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Home My WebLink AboutQuarterly Wet Sprinkler Inspection - Inspection - 757 TURNPIKE STREET 8/7/2020 IMPACT T FIRE SERVICES, LL 26 H II PSH I RE DRIVE HUDS N NH 03051 MPAC . 603.293.7531 2051 'may �.-y}F t aVt FIR �M.GETFI t}��7��/T CTI a ommonwealth of mass Sprinkier contractor SC- 10059 Inspected to the State Adopted Version of NFPA 25 QUARTERLY WET SPRINKLER INSPECTION j iB :19314814 DATE:08/07/2020 08,00amEDT CUSTOMER ID- M TO: BILL TO: NA E STOP &SHOP#92 NA ME C &W SERVICES ADD"-Ss 767 TURNPIKE STREET ADDREss 140 KENDRICK ST, BUILDING C INVEST CITY NORTH AND V E R STATE MA zip 01845 ciTY N E E D H AM STATE MA zip 02494 CONTACT STORE MANAGER PHONE 8)683-9666 E A L cx Po# AHDO01 821924 TYPE OF SERVICE REGULAR Ll EMERGENCY START TIME END TEME VALVE LOCATION: System vALvE MAKE Star VALVE MODEL F VALVE SIZE 611 E SYSTEMS I FIRE ALARM PANEL MAKE Est2 MONITORING YES 16 N NIA Ll 0.0 is FADP In normal at start of inspection? YES If NO U NIA Ll O.1 is the anal&riser accessible? YES Ef NO L) NIA A.0.2 Alarm lino valves in properposition? 'DES d NO U NIA LJ A 1.0 is hydraulic or pipe.,schedule placard attached and le ible YES C3 NO f NIA LJ 1.1 System gauges in cod condition? Date on GLIaga 2018 YES f N LJ NIA 1. Static Before 5 psi Residual 35 psi Static After 55 psi Time to Reach Static 3 Drain Size: A 1.3 Is residual main drain test readln at base of riser at or above hydraulic demand or previous reading? YES Ef NO LJ NIA LJ A.2.0 Are all valves supervised and in the appropriate open/closedposition? YES El N N!A U A 2.1 Alarm valve and trim free from damage? YES id NO LJ NIA Ll A 10 Fire Department Connection in compliance?Hydrostatically tested In last 5 years? YES W NO Ll NIA Ll 4.0 Time to alarm: Bell/W.M.G. Time to alarm when floored via 1TV 5.0 All system suns,valve chart,anti-freeze placard(if applicable)In place? YES & NO U NIA A 6.0 Alarm line value sealed in open position All valves In normal condition? YES W NO ❑ NIA❑ A 6.1 FADP left in normal condition? YES W NO U NIA El A 62 Did monitoring company receive signal? YES Id NO Ll NIA. A.6.3 Has the tank been assessed for obstructions in the last 5 years' YES U NO L1 MAW .4 Has an obstruction assessment been performed on piping in the last 5 years? YES Cd NOD N/A Ll A 6.5 Has the alarm valve and/or ba kfiow and FDD check been assessed for obstructions in the last 5 years? YES Ef INTO LJ NIA U A.'.1 Has antifreeze been tested in last 12 months?(Check chart 131 for results,if inspected today) YES Id NO❑ NIA❑ A.8.0 Does fire pump appear to be in good working order? YES U NO Ll NIA.ld ,8.1 Has fire pump undergone regular churns as required per NFPA 5? YES U NO Q NIA W A. .0 Does customer own a copy of NFPA 25 and understand his/her responsibilities? YES id NO U NIA Ll { s 1 17 Y B} Antifreeze Test Results: AFL %at Freeze Point %at Base of Freeze Point at Antifreeze Antifreeze PSI Reading PSI Reading for Is AFC.in Location dent at dent Loop Base of Loop Type Quantity on Tank Loop Compliance? 400) 40 'r C I Inspection results: Passed id Passed With Deficiencies Cl Critical Deficiencies Found U System Inoperable 0 'LEASE SEE ELECTRONIC 'CORK ACKNOWLEDGMENT) OR "ALERT TAB" O SERVICE LINK (EMAILED TO CUSTOMER AT COMPLETION ETION OF THE INSPECTION), FOR DETAILS ON ANY CURRENT OR PREVIOUSLY REPORTED RECOMMENDATIONS, DEFICIENCIES,OR IMPAIRMENTS. I General Current : El List the changes in the occupancy hazard or fire protection equipment,as advised by the o ner,since last inspection: F 1 Ins ton a d suggested improvements were discussed with the undersigned Owner or Ownees.Representative: YES Ll NO Cl to r si natu re may he Found on eledron1 '*York Acknowledgement In lieu of this report.** 8/7/2020 THIS IS NOT AN INVOICE CUSTOMER'S SIGNATURE DATE QT Y PART DESCRIPTION PRICE AMOUNT 4 W quaderly wet s prin]er inspection uon iii CUST)qMEWS PRINTED f AAM / 02 YEtHNICIAN SIGNATURE DAT Dennis Chase, Chance Faun TECHNICIAN PANTED NAME LICENSE 031 1 SPRINKLER SERVICE CALL t IMPACT FIFE SERVICES, LL 6 HA PSHI E DRIVE HUDS N NH 03051 Or 03. 3.73 IM ACT F : 603. 89. 01 FIRV"M.GETFIREPROTECTION.COM ornrnof'weaith of mass So nkler Contractor SC-2 100 59 Inspected to the State Adopted Version of NFPA 25 QUARTERLY WEB`SPRINKLER INSPECTION jo :1931481 DATE:08/07/ 0 8:00am EDT CUSTONffiR fD: SP TO: BILL T : NAME STOP & SHOP#92 NAmF, C &W SERVICES ADDMS 767 TURNPIKE STREET ADDRESS 140 KENDRI K ST, BUILDING C WEST CITY NORTH AND OVER STATE MA zo 01845 CITY NEEDHAM STATE IAA zw 02494 CONTACT STOKE MANAGER PHONE 978 683-96 6 EMAM CUSTpo# AH D0 18219 4 TYPE OF SERVICE REGULAR Ll EMERGENCY START TIME END TIME VALVE LOCATION: System AL E MAKE Star VALVE MODEL F VALVE SIZE 611 #OF SYSTEMS 1 FIRE ALARM M PANEL MAKE Est2 MONITORING YES id NO L3 NIA L] 0.0 is FA P In normal at start of Inspection? YES Ef NO Ll NIA. A .1 Is the panel&riser accessible? YES 9 NO LJ N/A U A, .2 Alarm lire valves In properposition? YES Ef NO LJ NIA U A 1.0 Is hydraulic i schedule placard attached and legible? YES NO LJ NIA 1.1 System gauges In cod condition? [date on Gus e; 2018 YES d NO U N/A Ll 1.2 Static Before 55 psi Residual 36 psi Static After,�psi Tlr�ne to leach static Dram i A 1.3 Is residual main drain test readin at base of riser at or above draulic demand or previous reading? YES NO LJ NIA A 2.0 Are all valves supervised and in the appropriate open/closedposition? YES f NO Q NIA L3 2.I Alarm valve and trim free from damage? YES Id NO El N/A Ll 3.0 Fire Department Connection In compliance?Hydrostatically tested in last 5 years? Y FS W NO U NIA Ll A 4.0 Time to alarm: Bell/vl.M. Time to alarm when floured via ITV .O All system signs,valve chart,anti-freeze placard if applicable)in place? YES W NO Ll NIA L) A 6.0 Alarm line valve sealed In open position? All valves In normal condition? YES 4 NO U NIA Ll A 6.1 FA P left In normal condition? YES W NO C7 NIA Ll 6.2 Did monitoring company receive signal? YES W NO L3 NIA Ll .3 Has the tank been assessed for obstructions in the last 5 gears? 'DES ❑ NO❑ NIA U A 6.4 Has an obstruction assessment been performed on piping in the last 5 years? YES Id NO U NIA❑ .5 Has the alarm valve and/or backflow and FDC check been assessed for obstructions in the last 5 years? YES 9 NO U NIAL3 .?.I Has antifreeze been tested in last 12 months?(Check chart B1 for results,if inspected today) YIDS Id NO Ll NIA U A. .0 Goes fire pump appear to be in good working order? YES U NO U N/A 0 A. .1 Has fire pump undergone regular churns as required per NFPA 5? YES U NO Ll N/A id .9.0 Does customer own a copy of NFPA 5 and understand his/her responsibilities? YES id NO U N/A WS012517 i B I Antifreeze Test Results: AFL Vent Freeze mint Ala at Base of Freeze Point at Antifreeze Antifreeze PSI Reading PSI Reading for Is AI I n den Location 4 Loop Base of Loop Typo Quantity on Tarok Loop Compliance? C I Inspection results: massed 0 Passed With Deficiencies El Critical Deficiencies Found Ll System Inoperable PLEASE SEE ELECTRONIC 'FORK ACKNOWLEDGMENT, OR "ALERT TAB O SERVICE LINK (EMAILED TO CUSTOMER AT COMPLETION E THE INSPECTION), FOR DETAILS ON ANY CURRENT OR PREVIOUSLY REPORTED RECOMMENDATIONS, DEFICIENCIES,OR IMPAIRMENTS." D I General Comments: E I List the changes in the occupancy hazard or fire protection equipme at,a s advised by the owTier,since last inspection F I inspection and suggested improvements were discussed Nvith the undersigned Owner or Owner's Representative: YES El NO Ll * ustomer signature may be found on electronic Work Acknowledgement In Iieu of this report." 8/7/2020 THIS IS NOT AN INVOICE CUSTOMER'S SIGNATURE DATE QTY PART# DESCRIPTION PRICE AMOUNT 6"quafteN wet sprinkler inspe Uae uon ivion ii CI_T G ER' PRINTED N.A11 17/ 2 T ECHNIMN SIGNATURE, DATE DennisChase, Frrn � 1 �� SERVICE CALL TECHNICIAN CHNICIA PRINTED NAME LICENSE C W 012517 WORK ACKNOWLEDGEMENT e4 IMPACT FIRE 9911�h X Your Technician: From Impact Fire Services,LLC Nick Lopez 26 HAM P H IRE DRIVE On site 3 1 at 10:3 arr HUDS N,NH 03051 03 93-73 . Job No. 1931 31 Job For STOP&SHOP#9 Typo Inspection 7 7TURNPIKESTP FT PO No. AHDO01821990 NORTH ANDOVER,MA013 Comments Jason De Feudis 0 /1 12020 0 :02pm EDT Panel located at Front Entrance EST-2(Obsolete) Monitored by Ahol 877.893. 393 Master Box#1148 No longer operable Remove NA Cs manuaIly for silent test Disd aim e rs and Wa rra nt les 1.LIMITATION OF COMPANYS LIABILITY.TO THE FULLEST EXTENT PERMITTED BYAPPLI ABLE LAW,IF COMPANY IS FOUND LIABLE FOP,ANY LOSS OR DAMAGE DICE TO BREACH OF CONTRACT OR WARRANTY,ANY DEGREE OF NEGLIGENCE OF COMPANY,STRICT PRODUCT LIABILITY,SUBROGATION,INDEMNIFICATION OR CONTRIBUTION,OR ANY OTHER THEORY OF LIABILITY(EXCEPT FOR INTENTIONAL MISCONDUCT)ARISING FROM OR RELATING TO THIS QUOTE,PROPOSAL OR AGREEMENT,THE DESIGN,INSTALLATION,INSPECTION,TESTING,MONITORING,REPAI R,SERVICE,OPERATION OR NON-OPE RATIO I OF THE SYSTEM OR E UIPI ENT, IN ANY RESPECT AT ALL,THE MAX I M l LIABILITY OF THE COMPANYW1 ILL BELIMITEDToASU M NEVER TO EXCEEDFIVETHOUS ND DOLLARS( 50 B. ),AN D THIS LIABILITY SHALL BE EXCLUSIVE.THE COMPANY IS DEFINED IN THESE GENERAL TE RMS AND CONDITIONS TO INCLUDE THE COMPANiYS E MPLOYEES,AGENTS AND SUBCONTRACTORS.THIS LIMITATION OF LIABILITY SPECIFICALLY COVERS LIABILITY FOR,AMONG OTHER THINGS,LOST PROFITS;BUSINESS INTERRUPTION;LOSS OF PROPERTY,DAMAGED PROPERTY OR LOSS OF USE OF PROPERTY;PERSONAL INJURIES AND DEATH;CROSS-CLAIMS ACID CLAIMS FOR INDEMNITY AND CONTRIBUTION;AND THE CLAIMS OF THIRD PARTIES.ALSO COVERED BY THIS LlMITAT#ON ARE,AMONG OTHERS,THE FOLLOWNG TYPES OF DAMAGES:DIRECT, INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL AND PUNITIVE. .WAIVER OF SUBR(G TION.Customer understands that COMPANY IS NOT AN INSURER.Customer is responsible for obtalmng all insurance Customer believes Is necessary. To the fullest extent permitted by applicable law,Customer and Customers insurance company release Company frorn any liability for any loss,event or condition covered by Customers insurance, .INDEMNIFICATION.TION.TO THE FULLEST EXTENT PERMITTED BYAPPLICABLE LAIN,CUSTOMER SHALL INDEMNI FY,DEFEND,AND HOLD HARMLESS COMPANY FROM ANY ARID ALL LIABILITY(EXCEPT INTENTIONALMISCON DUCT)AGAINST ALLTHIRDPARTYCLAIMSORLOSSES(INCLUDINGPAYMENTOFCOMPANYSATTORNEYS FEES AND COSTS)BI OUGHT AGAINST COMPANY ARISING FROM OR RELATING TO THIS QUOTE,PROPOSAL OR AGREEMENT,THE DESI GN,INSTALLATION,INSPECTION, TESTING,MONITORING,REP IRIN ,SERVICING,OPERATION OR NON-OPERATION OF THE SYSTEM OR EQUIPMENT,IN ANY RESPECT AT ALL,BUT(a)ONLY TO THE EXTENT CAUSED,IN WHOLE OR IN PART,BY THE NEGLIGENT ACTS OR OMISSIONS OF THE CUSTOMER OR ANY THIRD PARTY,AND(b)FROM THE COMPANYS OWN NEGLIGENCE OF ANY KIND OR DEGREE.[NOTHING CONTAINED HEREIN,INCLUDING(b)ABOVE,SHALL BE CONSTRUED TO REQUIRE ANY INDEMNIFICATION WHI CH WOULD RENDER OR MAKE THIS CLAUSE,IN WHOLE OR IN PART,VOID ANDIOR U ENFORCEABLE UNDER APPLICABLE LAW. 4.LIMITED WARR NTY.For ninety(90)clays from the date that the Company sells and installs any,part,component or system sublect to this Quote,Proposal or Agreement, Company warrants that if a ny such part,component or system does not work because of a defect its material or workmanship,Com pang vwril I repair or replace that part or component at no charge to Customer.This Limited Warranty does not cover batteries,nor does it apply if the part,component or system has been damaged by Customer,accidents, power surges,misuse,vandalism,lack of proper maintenance,or unauthorized changes,or acts of God(such as fires,earthquakes,floods,tornadoes,etcj.This Limited Warranty,is the only warranty Company makes,and takes the place of all other warranties whether express or implied.THE COMPANY MAKES NO IMPLIED WARRANTY ANTY OF MERCHANTABILITY OR FITNESS F R A PARTICULAR PURPOSE,ANY AND ALL SUCH WARRANTIES BEING EXPRESSLY WAIVED. S.CUSTOMERS REEMENTS.Unless Customer has contracted in writing with the Company to do so,it Is the sale and exclusive responsibility of Customer to test,inspect,