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Sprinkler Report
- 1. of 5 Is handhose on sprinkler system satisfactory? Yes In areas pertaining is system properly heated? Yes Is there a min 18'' clearance from deflector? Yes Is system in service? Yes is building fully protected? Yes Is building occupied? Yes General Sprinkler Report 1 System Type Antifreeze System or Zone - Sprinkler Report 1 System Information Sprinkler Report 1 System Type Antifreeze System or Zone - Sprinkler Report 1 System Information Sprinkler Report 1 Contact Gavin Agee 19- Mar -15Date Cache Valley Fire Extinguisher, Inc. 1875 East 1780 North North Logan, Utah 84341 (435) 770-9116 www.cachevalleyfire.com License # 123456789 Inspector Cache Valley Fire Extinguisher Inspector Information Sprinkler Report 1 Phone 2502502500 State MI City Detroit Street Address 123 Happy Lane Report to ABC Company Customer Information Sprinkler Report 1 The responsibility of maintaining a fire sprinkler system is the owners, and in no way is CVFE, Inc responsible for any damages that occ fter an inspection is performed These inspections are meant to insure a properly working system, and that all components function during y have been exercised Sprinkler Report
- 2. of 5 Number ofheads 4 OK to what temperature? 56 Location in the ceiling. Antifreeze Systems Sprinkler Report 2 Are sprinklers the proper temperature for there lo cations? Yes Does the exterior of sprinkler system appear to be satisfactory? Yes Are spare heads and wrench available? Yes Are sprinklers less than 50 years old? Yes Are all sprinklers free damage, corrosion, or obst ruction? Yes Sprinklers Sprinkler Report 2 Monitoring company PW 564564654 Monitoring company ABC Monitoring Co. Did alarm company receive all signals? Yes Did building alarms test satisfactory? Yes Did water motor gong or electric bell test satisfa ctory? Yes Alarms Sprinkler Report 2 Water supply from city, tank, or pump? Pump Residual water pressure 16 Static water pressure 18 Was water flow test performed? Yes Water Supplies Sprinkler Report 2 Were all underground valves exercised? Yes Were all control valves exercised? Yes Are all control valves locked, sealed or tampered? Yes Are all control valves in the correct orientation? Yes Control Valves Sprinkler Report 2Sprinkler Report 2 Cache Valley Fire Extinguisher, Inc. 1875 East 1780 North North Logan, Utah 84341 (435) 770-9116 www.cachevalleyfire.com Sprinkler Report
- 3. of 5 19- Mar-15Date of Last Full Trip Cache Valley Fire Extinguisher, Inc. 1875 East 1780 North North Logan, Utah 84341 (435) 770-9116 www.cachevalleyfire.com Trip Time to test outlet (every 3 years) 4 minutes Trip Air Pressure 12 Start Water Pressure 21 Start Air Pressure 56 Model this is the model Make this is the make Dry Valve Test Information Sprinkler Report 3 Did the supervisory device operate properly? Yes Did the heat responsive devise operate properly? Yes Did deluge or preaction valve operate properly dur ing test? Yes Special Systems Sprinkler Report 3 Has condensation been drained from compressor tank ? Yes Is air compressor in good working order, oil level ok? Yes Is dry valve properly heated? Yes Did dry valve trip properly during trip test? Yes Did quick opening device operate satisfactory? Yes Were low points drained? Yes Is air or nitrogen in good working order? Yes Has operation of air or nitrogen been tested? Yes Is priming water good? Yes Is dry system in service? Yes Dry Systems Sprinkler Report 3 Are FDC's accessible, and visible Yes Are FDC's in satisfactory condition Yes Are pumps, Tanks, and Reservoirs in good working c ondition? Yes Sprinkler Report 3 Cache Valley Fire Extinguisher, Inc. 1875 East 1780 North North Logan, Utah 84341 (435) 770-9116 www.cachevalleyfire.com Sprinkler Report
- 4. of 5 Authorization Sprinkler Report4 Comments Sprinkler Report 4 Explanations, corrections, or recommendations Sprinkler Report 4 Description This is where the description goes no answerOther Control Valves Exercised exercised Signs signs Secured secured Type type Exercised exercised Signs signs Secured secured Type type no answerSystem Control Valves Exercised exercised Signs signs Secured secured Type type Number 897 no answerCity Connection Valves Does each circuit operate supervisory loss alarm? Yes Detecting media supervised? Yes Piping Supervised? Yes Operation Pneumatic Model this is the model Make this is the make Sprinkler Report 4 Cache Valley Fire Extinguisher, Inc. 1875 East 1780 North North Logan, Utah 84341 (435) 770-9116 www.cachevalleyfire.com Sprinkler Report
- 5. of 5 Date Signed19/03/15 Customer Signature Customer Name Bill Jones 19- Mar -15Date Signed Cache Valley Fire Extinguisher, Inc. 1875 East 1780 North North Logan, Utah 84341 (435) 770-9116 www.cachevalleyfire.com Inspector Signature Sprinkler Report 5 Cache Valley Fire Extinguisher, Inc. 1875 East 1780 North North Logan, Utah 84341 (435) 770-9116 www.cachevalleyfire.com Sprinkler Report