HomeMy WebLinkAboutDevice Inspection Report - Inspection - 430 OSGOOD STREET 5/27/2020 IMPACT FIRE SERVICES,LLC
26 HAMPSMIRE DRIVE
HUDSON NH 0305'f
IMP
ACT O: 603.293.7531
F: 603.588.2051
ADDITIONAL SERVICE VAM•GErFiREPROTECTioN.coM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#;
DEVICE INSPECTION REPORT MA-20423A; NH-13117 M
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WORK ORDER#: 18723183 DATE' 05/27/2020 07:00am EDT CUSTOMER ID:
DEVICE MODAL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMOKE KITCHEN RM FRONT ELEV LOBBY N1L2S024 Rl El
SMOKE KITCHEN HALL ELEV NEXT TO STAIR 9 N1L1SO10 QLi
SMOKE BASEMENT ELEV LOBBY N21-2S049 z El
SMOKE BASEMENT ELEV MACHINE RM N2L2S050 i/❑ ❑
SMOKE 2FL GYMLOCKER HALL2083 ELEV LOBBY jN5L2S091 Z El
SMOKE 1 FL.SECTION AIB ELEV LOBBY lV5L2SO42 RI El
SMOKE 1 FL SECTION B ELEV MACH RM N51-25037 Q
END TEST El El
El El
El : El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
El El
❑ SICCING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LLC
26 HAMPSHIRE DRIVE
HUDSON NH 03051
o:603.293. 531
IMPAC
F:603.58 .2051
V" . ETFIREPROT cT1ON. oM
FIRE ELEVATOR INSPECTION MASTER ELECTRICIAN#:
Inspected to the slate adopted version of NFPA 72 IAA-20 23A;NH-13117 l
WO oR R : 1 DATE: 7/ 0 0 7:00a EDT CUSTOMER ID:
BILL To: ISHIP To:
NORTH ANDOVER PUBLIC SCHOOLS NORTH ANDOVER HIGH SCHOOL
ATTN:ACCOUNTS PAYABLE,566 MAIN STREET 430 OS GOOD ST
NORTH ANDOVER MA W845 NORTH ANDOVER MA 0184
Phone: 978 994-6673 Contact: DREG ROBERTS
Email: Phone: 9 994- 73
r.�..,
ELEVATOR INSPECTION
ARRIVAL TIME: : 0 DEPARTURE TIME:3:30
PASS FAIL
A. PANEL CONFIGURATION:FCI
DETECTION CLASS: CLASS A: FNI CLASS B: El
SIGNAL.CIRCUIT CLASS: CLASS A: Ej I CLASS B. W A.
PANEL LOCATION:PRINTER CLOSET
ELEVATOR OPERATION:
B. B. lil El
COMPANY OF RECORD:ASSOCIATED
NIA
C. SHUNT TRIP c. El 21 El
D. LOCATION of SHUNT:
E, LOCATION of FEED TO SHUNT TRIP:
~ TYPE of REMOTE El MASTER BOX## W RADIO MASTER BOX##226 F.
F. COMMUNICATION ❑ DIGITAL COMMUNICATOR' ❑ OTHER:
OFF LINE TIME' REPORTS To:NAFD
G. El
ON LINE TIME: REPORTS Tos
FIXED SMOKES
F- TEST FAIL TEST FAIL
7 0
Pepe o
IMPACT FIRE SERVICES,I,,,L
26 HAM SHI E DRIVE
I p HUDSON NH 03051
M ACT 0:603.293.7531
y f r I;: 9.2051
FIRE
MASTER ELECTRICIAN#:
ELEVATOR INSPECTION M -20423A;NH-13117 h
Impacted to tine state adopted version of N FPA 72
WORK ORD.E.9 #a ]ATE: CUSTOMER ID.
I . Explanation of Failed Devices:
NONE AT THIS TIME
I. The 'inspector suggests that following necessary improvements.ents. However, these suggestions
are not the result of an engineering survey, These are recommendations based on current code,
NONE AT THIS TIME
J. Adjustments or corrections made:
NONE AT THIS T#ICE
K, Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative, Yes 0 No
THIS IS MOT All INVOICE
/2 /2 2 ❑ 13ILLING ADDRESS CONFIRMED / / 020
. CUSTOMER'S SIGNATURE- DATE TE H fI IA 'S SIGNATURE s DATE
NO CUSTOMER H SITE
CUSTOMER'S PRINTED TAME
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