HomeMy WebLinkAboutQuarterly Fire Sprinkler System Inspection - Inspection - 10/16/2020 Quarterly
Fire Sprinkler Inspection
CINTAS FIRE PROTECTION
710 NARRAGANSETT PARK DR
PAWTUCKET, RI 02861
USA
1
READY FOR THE WORKDAYTM
Inspection date: 1 Inspector: JIM KINGMAN
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A KOHL'S 535 0OF4 r41 72
D WINTHROP AVE
NORTO AVR, MA 01
� Pon : Fax;
NNW- :
NA KOHL'S 535 0OF4041372
D WINTHROPAV
NORTH AVR MA 018454289
Pon : 9786868737 Faux:
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Znspe tion performed in accordance with
NF'PA 25 Standard for the Znspection, Testing, and Maintenance
of Water-Based Fire Protection Systems,. 2014 edition.
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Ot
Person at alarm-receiving facility notified before testing... .1,4 $. Monitoring Company
;Tire alarm-receiving facility notified 12:30
$.
...
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.....
s
}I�eron at Dire Department notified before testing �.. . hi
....... .� ... . .. .. at- �. ... . .
:Time I*D notified before testing � ..................... . 1 0
` HJ notified before testing 4.1;4 a
,.Time H] notified 2:30
:' is
'Person at alarm-receiving facility notified after testing 4.1.4Monitoring pa.n . .. .... ...
'dire alarm-receiving facility notified after testing. 14:30
Person at Fire Department notified after testing.... 4.1. ....... #...:............................... ........ ... ..Dis.patch . .. ... . ..
,Time I"D notified after testing 4;
30
AHJ notified after testing 4.1.4 Ala
'Time AH] notified after testing 14:30 .
Date system restored to normal operation. 0/1 202 .
`I'irne system restored to normal operation.
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_ :....:
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:,,Wet Systems
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l #
System I Stock r
Mat r pressure gauges operating properly 13.4;1.1 Pass
E teNor of valve free of physical damage, vaIves in normal position 13.4.1=1 Vass
:System control valve is accessible and free of leaks, has appropriate wrench and properly secured Pass
`. 13.4.1.1
:petard chamber and alarm drains free from leakage 13.4.1.1 Pass
Hydrau11 c.nameplate, if applicable, securely attached and is legible 5.2. Pass
Inf rrnation sign securely attached and legible, (4.1.9.2) Pass
Pressure (psi) shown on System side pressure gauge* 145
Pressure (psi) shown on Supply water pressure gauge. 13. . 145
130
%Residual Pressure with valve open 13. .5
Static Pressure after valve closed 13. .5 140
fain Drain Test Pressure less than 0% reduction in flow from original acceptance test or previous test Pass
results 13.2.5.2 .
}
Adequate drainage available 13.2.4 Pass
1lalve Status Test-halves open when returned to service. 13.3. .2*1 Pass
Internal inspection -aIt c mponents operate properly and move freely, valve cleaned and In good condition Pass
13.4.2.1
Internally inspect valve strainers,filters, and restriction orifices; free from obstructions, operating properly, I
and in goad condition 13.4.1.
t Gauges on valve, when compared to calibrated gauge, error is less than 3%full scale or gauge has been Yes
realibrated or replaced 5.3.2 Page 2 of 5
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System 2 StockR
.water pressure gauges operating properly 13. -1.1 Pass
':Exterior of valve free of physical damage, valves in normal position (13.4.1.1) Pass
:System control valve is accessible and free of leaks, has appropriate wrench and properly secured Pass
Retard chamber and alarm drains free from leakage 1 . .1..1. Pass
,!Hydraulic nameplate, if applicable, securely attached and is legible . .6 Pass
Information sign securely attached and legible. (4.1.9.2) Pass
Pressure(psi)shown on System side pressure gauge. 10
[Pressure (psi) shown on Supply hater pressure gauge. 1 . . 1
}
45
130
Rsidal Pressure with valve open 13. .
Static Pressure after valve closed 13. .
$ 140
Main Drain Test Pressure lass than 10% reduction in flow from original acceptance test or previous test Pass
}results 13. . . }
lduat {4 drainage available 13. . Pass
'Delve Status Test--Valves open when returned to service. 1 .3.1. .1 Pass
`Internal inspection-all components operate properly and move freely, valve cleaned and in good condition Pass
1 13. 1 i .1
':Internally inspect valve strainers filters,and restriction orifices; free from obstructions,operating }
p p g f /I
land in good condition 13. .1.
:Gauges on valve, when compared to calibrated gauge, error is less than °o Full scale or gauge has been Yes
ralibrated or re placd .3. :
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::.....:.:..:.....:: :.:.. :...J4'oo Location.........::::. r .. ..:.:.. ...:.... ....:
SYSTEM 1 COMPACTOR Piss
Y TE M T l' 1 .
Pass
r
FDC
Externally inspect-Are gauges work!ng properly, valve free of damage and in normal open or closed Pass
{position, retarding chamber or alarm drain without leafs 13.4.1.1
Internal inspection and test valve for correct operation, valve moves freely and is it in good condition Pass
13. . .1
:...:..::::: h :':' ' :..::..:.:.
System side bck flow
Externally inspect-Are gauges working properly,valve free of damage and in norm l open or closed Pass
=position, retarding chamber or alarm drain without leaks 13.4.1..1
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....... ......
..::Sin d�t� n ::�os� �or�.:: gyred: E er��sed a
.. ..'. .: ... i
......... .............
Control Valve- City bck flow 1 and Y � $1 � I Pass � Pass � Pass I Pass 1 f A
x locked tamper I ass # Turns
'Control halve.-. . 'SYSTEM 1 ! ' 1 Pass 16
i Butterfly 1 Pass Pass Pass Pass A
locked tamper Turns
Control halve- System side � S and Y � �, Pass 1 ... .
f
1 6 r Pass Pass Pass Pass I /
t l eked tarnper Turns
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:: ::.: .:.: ; . Ito .'Po �tfa ':secured erd seal
.
......:....
:...... . p Area/ :'lvd � :.Sere :.'.S gn ...:
16
control Valve �- I S`�STEI ,� ; Pass
Suttrl'ly G C r Pass Pass Pass i Terns
locked/tamperor
r ..
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w �
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S..... :. .'.::.:.......'....'........'.:.. ::.: ::{. :::.....':::.....:. :: ` : r ild al''Vest�.....:.
.: :.....:.. reaIoato :..: :'.:'...11u �. rp....:...:....:
:Tamper Switch %City side Pass a . Pass :
:Tamper Switch i System side Pass Pass
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-'
1!' d s :Fuhalon 1:�' st:::.:}
:.::.,:A ea/location..... ........::...: �. .�a.....: .:' �... :..
P
Pass
Electric Bell Pass
water Motor Alarm Pass ...... Pass ....
. r
i waterflow Alarm - Pressure �
System I Pass Pass 24.46 Seconds
Switch/Vane =...... ...................... . ...... . .. . .... . .. ..........
:water Pressure Alarm Switch ISYSTEM 2 Pass Vass
waterflow Alarm -- Pressure �...
I
SYSTEM 2 Pass Pass 34.62 Seconds:
iSwitch/Va-pe.... d"n'".Assem ice
w
Are isolation valves in open position . ,1.1 Pass
�.
:Forward flow test at t i ni mu rn flow rate of system demand 13.6. .1 pass
Zackflow performance test conducted satisfactorily at completion of forward flow test Pass
... .... .. ..... .... .... . ....
..
STOCK ROOM
1 FDC visible and accessible, without damage and signs in place 13.7.1 Pass
',:Couplings and swivels free of damage and rotate smoothly 13.7.1 Pass
;Caps, plugs and gaskets in place and free from damage 13.7.1 : Pass
':Check valve clapper free from leans and automatic drain valve in place and operating properly 13.7.1 Pass
:Interior of the connection free of obstructions. 1 .7.1 Pass
:Internal inspection of check valve -components operate properly, cleaned/repaired as needed 1 .4. .1 pass
Mydrostatic test results of piping from FDC to check valve acceptable. 13. .4 Pass
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System 1 Stock ran
Question: Internally inspect valve strainers, filters, and restriction orifices; free from obstructions,, operating properly,
and in good condition 1 , .1..*
Technician Response N OT DUE FOR TE TI N G AT THIS TIME~
.....:.:........
. a ve..--�.
System2 Stock Rr
Question: Internally inspect valve strainer's, filters, and restriction orifices; free from obstructions, operating properly,
and in good condition 13. ,1.
T echn cian f spons : N T DUE F I TESTINGT THIS TIME.
f
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Liability I e Staterng t.
The owner and/or designated representative acknowledges the re
p n i���ity f the operating condition thecomponent
parts at the time f this inspection. It is agreed that the inspection service provided by the contractor as prescribed
herein is limited to performing a visual inspection am routine testing, and any investigation or unscheduled testing,
modification, maintenance, repair, etc., of the component parts is not included as part of the inspection work performed.
It Is further understood that all informati n contained herein is provided to the best of the knowledge f the party
providing such information.
111t0 1 !110
Customer: Kohl's D Erwin Technician: JIM KINGMAN 00F.4065
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SPRINKLER
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