HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 430 OSGOOD STREET 4/7/2020 IMPACT FIRE SERVICES, LL
26 HA PSHI E DRIVE
AC HUDS N NH 03051
IMP T 0 : 603.293.7531
F . 603.589.2051
FIRE 111 .GETFII EPROTECTION.0 I
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN##:
Inspected to the state adopted version ot NFPA 72 MA- 04 3A; NCI- 13117 M
WORK ORDER : 18491064 DATE. l97/ 0 07:00a EDT CUSTOMER ID:
BILL To: SHIP TO:
NORTH TH AND OVER PUBLIC SCHOOLS NORTH ANDOVER HIGH SCHOOL
ATTH:ACCOUNTS PAYABLE,566 MAIN STREET 430 OSGOOD ST
NORTH ANDOVER MA 01845 NORTHANDOVER MA 01845
Phone: 7 994-6673 Contact:DREG ROBERTS
Email: Phone: 9 994-6673
❑ ANNUAL SEMIANNUAL QUARTERLY ❑ SENSITIVITY
----------------------------
ARRIVAL IVAL TIME. DEPARTURE E TIME:
PASS FAIL
A. PANEL CONFIGURATION:
DETECTION CLASS: CLASS A: CLASS B:
SIGNAL CIRCUIT CLASS: CLASS A: CLASS B: A. ❑
PANEL LOCATION:
BATTERIES: VOLTAGE No LOAD:
1V5AH
QUANTITY: VOLTAGE LOAD.
B.
Co- ANNUNCIATOR TYPE: C. Li
❑
EMOTE PANEL TYPE: ❑ 0 1
D. TYPE: ❑
D. ..........
TYPE:
TYPE: El El................
E. PANELGROUND: TERM: To: READ: E. ❑ �
TYPE of REMOTE ❑ MASTER BOX El RADIOMASTER BOAC 5 F.
F` COMMUNICATION ❑ DIGITAL COMMUNICATOR: El OTHER:
G. OFF LINE TIME: REPORTS TS To: ❑ ❑
ON LANE TIME:
REPORTS ITS To: .
PIMA
DUCT SINGLE C.O.
PULLS ROFR FIXED SMOKES DETECTORS STATION DETECTORS
SMOKE
TEST FAIL TEST PAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
TY I 1 1 56 9 246 1 9
MINI MINI HORN Horn/Strobe Speaker/strobe Visual Only Audible Only Outside
STROBE Beacon
TEST FAIL TEST FAIL_ TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAI,,,L
STY
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IMPACT FIRE SERVICM LLC
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HUDSON NH 03051
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MASTER ELECTRICIAN#.
FIRE ALARM M SYSTEM M INSPECTION MA-2 2 A; Nib- 13117 M
Inspected to the state adopted version of NFPA 72
WORK ORDER • 18491064 DATE! 41 12 20 0.7-00amEDT CUSTOMER ID:
H. Explanation of Failed Devices:
SYSTEM DEFECTS ARE WELL KNOWN
1, The inspector � thatollo n nee � improvements. However, these suggestions
the
are not
'
result on engineering survey. These are recommendations based on current code.
G
F
J. Adjustments or corrections made:
R
E"
I
' were discussed with the �nderned Owner or
K. Inspectionand suggested improvements ent
Ow
No ner' Representative, e�
THIS IS NOT AN INVOICE
CUSTOMER'S SIGN
'�'UR
DATE T PART# D SC IPTIO PRICE AMOUNT
'T
CUSTOMERS PRINTED NAM
TECHNICIAN SIGNATURE DAT
Darer D matt o,Joel Guerrero
T HNI IA.N PRINTED NAME LICENSE#
SIDLING ADDRESS CONFIRMED
Page „of
IMPACT FIRE SERVICES,LI.0
26 HAMPSHIRE DRIVE
HUDSON NH 03051
- PACT 0:603.293.7531
IM F: 603.589.2051
WWW.GETFI REPROTECTION.COM
FIRE INFOIINSP ADDITIONAL T ON COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH-13117 M
Page of
WORK ORDER#: DATE: CUSTOMER ID:
18491064 04/07/2020 07:00am EDT
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMK KITCHEN HAIL EI.EV BY STAIR 9 1-1-90 NT ❑ CI
SMK KITCHEN HALL NEXT TO STAIR 9 1-1-11 lop of stair 9 Q El.
SMK OUTSIDE TEACHER PLANNING 1239 1-1-92 El
SMK KlCTHEN HALL.CAFE 1-1-13 Os 1239 �✓ El
gN{K AUDITORIUM ROOM 1201/N SOUND SYSTEM 1-1-37 � ❑
SMK AUDITORIUM ROOM 1200 ELECTRIC ROOM 1-1-38 El
SMK KITCHEN/AUDITORIUM HALL 1199 9-1-42
SMK KITCHEN ROOM FRONT ELEV LOBBY 1-2-24 NT EI D
SMK KITCHEN HALL ELEVATOR 1203 1-2-25 NT
Ell
SMK KITCHEN/HALL 1199 1-2-32 � ❑
SMK KITCHEN AUDITORIUM HALL 1199 1-2-36 El
El
i SMK KITCHEN/AUDITORIUM HALL 1199 1-2-39
4 SMK KITCHEN/AUDITORIUM HALL 1199 1-2-41 El
� SMK KITCHEN AUDITORIUM 1199 1-2-43 ❑� ❑
j SMK El
KITCHEN AUDITORIUM HALL 1199 'f-2-44 0
SMK AUDITORIUM LOBBY 1191 1-2-46 El ❑
SMK AUDITORIl3M LOBBY 1190 1-2-47 0
SMK AUDITORIUM LOBBY 1190 1-2-48 1195 �✓ ❑
SMK AUDITORIUM 1192 '1-2-4g El El
El
SMK AUDITORIUM HALL 1178 BY STRGE 1188 1-2-51
SMK AUDITORIUM HALL 1176/13Y TV STUDIO 1-2-53 El
SMK 9 FL SEC AIB ARTS 1179 1-2-54 � ❑
....
SMK AUDITOfti[3M HALL 1179 '{-2-57 z ❑
SMK 2FL AUDITORIUM LOBBY MAIN ENTRY 1-2-82El
0 ❑
SMK 2FL AUDITORIUM LOBBY MAIN ENTRY 'l-2-63
SMK 2FL AUDITORIUM LOBBY MAIN ENTRY L
1-2-64 0 ❑
BILLING ADDRESS CONFIRMED
-DATE
CUSTOMER'S SIGNATURE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUbSON NH 03051
IMPACT O:603.293.7531
F :603.589.2051
ADDITIONAL SERVICE WWGETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORTMA-20423A; NH-131'{7 M
Page of
WORK ORDER#: 18491064 DATE; 04107/2020 07:00am EDT CUSTOMER fD:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMK AUDITORIUM ROOM 2124 CONTROL BROTH 1-2-65 � ❑
SMK 2FL HALL 2127 BY STAIR 7 1-2-66El
� ❑
SMK AUDITORIUM ENTRY1-Z-85
SMK 1 FL AB HALLBY TVSTUDIO 1188 1-2-86 � ❑
SMK 1 FL SOUTH SIDE AUD 1187 EMER ELEC RM 2-2-9 El�
SMK 1FL CORRIDOR AUD 1176 2-2-2 1186 ❑ ❑
SMK 1 FL CORRIDOR 1234 AUD 1176 BY 1185 2-2-3
SMK IFL CORRIDOR 1234 AUD 1176 2-2-4
SMK 1FE.CORRIDOR 1234 AUD 1176 2-2-5 El
SMK 1FL CORRIDOR 1234 ARTS 1215 2-2-6 El
SMK 1FL CORRII}OR ARTS 1215 2-2-8
SMK 1 FL HALL 1234 ARTS 1216 BY OUST LUNGE 2-2-11 Os 1216A Q ❑
SMK 1 FL RM 1217 NEXT TO ARTS 1216 2-2-12 V/f] RI El
SMK 1 FL RM 1222 ELEC RM V/Q 2-2-1 3 Z El
SMK 1 FL,CORRIBOR 1234 ARTS 1216 2-2-14 a a
SMK
1 FL CORRIDOR 1234 ARTS 1216 2-2-15 � ❑
G SMK FL CORRIDOR 1234 ARTS 1216 2-2-16 1 226
SMK 1 FL RM 1226 EMER ELEC RM 2-2-17 z El
El
SMK 1FL CORRIbOR 1234 ARTS 1229 2-2-18 RI
SMK 1FL CORRIDOR 1234 ARTS 1229 2-2-19
SMK 1FL CORRIDOR 1234 ARTS 1229 2-2-20 El
I' SMK 1 FL CORRIDOR 1234 ARTS 1229 2-2-21 1 D
SMK 1 FL CORRIDOR 1234 AUDIARTS 1204 2-2-22 El
SMK 1 FL CORRIDOR 1234 AUD/ARTS 1204 2-2-24Z El
� ❑
SMK FL CORRIDOR 1234 AUD/ARTS 1204 2-2-25
1
SMK 1 F L GORRI[}OR AU WARTS 1204 2-2-28 .� ❑
BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT SIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUpSON NH 03051
MPACT
O :603.293.7531
I F:603.589.2051
ADDITIONAL SERVICE WWWGETFIREPROTECTION.COM
FIREINFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORTMA-20423A;NH-43117 M
Page of
WORK ORDER#: DATE: CUSTOMER ID;
18491454 04/07/2�20 07:OOam EDT
DEVICE MODAL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE .......
SMK 1FL 1186A ELEC ROAM 2-2-32
SMK BASEMENT CORRIDOR 2-2-39
SMK BASEMENT CORRIDOR 2-2-44
SMK BASEMENT CORRIDOR 2-2-45 � El :
SMK BASEMENT CORRIDOR AT STAIR 9 2-2-47
SMK BASEMENT ELEV LOBBY 2-2-49 NT
SMK BASEMENT ELEV MACHINE ROOM 2-2-50 NT El
SMK 1 FL CORRIDOR ELECTRIC ROOM V/D ROOM 2-2-61 Hall as 1234 Q ❑
SMK 1FL CORRIDOR ELEC RM VID ROOM 2-2-62 hall os 1228 ✓� El
SMK BASEMENT STAIR 8 2-2-68 Ej I
SMK BASEMENT CORRIDOR 0011 2-2-70 0
EJ
SMK BASEMENT STAIR 8 0010 2-2-71
El
SMK 1FL ARTS 12'{5 HALL 2-2-83 0
i
SMK 1FL AGAR FIRE PANEUELEC ROOM 1048 3-1-1
� SMK 1FL ACAD ELEV MACHINE ROOM 3-1-3 NT ❑ El
� SMK 1F1.ACAD COPY ROOM 3-1-5 z ❑
E SMK
1FLACAD ELEV LOBBY 3-1-6 NT El ❑
I<
SMK 1 FL ACAD BY STAIR 2 1040 3-1-7 0
SMK 1 FL AGAR LANDING STAIR 2 1040 3-1-8 EJ
SMK 1 FL ACAD ELEC.ROOM 1022 3-1-11 z El
SMK 1 FL ACAS}ROOM VI[3 ROOM 3-1-12 � El
SMK 3FL ACAD HALL OS 1024 3-1-13 ❑ El
SMK
1FL ACAD STAIRI LANDING 1021 3-4-15 0 El
SMK 1Ft ACAD HALL OS 1020 3-1-17 � ❑
SMK 1FL ACAD HALL OS 1015 3-1-18 � ❑
SMK 1FL ACAD HALL OS'1016 3-�-'��
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
IM0PACT HUDSON NH 03a51
: 6fl3.293.7531
F: 603.589.2051
ADDITIONAL SERVICE WWWGETF[REPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A;NH-13117 M
Page of
WORK ORDER#: 18491084 DATE: 04/07l2020 07:00am EDT CUSTOMER 1D:
DEVICE MODAL LOCATION ZONE N01"ES/COMMENTS: PASS FAIL
TYPE
SMK 'iFL ACAD HALL OS 1017 3-1-20 Q El
SMK 1F1.ACAD HALLOS 1015 3-1-21 �✓ ❑
SMK 1FL ACAD HALL OS 1016 3-9-23 z El :
SMK 1FL ACAD HALL OS 1011 3-1-25 ✓Q ❑
SMK 1FL ACAD f200M 1011 VID ROOM 3-1-26 El
SMK 1 FL ACAD HALL OS 1008 3-1-29 Q El _
SMK 1 FL ACAD HALL OS 1004 3-1-30 � ❑
SMK 1FL ACAD HALL OS GU{DANCE 3-1-31 �✓ ❑
SMK 'i Fl.ACAD HALL OS GUIUDANCE 3-9-33 ✓� ❑
SMK 1FL ACAD HALL OS GUlDANCE 3-1-34 ❑✓ El
SMK 1 FL HALL BY MAIN VESTIBULE 3-1-35 Q ❑
SMK 'f FL HALL BY MAIN ENTRY RECEPTION 3-9-37 ✓� ❑
SMK 1FL ACAD OS GUIDANCE 3-1-39 El
SMK 1 F L ACAD HALL OS 9059 3-1-40z El
SMK 1F1.ACAD HALL OS 1061 3-1-41 ✓� ❑
SMK 1FL ACAD HALL OS 1064 3-1-42 �✓ ❑
SMK 1 F L ACAD HALL OS 1065 3-1-43 RI El
SMK 9FL ACAD MAIL.OS 1067 3-9-44 RI El
...........
� SMK 1 FL ACAD HAIL OS 1067 3-1-45 ✓� ❑
SMK 1FL ACAD HALL OS 9068 3-1-46 0 ❑
E SMK 1FL ACAD ROOM 1061 V/Q ROOM 3-1-47 ❑� El
� SMK 1FL ACAD HALL.OS 1069 3-1-48 � ❑
k SMK 1FL ACAD ROOM 1072 VID ROOM 3-1-49 El
SMK 1FL ACAD HAIL OS 1070 3-1-50 RI El
SMK 1F1.ACAD HALL OC 1074 3-1-52 Rl __El
...............-
..........
SMK 1FL ACAD STAIR 4 LANDING 3-1-55 0 D
_ ❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, L.LG
26 MAMf'SHlF2E DRIVE
HUDSON NH 03051
PACT O :603.293.753'I
I� F: 603.589.2051
ADDITIONAL SERVICE V" WGETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORTMA-20423A; NH-13117 M
Page of
WORK ORDER#: DATE: CUSTOMER ID:
18491064 04/07/2020 07:00am CDT
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMK 1 FL ACAD-B 1086 COMPUTER ROOM 3-1-76 � ❑
SMK 1FL ACAD STAIR 3 LANDING 3-1-77 El
SMK 1 FL ACAD HALL OS 1 088 3-1-78 0 El
SMK 1FLACAD GUIDANCE OFFICE 3-1-82 � ❑
SMK 1FL.ACAD GUIDANCE OFFICE HALL 3-1-84 El
SMK 9 FL ACAD ELEC ROOM 1091 3-1-85 0 El
SMK 1FL ACAD ELEC F200M 1073 3-1-87 ❑� ❑
SMK 1 FL ACAD ELEC ROOM 1047 3-1-95 � ❑
SMK 2FL ACAD ELEC ROOM 2035 3-2-1 � ❑
SMK 2FL ACAD ROOM 2034 3-2-2 Q
El
SMK 2FL ACAD ELEV LOBBY 3-2-3 N7 El 1-1
SMK 2FL ACAD HALE.BY STAIR 2 2035 3-2-5 2031 z ❑
SMK 2FL ACAD Ef.EC ROOM 2010 3-2-5 El0
SMK 2FL ACAD VlD ROOM STAIR 1 3-2-7 El
...............
SMK 2FL ACAD STAIR'{ 2009 3-2-$ z El
E SMK 2FL ACAD HALE 2027 OS 2012 3-2-12 Ej
SMK 2FL.ACAD HALL 2027 OS 2008 3-2-93 D
SMK 2FL AGAR HALL 2027 OS 2007 3-2-14 Q El
SMK 2FLACAD HALL 2027 OS 2006 3-2-15 El
SMK 2FL ACAD HALL 2027 OS 2005 3-2-16 RI El
SMK 2FL ACAD HALL 2027 OS 2004 3-2-17 Z El
SMK 2FL.ACAD HALL 2027 OS 2003 3-2-18 0
El
SMK 2FL ACAD HALL OS 2028 3.2-19 El�
E-1
SMK 2FL ACAD ROOM 2038 VID ROOM 3-2-20 2028
SMK 2FL ACAD HALL OS 2036 3-2-22
SMK 2FL ACAD HALL BY LIBRARY 2039 3-2-23 � ❑
❑ BILLING ADDRESS CONFIRMED
-DATE
CUSTOMER'S SIGNATURE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUDSON NH 03051
- 0:Sfl3.293.753,
IMPACT F: 603.589.2051
ADDITIONAL SERVICE WWWGETFIREPROTECTION.coM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH-13117 M
Page of
WORK ORDER#: DATE: CUSTOMER 1D:
18491064 04/07/2020 07:fl0am EDT
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
SMK 2FL ACAD ROOM 2047 VID ROOM 3-2-28 � ❑
SMK 2FL ACAD HALL OS 2047 3-2-27El
� ❑
SMK 2FL ACAD HALL OS 2050 3-2-28
SMK 2FL ACAD HALL OS 2052 3-2-29 � ❑
SMK 2FL ACAD HALL OS 2053 3-2-30 0 El
SMK 2FL ACAD HALL OS 2053 3-2-31 z El
SMK 2FL ACAD HALLOS 2054 3-2-32 �� ❑
SMK 2FL ACAD HALL OS 2055 3-2-33 � ❑
SMK 2FL ACAD HALL OS 2056 3-2-34 Q ❑
SMK 2FL ACAS STAIR 4 LANDING 3-2-38 0 El
SMK 2FL AGAR ELEC ROOM 2055 3-2-39 0 El
SMK 2FL ACAD SEC B VID ROOM 2049 3-2-40 2058z o
SMK 2FL ACAD SAC B ROOM 2077 COMPUTER 3-2-57 � ❑
SMK 2FL.ACAD BY STAIR 3 2073 3-2-61 Z El
SMK 2FL AGAR STAIR 3 LANDING 2073 3-2-63 El
SMK 2FL ACAD HALLOS 2077 3-2-64 � ❑
€ SMK 2FL ACADEMER ELEC ROOM 2076 3-2-65 0 ❑
SMK 2FL ACAD EMER ELEC ROOM 2075 3-2-66 Minusn✓ ❑
SMK 2FL ACAD BY STAIR 4 3-2-68 � ❑
SMK 2FL ACAD HAIL OS 2077 3-2-69 El
El
SMK 3FL ACAD ELEC ROOM 3083 4-1-1 ❑�
SMK 3FL ACAS ELEV LOBBY 4-1-2 NT El D
SMK 3FL ACAD SPEDOS 3039 4-1-3 � ❑
SMK 3FLACAD STAIR 2 LANDING 3085 4-1-5
SMK 3FL ACAS SEC CTR D HALL 3061 4-1-6 3035Ej
❑✓ ❑
SMK 3FL ACAD SEC CTR D HALL 3001 4-1-7 ❑�
_ ❑ BILLING ADDRESS CONFIRMED
T-DA
CUSTOMER'S SfGNATUREE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LLC
26 HAMPSHIRE DRIVE
F4UQSON NH 03051
IMPACT O :603.293.753'f
F:603.589.2051
ADDITIONAL SERVICE WWWGETFIREPROTECTION.COM
FIREINFO/{NSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVI.CE INSPECTION REPORT MA-2Q�23A; NH- 13117 M
Page of
WORK ORDER#: DATE: CUSTOMER ID:
18491084 0410712020 07:00am EDT
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL.TYPE
SMK El
3FL ACAD OS STAIR 2 4-1-8
SMK 3FL ACAD ELEC ROOM 3010 4-1-9 0
SMK 3FL ACAD VID ROOM 3011 4-1-10
El
SMK 3FL ACAD STAIR 1 3009 4-1-11
SMK 3FL ACAD HALL 3001 OS STAIR 1 4-1-15 El
SMK 3F1.ACAD HALL 3001 OS 3009 4-1-16
SMK 3FL ACAD HALL 3001 OS 3007 4-1-17
SMK 3FL ACAD HALL 300'f 05 3006 4-1-18
SMK 3FL ACAD HALL 3001 OS ROOM 3005 4-1-19
SMK 3FL.ACAD HALL 3001 05 3004 4-1-20
SMK 3FL ACAD HALL 3001 OS 3003 4-1-21 -El
El 3FL ACAD MALL OS V/D 3028 4-1-22
SMK
'
El
SMK 3FL ACAS ROOM 3028 V/D 4-1-23 0
�
SMK 3FL ACAD SEC D HALL 3030 4-1-24 Os 3O32 � ❑
SMK 3FL ACADSEC D HALI.3030 4-1-25 Os 3075 Q ❑
SMK 3FL ACAD HALL OS 3038 4-1-26 Os 3O74 0 ❑
SMK 3FL ACAD HALLOS 3039 4-1-27 Ds 3038 Q ❑
SMK 3FL ACAD HALL OS 3039 4-1-28
El
SMK 3FL ACAD SEC D ROOM 3044 4-1-29
El :
SMK 3FL ACAD HAIL OS 3044 4-1-30
SMK 3FL.ACADHALL OS 3047 4-1-31 El
El
SMK ACAD HALL OS 3047 4-1-32
SMK 3FL ACAS}HAIL OS 3049 4-1-33
SMK 3FL ACAD HALL OS 3050 4-1-34
SMK 3FL ACAD HALF OS 3050 4-1-35
El
SMK 3FL ACAD HALL OS 3051 4-1-36 _j
BILLING ADDRESS CONFIRMED
-DATE
CUSTOMER'S SIGNATURE � TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LLC
26 MAMPSHiRE DRIVE
HUDSON NH 03051
IMPACT O: 603.293.7531
F :603.589.2051
ADDITIONAL SERVICE �%"•GETFIREPROTECT{ON.COM
FIRElNFOIINSPEC710N COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A;Nl-1- 13147 M
Page of
WORK ORDER#: DATE: CUSTOMER ID:
18491064 04107/2d20 07:QOam EDT
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS SAIL
TYPE
SMK 3FL ACAD HALL OS 3052 4-1-37 0 ❑
SMK 3FL ACAD HAIL OS 3053 4-1-3$
SMK3FLACAD 3054 STAIR 4 LANDING 4-1-40 El�
SMK 3FL ACAD 3054 OS STAIR 4 4-1-43 El
SMK 3FL ACAS ROOM 3055 Vll] ROOM 4-1-44 � ❑
SMK 3FL ACAD ELEC ROOM 3055 4-1-45
SMK 3FL AGAR SEC CTR D ROOM 3068 COMOPUTER 4-1-83 CALL ME FOR LOCATION ✓Q ❑
SMK 3FL ACAD 3070 STAIR 3 LANDING 4-1-64 0 El
SMK 3FL ACAD OS 3070 STAIR 3 4-1-68 � ❑
SMK 3FL ACAD ELEC ROOM 3072 4-1-69
SMK 1FL VESTIBULE TO GYM LOCKER HALL 5-1-14 El -
SMK 1 FL HALL GYM LOCKER BY 1137 5-1-1 5 � ❑
SMK 4FL HAIL GYM LOCKER 1138 5-1-16 � ❑
SMK 1 FL HALL GYM LOCKER BY STORAGE 1153 5-1-17 El
SMK 1 FL HALL GYM LOCKER BY STORAGE 1153 5-1-18 � ❑
SMK 1 FL HALL GYM LOCKER 1149 VD 5-1-19 Ris El
� SMK 1FL ROOM 1149 VD 5-1-20
SMK 1FL EMER ELEC RM 1150 5-1-21 El�
g� 1FL HALL GM LOCKER BY 1151 STORAGE 5-'f-2SMK � ❑
E SMK 1FL HALL GYM LOCKER BY 1147 5-1-23 � ❑
E:
SMK 9FL ELEC ROIOM 1146 IN 1147 5-1-24
SMK 1 FL HALL GYM LOCKER BY 1147 5-1-25 RI El
is
SMK 1FL STAIR BY GYM LOCKER 5-1-27 El
SMK 1FL MAIN OS 1122 5-1-30 � El
SMK 1F1,MAIN OS 1120 5-1-31 � ❑
SMK 'IFLO MAIN OFFICE OS 1118 5-1-32 El
BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATA TECHNICIAN'S SIGNATURE
-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
C T
HUdSON NH 03051
I M PAO: 603.293.7531
F:603.5892051
ADDITIONAL SERVICE WWWGETFIREPROTEC7iON.COM
FIRE INFO/lNSPECT[ON COMMENTS MASTER ELECTRICIAN#;
DEVICE INSPECTION REPOR•�• MA-20423A;NH-93117 M
Page of
WORK ORDER#: 18491064 DATE: 04107/2020 07:00am EDT CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAI1.
TYPE
SMK 9FL MAIN OFFICE HALL OS 1107 5-1-33 Q ❑
SMK 1FL MAIN OFFCIE WAITING ROOM 5-1-34 z El
SMK 1FL MAIN OFFICE 5-1-35 ✓ El
SMK 1 FL MAIM OFFICE OS't'f 39 5-9-36 Q✓ ❑
SMK 1FL VESTiBUL.E TO GYM LOCKER HALL 5-1-408 �✓ ❑
SMK 9 FL ROOM 1169 VD 5-2-10 z El
SMlC 1FL SEC B EI.EV MACH RM 5-2-37 NT ❑ ❑
SMK 1FL ATHLETIC OFFICE RECEPTION 1126 5-2-41 ❑✓ ❑
SMK 1 FL SAC AB ELEV LOBBY 5-2-42 NT ❑ ❑
SMK 1 FL SEC AB HALL 1'{73 RCVG 5-2-48 �✓ ❑
SMK 1 FL SEC AB ROOM 1166 EMIR ELEC RM 5-2-53 Q ❑
SMK 7FL SEC AB ROOM 9 988 5-2-54 � ❑
SMK 2FL MAIN MALL OS 2092 5-2-64 �✓ ❑
SMK 2FL MAIN HALL OS 2092 5-2-65 ✓Q El
SMK 2FL.MAIN HALL 05 2089 5-2-66 Q✓ ❑
SMK 2FL MAIN HALL OS 2089 5-2-87 ❑✓ ❑
SMK 2FL MAIN HAIL OS 2085 5-2-68 Rl El
SMK 2FL MAIN HALL OS 2084 5-2-69 Q ❑
SNf}( 2FL MAIN HALL OS 2082 5-2-70 Q ❑
SMK 2FL HALT.RAMP OS LIBRARY 5-2-71 z El
SMK 2FL MAIN HALL OS 2089 5-2-72 2085 ❑✓ ❑
SMK 2FL STAIR 6 HALL.2194 5-2-75 El
5MfC 2FL 2116 ELEC ROOM 5-2-78 RI El
SMK 2FL GYM LOCKER HALL OS 2113 5-2-79 z ❑
SMK 2FL GYM LOCKER HALL OS 2112 5-2-80 Q El
SMK 2FL GYM LOCKER HALL OS 2105 5-2-81 ❑✓ ❑
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATA TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED{SAME
i
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IMPACT FIRE SERVICES, LLC
26 FIAMPSMIRE DRIVE
HUDSON NH 03451
I M PACT o :603,293.7531
F :603,589.2051
ADDITIONAL SERVICE V" W.GETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH- 13'f'f7 M
Page of
WORK ORDER#; 18491064 DATE' CUSTOMER ID:
04/07/2020 07:d0am EDT
DEVICE MODEI. LOCATION ZONE NOTES/COMMENTS: PASS PAIL
TYPE
SMK 2FL GYM LOCKER HALL OS 2103 5-2-87 ❑✓ ❑
SMK 2FL GYM LOCKER STORAGE ROOM 2199 5-2-88 RIEl
SMK 2FLHALL 2096 OS ROOM 2099 5-2-89 ❑�
SMK 2FL GYM LOCKER HALL 2093 ELEV LOBBY 5-2-91 NT ❑
SMK 2FL RIDGE RAMP 2122 MAIN HALL 5-2-94 �✓
SMK 2FL RIDGE RAMP 2122 MAIN HALL 5-2-95 Z El
SMK 2FL RIDGE RAMP 2122 MAIN HALL 5-2-96 QEl
SMK 2FL HALL 2096 BY GYM BATH 5-2-98 ❑✓ ❑
SMK 2FL SAC AB VD ROOM 2120A 5-2-99 ❑✓
SMK 2FL GYM LOCKER HALL BY 2905 5-2-105 ❑i/ ❑
SMK 1 FL HALL 1132 GYM LOCKER OS 1126 5-2-107 Remove GYM LOCKER Z El
SMK 2FL GYM LOCKER ROOM 2121 ELEC ROOM 5-2-190 RI El
El El
El El
El El
El 0
El El
El 0
❑ a
El Li
El El
El El
El Ll
El LJ
El El
El 0
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TEGHN[CIAMS SIGNATURE-DATE
CUSTOMER'S PRINTED NAME