Transcription of INSPECTION AND TESTING FORM - NFPA
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DATE:TIME:SERVICE ORGANIZATIONPROPERTY NAME (USER)Name:Name:Address:Address:Represen tative:Owner Contact:License No.:Telephone:Telephone:MONITORING ENTITYAPPROVING AGENCYC ontact:Contact:Telephone:Telephone:Monit oring Account Ref. No.:TYPE TRANSMISSIONSERVICEoMcCullohoWeeklyoMult iplexoMonthlyoDigitaloQuarterlyoReverse PriorityoSemiannuallyoRFoAnnuallyoOther (Specify)oOther (Specify)Control Unit Manufacturer:Model No.: circuit Styles:Number of Circuits:Software Rev.:Last Date System Had Any Service Performed:Last Date that Any Software or Configuration Was Revised:ALARM-INITIATING DEVICES AND circuit INFORMATION Quantity circuit StyleManual Fire Alarm BoxesIon DetectorsPhoto DetectorsDuct DetectorsHeat DetectorsWaterflow SwitchesSupervisory SwitchesOther (Specify): INSPECTION AND TESTING FORM( nfpa INSPECTION and TESTING 1 of 4)ALARM notification appliances AND circuit INFORMATION Quantity
ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION Quantity ÊÊÊÊCircuit Style Bells Horns Chimes Strobes Speakers Other (Specify): No. of alarm notification appliance circuits: Are circuits monitored for integrity? Yes No SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION QuantityÊÊÊÊ Circuit Style Building Temp.
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