabinet?
Yes
No
NA
MAINTENANCE
Was a valve status test conducted after opening any closed valve?
Yes
No
NA
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Have gauges been checked by a calibrated gauge or replaced in the last 5 years?
Yes
No
NA
INTERNAL PIPE INSPECTION
Has system passed internal pipe assessment within last 5 years?
Yes
No
NA
Date of next 5-year internal pipe assessment? due
Report of Inspection / Test for Asset - Antifreeze
ANTIFREEZE
Is the specific gravity of antifreeze correct at the interface with wet system?
Yes
No
NA
Is the specific gravity of antifreeze correct at other test points (over 150 gal)?
Yes
No
NA
Is the freeze point of antifreeze solution correct for geographical location?
Yes
No
NA
Is the antifreeze the correct type? Yes
No
NA
Is the antifreeze information sign in place by the main system valve?
Yes
No
NA
Antifreeze manufacturer and type: unknown
Antifreeze concentration % (by volume): 60/40 Total volume of antifreeze in the system: approximat ely 5
Is the antifreeze a listed factory premixed solution or of proper concentration?
Yes
No
NA
MAIN DRAIN FLOW TESTS
System Initial Static Residual Static Seconds to Return to
Initial Static
Flow Observed?
Did waterflow alarm operate?
Are results comparable to previous test?
Wet 70 N/A 70 N/A Yes Yes N/A
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
INSPECTORS TEST CONNECTION
System Location Description Time to
Alarm (seconds)
Reported? Smooth Orifice
Easily Accessible
Signs? Pass?
Wet Sprinkler closet ITV 25 Yes Yes Yes Yes Yes
VALVES
System Description Location Valve Type Size Secured Open
Easily Accessible Signs Exercised
Stems Lubricated
# of Turns
Wet CV#1 Sprinkler closet Ball 1-1/4 " Sealed Yes Yes No Yes N/A
Wet CV#2 Sprinkler closet Ball 1-1/4 " Sealed Yes Yes No Yes Yes
Wet CV#3 Sprinkler closet Ball 1-1/4 " Sealed Yes Yes No Yes N/A
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Antifreeze check valve Sprinkler closet 1 Antifreeze check valve Check Valves Active Fail
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Antifreeze - Is the freeze point of antifreeze solution correct for geographical location? Yes
Notes:
Tested at -25
- Are all check valves externally inspected, operating properly, and are in good condition? Yes
Notes:
Internals due
- Are the gauges on system showing normal water supply pressure? Yes
Notes:
Gauge replacement due
Wet - Record residual pressure N/A
Notes:
Water gauge is on Antifreeze side of check valve
ITV - ITV Sprinkler closet
Notes:
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
1.25" screw in type
Back Flow - Ames - 4000B
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Are there the proper number and type of spare sprinklers with a list in place?: No
Notes: No spare sprinklers or cabinet
Deficiency #2
Are there spare sprinklers and a sprinkler wrench?: No
Notes:
Deficiency #3
Fast response sprinklers installed for 20 or more years replaced or successfully sample tested within last 10 years?: No
Notes: Due for replacement or testing
Deficiency #4
Were missing escutcheons and coverplates for recessed, flush and concealed sprinklers replaced with their listed escutcheon or coverplate?: No
Notes: Missing Escutcheon in Cabin #3
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Deficiency #4 - Photo #1
Date Taken: October 31, 2024
Deficiency #5
Is list of the sprinklers installed in the property posted in the sprinkler cabinet? :
No
Notes:
Deficiency #6
Are the control valves supervised with seals, locked or electrical supervision properly identified?: No
Notes: Need three control valve signs added
Deficiencies - General Wet System Questions
None
Deficiencies - Wet
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Has system passed internal pipe assessment within last 5 years?: No
Notes:
Deficiency #8
Sprinkler Type: Wet Have gauges been checked by a calibrated gauge or replaced in the last 5 years?:
No
Notes:
Deficiencies - Antifreeze
Deficiency #9
Is the antifreeze information sign in place by the main system valve?: No
Notes: No sign of antifreeze type
Deficiencies - Check Valves
Deficiency #10
Address: Antifreeze check valve Location: Sprinkler closet Equipment Type: Check Valves
QTY: 1
Description: Antifreeze 1.25" screwed check valve
Status: Fail
Notes:
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Deficiency #10 - Photo #1
Deficiencies - Fire system
None
Deficiencies - Inspectors Test Connection
None
Deficiencies - Valves
Deficiency #11
Location: Sprinkler closet Valve Type: Ball Size: 1-1/4 Description: CV#1 Signs: No
Notes: Needs control valve sign added
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Deficiency #12
Valve Type: Ball Size: 1-1/4 Description: CV#2 Signs: No
Notes: Needs sign added
Deficiency #13
Location: Sprinkler closet Valve Type: Ball Size: 1-1/4 Description: CV#3 Signs: No
Notes: Needs control valve sign
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
Please note, there has been recommended repairs and/or inspection deficiency noted during our recent visit. A Hill Fire Protection representative will be reaching out to you to discuss next steps.
Internals due plus gauge replacement.
Check valve on antifreeze system due Sprinkler batch testing or replacement of sprinkler due No spare sprinkler box with sprinklers or list is in any cabin
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
I state that the information on this form is correct at the time and place of my inspection, and all equipment tested at this time was left in operational condition upon completion of this inspection except as noted.
Inspector Name Signature Date Completed
Larry Roberts 2024-10-04
Report of Inspection / Test Annual NFPA 25
2024-10-31 Property Cabin 3 700 Howe Road Porter IN 46304 Print Date: 2024-11-19 Inspection Ref #: 28726
Conducted by: Larry Roberts
Hill Fire Protection, LLC
FSC0273
11045 Gage Ave Franklin Park Illinois 60131 847-288-5100 HillFPServicecenter@hillgrp.com
State Form 55788 (2-15)
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
THIS FORM IS TO BE COMPLETED BY AN INDIANA CERTIFIED BACKFLOW TESTER.
By signing this backflow test report and checking this box, I hereby certify that I am familiar with the information contained in this form and that to the best of my knowledge and belief, such information is true, complete and accurate at the time of the test.
Customer and Device Information
1. Customer name 2. Customer company
3. Customer address (number and street, city, state, and ZIP code)
4. Location of device (and address if different from customer) 5. Is the device a new assembly? Yes No
Replacing serial number:
6.Type…
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