FANG BLDG 159 ANNUAL FA 6-2019.pdf

SimplexGrinnell BE SAFE

INSPECTION AND TESTING FORM

SR Number: 44909832 DATE: June 20, 2019

Task Number: TIME: 7:00AM

SERVICE ORGANIZATION PROPERTY NAME (USER)

Name: SimplexGrinnell Name: Fresno Air National Guard Bldg 159

Address: 2788 N. Larkin Ave. Address: 5323 E McKinley Ave

City, St., Zip: Fresno, CA, 93727 City, St., Zip: Fresno, CA, 93727

Representative: Jesus Salgado Owner Contact: Mike Scott

License No.: 986047 Telephone: 559-454-5137

Telephone: 559-348-0614 Occupied as: Master Chief

MONITORING ENTITY APPROVING AGENCY

Contact: In House Contact: N/A

Telephone: 559-454-5145 Telephone: N/A

Monitoring Account Ref. No.: N/A

TYPE TRANSMISSION SERVICE

McCulloh Weekly

Multiplex Monthly

X Digital Quarterly

Reverse Polarity Semiannually

RF X Annually

Other (Specify) Other (Specify)

System Type: ( ) Local; ( ) Auxiliary; (X)Remote Station; ( ) Proprietary; ( ) Emergency Voice / Alarm

Control Unit Manufacturer: EST Model No.: EST3 & Potter PFC Releasing Panel

Circuit Style: A

Number of Circuits: N/A

Software Rev.: N/A

Last Date System Had Any Service Performed: October 5, 2017

Last Date That Any Software or Configuration Was Revised: N/A

ALARM-INITIATING DEVICES AND CIRCUIT INFORMATION

Quantity of Devices Installed

Circuit Style

Devices Tested

4 A 4 Manual Fire Alarm Boxes (PSSA)

0 0 Ion Detectors (ISD)

1 A 1 Photo Detectors (PSD)

0 0 Duct Smoke Detectors (DSD)

12 A 12 Heat Detectors (HD)

3 A 3 Water Flow Switches (WF)

4 A 4 (Specify) Suppression Manual Dump

0 0 (Specify)

Alarm verification feature is Disabled X Enabled .

Rev. D

ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION

Appliances Installed

Appliances Tested

1 A 1 Bells

11 A 11 Horns with strobes

0 0 Chimes

0 0 Strobes

0 0 Speakers

Number of alarm notification appliance circuits:

Are circuits monitored for integrity? X Yes No

SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION

Devices Installed

Devices Tested

6 A 6 Valve Position Tamper Switch (TS)

0 0 Outside Stem and Yoke (OSY)

0 0 Post Indicator Valve (PIV)

1 A 1 High / Low Pressure Switch (HLPS)

0 0 Building Temperature

0 0 Site Water Temp

0 0 Site Water Level

1 A 1 Fire Pump Power Loss

1 A 1 Fire Pump Running

0 0 Fire Pump Auto Position

0 0 Fire Pump or Fire Controller Trouble

0 0 Fire Pump Low Fuel

0 0 Other: Switch Transfer

0 0 Other: Generator Engine Running

SIGNALING LINE CIRCUIT

Quantity and style of signaling line circuits connected to system (see NFPA, Table 6.6.1):

Quantity Style(s)

SYSTEM POWER SUPPLIES

(a) Primary (Main): Nominal Voltage 120VAC Amps 2.5

Overcurrent Protection: Type Circuit Breaker Amps 20

Location (of Primary Supply Panel): MECH ROOM

Disconnecting Means Location: PANEL A CIRCUIT #23

(b) Secondary (Standby):

Back Up Batteries Storage Battery: Amp-Hr Rating Two 12V 26AH

Calculated capacity is 52 Amp-Hrs to operate system for 24 Hours.

Engine-driven generator dedicated to fire alarm system: N/A

Location of fuel storage: N/A

TYPE BATTERY

Dry Cell Lead-Acid

Nickel-Cadmium Other (Specify):

X Sealed Lead-Acid

(c) Emergency or standby system used as a backup to primary power supply, instead of using a secondary power supply:

NA Emergency system described in NFPA 70, Article 700

NA Legally required standby described in NFPA 70, Article 701

NA Optional standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701

PRIOR TO ANY TESTING

NOTIFICATIONS ARE MADE Yes No Who Time

Monitoring Entity X In House 7:00AM

Building Occupants X Staff 7:00AM Building Management X Mike Scott 7:00AM Other (Specify)

AHJ Notified of Any Impairments

SYSTEM TESTS AND INSPECTIONS

TYPE Visual Functional Comments

Control Unit X X Pass

Interface Equipment X X Pass Lamps / LEDs X X Pass Fuses X X Pass Primary Power Supply X X Pass Trouble Signals X X Pass Disconnect Switches X X Pass Ground Fault Monitoring X X Pass

SECONDARY POWER

TYPE Visual Functional Comments

Battery Condition X Good-No Battery Date

Load Voltage X Fail-19.48VDC

Discharge test X Pass-26.89VDC

Charger test X Pass-25.66VDC

TRANSIENT SUPPRESSORS NA

REMOTE ANNUNCIATOR NA

NOTIFICATION APPLIANCES

Audible X X Pass

Visible X X Pass

Speakers X X Pass

Voice Clarity X VOICE EVAC GOOD

INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS

Location & Serial Number Device Type

Visual Check

Functional Test

Factory Setting

Measured Setting Pass Fail

See attached detailed report.

Date of Last Sensitivity Test: Unknown

EMERGENCY COMMUNICATION EQUIPMENT Visual Functional Comments

Phone Set NA

Phone Jacks NA

Off-Hook Indicators NA

Amplifier(s) NA

Tone Generator(s) NA

Call-in Signal NA

System Performance NA

SPECIAL HAZARD SYSTEMS

Number Installed

Number Tested Comments

Kitchen Range Hood System NA

CO2 Extinguishing System NA

(Specify) NA

(Specify) NA

CONTROL FUNCTIONS / INTERFACE

EQUIPMENT

Number Installed

Number Tested

Elevator Recall N/A

Fan Shutdown N/A Door Holders N/A Smoke Control System N/A Door Release (Security Maglocks) N/A (Specify) N/A

(Specify) N/A

(Specify) N/A

Special Procedures:

Comments:

SUPERVISING STATION MONITORING Yes No Time Comments

Alarm Signal X

Alarm Restoration X

Trouble Signal X

Trouble Signal Restoration X

Supervisory Signal X

Supervisory Restoration X

NOTIFICATIONS THAT TESTING IS COMPLETE Yes No Time Comments

Building Management X M.O.D

Monitoring Agency X In House

Building Occupants X Staff

Other (Specify)

The following did not operate correctly: Two 12V 7.2Ah batteries need to be replaced on the Potter PFC

Foam Releasing Panel. Both batteries failed the load voltage test and have been in service since 1-2015.

EST-3 Fire Alarm Panel needs two 12V 26Ah replaced. Both batteries failed the load voltage test

Fire Alarm Booster supply panel above the main FACP needs two 12V 7.2Ah batteries replaced. Both failed

The load voltage test.

System restored to normal operation: Date: June 21, 2019 Time:

THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS.

Name of Inspector: Jesus Salgado & Ryan Stone Date: June 21, 2019 Time:

Signature:

Name of Owner or Rep.: Date: Time:

Signature:

PROPERTY NAME: Fresno Air National Guard Building 159 DATE: June 20, 2019

ADDRESS: 5323 E McKinley Ave Fresno, CA, 93727 TIME:

INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS (SUPPLEMENTAL SHEET)

Location & Serial Number Device Type VIS. FUNC. Address Pass Fail

HANGAR NE PSSA X X 129 X

HANGAR SW PSSA X X 131 X

HANGAR SE PSSA X X 126 X

PAINT BOOTH AREA PSSA X X 130 X

DELUGE CONTROL VALVE STS X X 156 X

WET PIPE HIGH BAY 65 SECONDS WF X X 134 X

WET PIPE LOW BAY 45 SECONDS WF X X X

DELUGE PRESSURE SWITCH HLPS X X X

PAINT BOOTH 32 SECONDS WF X X X

ABOVE FACP PSD X X 21 X

WET PIPE LOW BAY TAMBER SWITCH STS X X 23 X

HIGH BAY VALVE WET STS X X 136 X

MECH ROOM PSSA X X 128 X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

HANGAR HIGH CEILING HEAT HD X X X

SUPRESSION MANUAL DUMP SMD X X X

SUPRESSION MANUAL DUMP SMD X X X

SUPRESSION MANUAL DUMP SMD X X X

WET PIPE HIGH BAY TAMPER SIWTCH STS X X X

PAINT BOTH TAMER SWITCH STS X X X

HIGH BAY LOWER VALVE STS X X X

SUPRESSION MANUAL DUMP SMD X X X