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1 Mail To: Service At: Account # Plano Molding Co Plano Molding Company 431 E South St 431 E. South Street Plano, IL Plano, IL Tested in accordance with NFPA 72. IL License Test Summary Test Type Total Count Pass Count Fail Count Not Tested Count Audio - s AV Control Valve CONTROL VALVE Fire Pump - Loss of Power FIRE PUMP - LOSS POW Fire Pump - Running FIRE PUMP - RUNNING Pull Station PULL STATION Smoke/Heat Combo COMBO SMOKE/HEAT Supv H/L Air SUPV H/L AIR Temperature Sensor TEMP SENSOR W-F Pressure WF-PRESSURE WF-Vane WF-VANE Totals Inspection Tasks Area - Location - Zone - ID - Monitoring station? ADS Time Out? 0816 By Who? 1095 Owner (or rep) name and number? na Was the onsite person notified of test results? na Time In? 1042 By Whom? 1095 Panel Section Area FCI Location - Hallway by lunch room Zone - ID - Make & Model 7200 FCI Battery Size & Date 2-12v18ah 9/11 Local trouble sounder, lights, displays, buttons, and switches functional? Ground fault test Battery and charging circuit test: Panel-NAC Area - Location - Type - ID - N/A LED's functional Buttons and switches functional N/A Ground fault test Charging circuit normal? Battery load test? 2-12v8ah 12/15 Battery and charging circuit test: Panel-NAC Area - Location - Radio Type - ID - N/A LED's functional Buttons and switches functional N/A Ground fault test Charging circuit normal? Battery load test? 2-12v8ah 11/12 Battery and charging circuit test: Page 1 of 6
2 Smoke/Heat Combo File room Z Smoke/Heat Combo By conference room B Z Smoke/Heat Combo Lower level Z Pull Station at panel Z Pull Station at panel Z Pull Station area 7 Z Pull Station Plano store Z Pull Station engineering office exit dr Z Pull Station at shipping dock area dr 4 Z Pull Station at main entrance Z Pull Station at employee entrance Z Pull Station area 1 Z Pull Station area 1 West exit Z Pull Station area 2 Z Pull Station area 1 South exit Z Pull Station at engineering exit Z Audio - s 27 AVS/11 strobes Temperature Sensor Pump Room Z Temperature Sensor Area 7 East Wall Z Temperature Sensor Finishing Room Z Temperature Sensor Plano store storage Z Temperature Sensor Area 6 Warehouse Z Temperature Sensor Tool Room Z Temperature Sensor Area 4 Materials Office Z Temperature Sensor Front Office Z Temperature Sensor Area 2 East Z Temperature Sensor Area 2 by Riser Z Temperature Sensor area 1 Z Control Valve pump room Z Control Valve pump room Z Control Valve E riser area 7 Z Control Valve riser 5 area 4 in closet Z Control Valve area 2 riser 3/Outside Z Control Valve area 3 outside/main parking lo Z Control Valve riser 6/ Outisde PIV Z Control Valve riser 8/ Outside PIV Z Control Valve area 4 riser 5 Outside PIV Z Control Valve Bldg 5 Riser Z Control Valve Area 2 Riser 2/Outside Z Control Valve Area 2 Riser 1 Lube/Outside Z Page 2 of 6
3 Fire Pump - Running Fire Pump - Loss of Power Pump room Z57 Supv H/L Air Riser 2 Area 7 Z W-F Pressure area 7 Z WF-Vane building area 4 Z WF-Vane area 2 riser 2 Z WF-Vane building 4 area 3 Z WF-Vane building 5 Z WF-Vane building 6 Z WF-Vane building 7 Z WF-Vane area 2 riser 3 Z WF-Vane area 2 riser 1 Z WF Trip Delay Area - Location - building 6 Zone - Z64 ID - ** Time to alarm? WF Trip Delay Area - Location - building area 4 Zone - Z66 ID - * Time to alarm? 18 seconds WF Trip Delay Area - Location - area 2 riser 2 Zone - Z68 ID - * Time to alarm? 80 seconds WF Trip Delay Area - Location - building 4 area 3 Zone - Z67 ID - * Time to alarm? 90 seconds WF Trip Delay Area - Location - building 5 Zone - Z65 ID - * Time to alarm? 20 seconds WF Trip Delay Area - Location - building 7 Zone - Z61 ID - * Time to alarm? 90 seconds WF Trip Delay Area - Location - area 2 riser 3 Zone - Z69 ID - * Time to alarm? 53 seconds WF Trip Delay Area - Location - area 2 riser 1 Zone - Z60 ID - * Time to alarm? 43 seconds Smoke/Heat Combo 2nd Floor Upper level Z Smoke/Heat Combo 2nd Floor At sales Z Smoke/Heat Combo 2nd Floor At sales Z Smoke/Heat Combo 2nd Floor Marketing Z Smoke/Heat Combo 2nd Floor Marketing room Z Pull Station 2nd Floor at sales 2nd fl Z Smoke/Heat Combo Annual Bldg 4 Z Smoke/Heat Combo Annual Bldg 8 Z Smoke/Heat Combo Annual Bldg 6 Z Control Valve city pressure Pump room Z FAIL Temperature Sensor Office area Area 3 Eng Closet Z Page 3 of 6
4 Transmitter Section Area - Radio Location - Outside lunch rm west wall Transmitter Type? Radio Battery Size & Date 12v8ah 3/15 Fire Signal Received? Trouble Signal Received Supervisory Signal Received N/A Zone - ID - N/A Page 4 of 6
5 Inspection Discrepancies Mail To: Service At: Account # Plano Molding Co Plano Molding Company 431 E South St 431 E. South Street Plano, IL Plano, IL Audio - s Area - Location - 27 AVS/11 strobes Zone - ID - WF-Vane Area - Location - building area 4 Zone - Z66 ID blocked by product Smoke/Heat Combo Area - Annual Location - Bldg 4 Zone - Z4 ID Smoke/Heat Combo Area - Annual Location - Bldg 8 Zone - Z6 ID Smoke/Heat Combo Area - Annual Location - Bldg 6 Zone - Z5 ID Control Valve Area - city pressure Location - Pump room Zone - Z58 ID FAIL Page 5 of 6
6 Inspection Discrepancies FAIL No supervisor signal Summary of all Devices on Inspection Reference - FT Tested in accordance with NFPA 72. IL License Device Summary Test Type Total Count Pass Count Fail Count Not Tested Count Audio - s AV Control Valve CONTROL VALVE Fire Pump - Loss of Power FIRE PUMP - LOSS POW Fire Pump - Running FIRE PUMP - RUNNING Pull Station PULL STATION Smoke/Heat Combo COMBO SMOKE/HEAT Supv H/L Air SUPV H/L AIR Temperature Sensor TEMP SENSOR W-F Pressure WF-PRESSURE WF-Vane WF-VANE Totals Page 6 of 6
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