HomeMy WebLinkAboutSprinkler Inspection Report - Inspection - 350 HOLT ROAD 9/9/2021 ,A.S.A.P. Sprinkler LLC SPRINKLER INSPECTION REPORT PAGE 1
6 Progress Ave. Unit tt3
Tyngsboro, Ma. 0;87P Phone 97 9-4945 Fax 978-649-9445
Company Name G•t r` C,ont ct
Street a Ci y State
Date of Trip Test v- ; Technician a Date r�
owners Section(To be answered by owner or occupant)
A. Explain any occupancy hazard changes since the previous inspection.
B. Describe fire protection modifications made since the last inspection.
C.Describe any fires since the last inspection
D. When was the system piping last checked for stoppage,corrosion or For ign rr�teriai? (��y
E.When was the dry-piping system last checked for proper pitch f/j
F.Are dry valves adequately protected from freezing?
Inspector's Section(Alt responses reference current inspection
1. GENERAL YES NO
a.Is the building occupied?
b.Are all systems in service?
c. Is there a minimum of 18 in clearance between the top of storage and sprinkler deflector?
d. In areas protected by wet system,does the building appear to be properly heated in all areas including blind
attics and perimeter areas,where accesible?Do all exterior openings appear to be protected against freezing
2. CONTROL VALVES(See item 14) XXXXXXXXX xxxxxxxxx
a.Are MI sprinkler system control valves and all other va€ves in appropriate position?
b.Are all control valves in the open position and locked,sealed or equipped with tamper?
3.WATER SUPPLIES(see item 14) XXXXXXXXX XXXXXXX
a.Was a water flow test of main drain made at the sprinkler riser?
4.TANKS,PUMPS,FIRE DEPARTMENT CONNECTIONS XXXXXXXXX xxxxxxxxx
a.Are fire pumps,gravity tanks, reserviors and pressure tanks in goad condition and maintained?
b.Are FD connection in satisfactory condition,couplings free,caps in place&check valves tight?
Are they accessible and visible?
5.WET SYSTEMS(See item 13) XXXXXXXXX xxxxxxxxx
a.Are cold weather valves(OS&Y)in the appropriate open or closed position?
b. Have anti-freeze system solutions been tested?
c.Were the antifreeze test results satisfactory?
6.DRY SYSTEMS(See Items 10-14) XxxXxxxx xxxxxxxxx
a_Is the dry valve in service?
b.Are the air pressure&priming water level in accordance with the manufacturers instructions?
c.Were the antifreeze test results satisfactory?
d.Wire low points drained during the inspection?
e.Did quick-opening devices operate satisfactory?
I. Did the dry valve trip properly during the trip pressure test?
g.Did the heating equipment in the dry,pipe valve room operate at the time of inspection?
7.SPECIAL SYSTEMS(See Item 16) xxxxxxxxx xxxxxxxxx
a. Did the deluge or pre-action valves operate properly during testing?
b.Did the beat-responsive devices operate properly during testing?
c.Did the supervisory alarm service test satisfactory?
8.ALARMS xxxxxxxxx A txxxXx
a-Did water motor and gong test satisfactory?
b. Did electric alarm test satisfactory?
c. Did supervisory alarm service test satisfactory?
9.SPRINKLERS xxxxxxxxx 'xxxxxxxxx
a.Are all sprinklers free from corrosion, loading or obstruction to spray discharge?
b.Are sprinklers over 50 years old,thus requiring sample testing?
c,is stock of spare sprinklers available?
d.Does the interior condition of sprinkler system appear to be satisfactory
e. Temperature.Are sprinklers of proper temperature rating for their location?
A.S.A.P.Sprinkler LLC INSPECTION REPORT Page 2
6 Progress Ave. Unit##3
Tyngsboro,Ma.01879
Phone;978-649-4945 Fax 978-649-9445
Wet Systems No? Make and model? ! '`
Dry Systems No? W Make and model? < ,
Special Systems No? Type?
Make and Model Condition
10,Date dry-pipe valve trip tested[control valve partially open)
11.Date dry-pipe valve trip tested(control valve fully open)
12.Date quick-opening device tested
13.Date deluge or preaction valve tested
14,See Control Valve Maintenance Table.
Control Valves Number Type Open Secured Closed Signs Abnormalities
City Connection Control a c- -
Tank Control
Pump Control
Sectional Control
System Control
Other Control No
Water Pressure? Tank__,PSI Fire Pump _4 ,,
Water flow test? (If none made WHY?)
62 r-..
� .
Meat Responsive Device
Test Method
Type of Equipment �tl"
Manufacturer
Test Results:
Valve# �A B C P-" E_-_F Valve# _�A "BBC:D EF
Valve# _A F Valve# —A B C OEF
Valve# _rQ: B C D _F Valve# _A i3 G D
�•,
Valve#_ A B C t) E _F Valve# A B C D E__F
Auxiliary Equipment:No? Type? Location? Test Result?
17,Explain any"No'answers and comments:
l
f
18.Adjustments or corrections made during this inspection:
r
19.Although these Comm n e not the result of an a gi eering review,the following desirable improvements re recommended.
-
F
EI.
Technician C? e_ - -- Cust Signature/la -� �
Sprinkler Deficiency Report
A.S.A.P. SPRINKLER, LLC
Customer Name: err f a
6 PROGRESS AVE.,UNIT#3
TYNGSBORO, MA OI 879 Address
978-649-4945
Fax: 978-649-9445 Telephon %- T /V) Contact
SHIP DATE PURCHASE ORDER# 5 LES EPRESENTATIVE SHIP VIA TERMS TAX ID
OTY ITEM# DESCRIPTION UNIT PRICE TOTAL
41
.. f
p f
fJ
-
_41 �_....
-:
17
42
i"
1,l
COMMENTS: SUB TOTAL
I=.IWAIRMENT. TAX
NC NON CRITICAL MISCELLANEOUS
R=RECOMMENDATION
TOTAL
On this date, the above equipment was maintained in accordance with the procedures of the adopted editions of the NFPA, authority having
jurisdiction,and the manufacturer's manual.These procedures were executed with the results indicated abov .
Se r e Technician Lic. N Date Time A.M. P.M. CusSmers Authorized Agen
Sprinkler Service Report 1 Job invoice
97 95
A.S.A.P. SPRJN Customer Name: ,�ER, LLC �/ r �' /C )Cji�
6 PROGRESS AVE.,UNIT##3
TYNGSBORO,MA 01879 Address a A- 1'�
978-649-4945
Fax: 978-649-9445 Telephone Contact
SHIP DATE PURCHASE ORDER# I SALES REPRESENTATIVE SHIP VIA TERMS TAX ID
CITY. ITEM# DESCRIPTION UNIT PRICE TOTAL
ANNUAL WET SPRINKLER INSPECTION
ANNUAL,DRY SPRINKLER INSPECTION
QUARTERLY SPRINKLER INSPECTION
ANNUAL DELUGE SPRINKLER INSPECTION
ANNUAL PRE ACTION SPRINKLER INSPECTION
ANNUAL FIRE PUMP FLOW AND CALCULATION TEST
SERVICE CALL
EMERGENCY SERVICE CALL
LABOR HOURS -
OT LABOR HOURS
PRESSURE GAUGE
SIGN
SPARE HEADS
SPARE HEAD BOX
BALL DRIP
FDC CAPS
SPRINKLER WRENCH
HYDRANT FLOW
SECTIONAL VALVE INSPECTION
5 YEAR OBSTRUCTION INVESTIGATION f
f
WL
h
n fir! .r
COMMENTS:_� f int < li ....lU"f �lU�lfC_ G�r'9 SUS TOTAL
6 TAX
MISCELLANEOUS
THIS IS YOUR BILL, PLEASE REMIT TO THE ABOVE ADDRESS TOTAL
On this date, the above equipment was maintained in accordance with the procedures of the adopted editio f the NFPA, authority having
jurisdiction,and the manufacturer's manual.These procedures were exe uted with the results indicated above
a
Service Techniciaff Lie. No. D e Time A.M. P.M. Custo ers Authorized Agent