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PROTECTION SYSTEM-INSPECTION REPORT JOBNAME/NO.
Name Adirondack Outlet Mall JOB Loc"" Utility Room
INSTALLATION DATE LAST INSPECTION 4114120
Address 1454 State Rt 9
INVOICE DATE JOB PHONE
City Lake George State Ny Zip 12845
INSPECTION SYSTEM INFORMATION
INFORMATION z a LL SYSTEM EQUIPMENT MANUFACTURE Firelite MS-10UD
R.O.R.Heat 6 ✓ SYSTEM INSTALLER New York Fire&Security
Fixed Heat ✓ SYSTEM APPLICATION Mall
Smoke Detector 36 E/ TYPE OF SYSTEM Fire Alarm&Sprinkler Monitoring .
Duct Detector ✓ MAINTENANCE PROGRAM BY NYF&S
Flame Detector ✓ CALL USTUPTO DATE
Pull Station
to
u 6 ✓ REMARKS Account#:NA2296
aii Low Temp ✓
cDoor Contacts ✓
0
Motion Detectors L/
t Photabeams CONTROLPANEL AGENTTANK COMMUNICATION DEVICES
�/
Sprinkler Water Flow 2 ✓ A.C.Voltage 120.6 Weight A.C.Voltage
Sprinkler Low Air ✓ D.C.without Load 27.27 Last Hydro. D.C.without Load
SprinkierTamper 2 1 6♦1 1 39 Gauge
12
D.C.with Load Batt A: Pressure D.C.with Load Batt A:
Water Bug ✓
Gas/Co Detector D.C.with Load Batt B: 12.39 Serial It D.C.with Load Batt B:
Air Hand.Shutdown Lj POWER SUPPLY AGENTTANK POWERSUPPLY
yy Bed shaker A.C.Voltage Weight A.C.Voltage
o Door Release
a ✓ D.C.without Load Last Hydro D.C.without Load
Duct Damper ✓
Equipment Shutdown ✓ D.C.with Load Batt A: Gauge Pressure D.C.with Load BattA:
A.C.Voltage ✓ D.C.with Load Batt B: Serial# D.C.with Load Batt B:
C D.C.Voltage ✓
sa
a Battery ✓
0
�`.
Detection Circuit ✓
u°
Audible Circuit ✓
Remote Annunciator ✓
Audible Devices
N
E Visual Devices ✓
`m
Q Pre.Discharge ✓
Signs as Needed
Selector Valves ✓
The testing performed and noted on this inspection report is based on NFPA 72 guidelines
Piping
Nozzles ✓
N Tanks ✓ INSPECTOR
to
lu
Gauges ✓ TD/CB
Solenoid ✓ I herebyactnovdedge the sadsfactorycomptedon of the above describedworL
Manual Release ✓ SYSTEM FUNCTIONAL
Tlme Delay ✓
_SYSTEM NON-FUNCTIONAL
Remote StationTrans. ✓
E IP/tell Communicator ✓ _ DISCREPANCIES NOTED ABOVE
uVoice Dialer g/
Phone Une/Digital ✓
Dialer signature[net) Date 4/7/21