HomeMy WebLinkAboutACFrOgBCThyn3vzlHnohLuSCH3W1aJoJqAdZtBi...yi3puC4NpvjIiMINAlV-A9rteXVdP7Y_0= Lowell
Central
Electric
C 0.1 1 n C.
182 Chelmsford Street, Lowell,
MA 01851
(978) 453-7826
Annual Test Revort or:
Market Basket Store
#12 & Plaza
350 Winthrop Ave
Andover, MA 01843
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December gth, 2021
FC1 FC-7200
Addressable Fire Alarm Control Panel
PP
N HRE CONTROL
INSTRUMENTS
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Market Basket 412& Plaza
350 Winthrop Ave Andover,MA 01843
December 9th,2021
Site Contact: Store Manager Phone Number: 978-688-6322
Monitoring Entity: ADT AHJ: Andover Fire Department
Contact Person: Central Station Operator Contact Person: Dispatch
Phone Number: Store Manager Contacts Phone Number: 978-688-9590
Type Transmission: Sole Path Cell Account Number: Unknown
Manufacturer: Star Link Model Number: Unknown
Panel Manufacturer: FCI Model Number: FC-7200
Firmware Version: 4.30005 Firmware Revision Date: April 12", 1999
Number of SLC's: 2 Classification of sSLC's: A
Circuits Supervised: Yes Survivability Level: 0
Number of NAC's: 2 Classification of NAC's: A
Circuits Supervised: Yes Survivability Level; 0
System Alarm Initiating Devices and Circuit Information
Quantity of Device Type Manufacturer/Model#
Device
11 Manual Pull Station(Addressable) FCI MS-2 w/Mini-Module
2 Photo Electric Smoke Detector System Sensor
5 135 °Fixed Temp Heat Detector System Sensor
5 Photo Electric Duct Smoke Detector Not Listed
4 Sprinkler Waterflow Switch Potter
7 Sprinkler Tamper Switch Potter
1 Suppression System Ansul
Alarm Indicating Appliances and Circuit Information
Quantity of Circuit Class Device'Type Manufacturer/Model#
Device
15 Class A Horn Strobe Gentex(Wheelock Retail)
4 Class A Strobe Only Gentex
3 Class A Exterior Beacon Micro Beacon
Remote Annunciators
Location Type
Annunciator 1: By Market Basket Left Side Entrance Space Age LED
Annunciator 2:NIA NIA
Page 2 of 8
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Market Basket#12&Plaza
350 Winthrop Ave Andover,MA 01843
December 9th,2021
F.A.C.P. System Power
Located in Courtesy Booth
Primary Power
Input Voltage: 120VAC Over Current Protection Type: Circuit Breaker
Control Panel Amps: 6A Over Current Protection Size: 20A
Location. Courtesy Booth,Panel: IG Circuit Number: 14
Batteries
Nominal Voltage: 12VDC Type: Sealed Lead Acid
Amp Hour Rating: ISAH Location: Inside FACP
Number of Batteries: 2 Installation Date: December, 2021
In Standby Mode(Hours): 24 In Alarm Mode(Minutes): 5
Battery Test Voltage: (R)New,(L)New Battery Test Amp Hour: (R)New, (L)New
FCI NAC-10A#1 System Power
Located in Liquor Store Rear Storage Area
Primary Power
Input Voltage: 120VAC Over Current Protection Type: Circuit Breaker
Control Panel Amps: 10A Over Current Protection Size: 20A
Location: Panel PI Circuit Number: 6
Batteries
Nominal Voltage: 12VDC Type: Sealed Lead Acid
Amp Hour Rating: 12AH Location: Inside Booster Panel
Number of Batteries: 2 Installation Date: November,2018
In Standby Mode(Hours): 24 In Alarm Mode(Minutes): 5
Battery Test Voltage: (R) 13.21VDC, (L) 13.24VDC Battery Test Amp Hour: (R) 100%, (L) 100%
Notifications Made Prior to Testing
Monitoring Organization Yes Contact: ADT Time: t2:00pm
Building Management Yes Contact: Store Manager Time: 12:00pm
Building Occupants Yes Contact: Store Manager Time: 12:00pm
AHJ Yes Contact: Andover Fire Department Time: 12:00pin
System placed in Test Mode on: Date, December 9"',2021 Time: 12:00pm
System placed in Test Mode by: Store Manager
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Market Basket#12& Plaza
350 Winthrop Ave Andover, MA 01843
December 9th,2021
System Test& Inspection Results
Fire Alarm Control Panel
Type Visual Functional Comments
Test Test
Control Unit Power Supple
Control Unit X X Pass
Latnps/LED's/LCD's X x Pass
Fuses X X Pass
Primary Power Supply X X Pass
Secondary Power Supply -- - N/A
Control Unit Equipment
Trouble Signals X X Pass
Disconnect Switclies X X Pass
Ground Fault Monitoring X X Pass
Panel Supervision X X Pass
System Performance X X Pass
Local Annunciator X X Pass
Remote Annunciators X X Pass
Isolation Modules -- - N/A
Control Unit Batteries
Battery Condition X X Pass
Load Voltage X X Pass
Discharge Test X X Pass
Charger Test X X Pass
Notification Appliances
Audible Devices X X Pass
Visual Devices X X Pass
Dual Sync Module X X Pass
Auxiliray Functions
Door Releasing Devices -- N/A
Fan Shutdown -- N/A
FIVAC Shutdown Control X X Pass
Smoke Management Control -- -- N/A
Smoke Damper Operation -- -- N/A
Smoke Shutter Release -- -- N/A
Door Unlocking -- - N/A
Elevator Recall -- -- Not Tested
Elevator Shunt Trip -- - N/A
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Market Basket 412& Plaza
350 Winthrop Ave Andover,MA 01843
December 9th,2021
System Test& Inspection Results
NAC-10A#1 Panel
Type Visual Test Functional Test Comments
Control Unit X X OK
Lamps/LED's/LCD's X X OK
Fuses X X OK
Primacy Power Supply X X OK
Secondary Power Supply X X OK
Ground Fault Monitoring X X OK
Panel Supervision X X OK
Battery Condition X X OK
Load Voltage X X OK
Discharge Test X X OK
Charger Test X X OK
Number of NAC's: 4 Classification of NAC's: A
Circuits Supervised: Yes Survivability Level: I
Aux Power In Use: Yes Tripped From: LIMO8
Initiating Alarm & Supervisory Device Test and Inspection Results
As Captured by the F.A.C.P.
N Andover Mall:
ALARM: Manual Station ALU I L 1 M0 7 MARKET BASKET FRONT ENTRANCE
OFFICE SIDE 13:29 12/09/21
N Andover Mall:
ALARM: Manual Station ALUI L 1 MO MARKET BASKET FRONT ENTRANCE
BAKERY SIDE 13:30 12/09/21
N Andover Mall:
ALARM: Manual Station ALU1 LIM03 MARKET BASKET BAKERY EXIT DOOR
13:31 12/09/21
N Andover Mall:
Page 5 of 8
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Market Basket-912 & Plaza
350 Winthrop Ave Andover, MA 01843
December 9th,2021
ALARM: Thermal Det ALUI L 1 S05 MARKET BASKET BAKERY
COMPRESSOR ROOM 13:33 12/09/21
N Andover Mall:
ALARM: Manual Station ALUI LIM06 MARKET BASKET RECEIVING EXIT
DOOR 13:3712/09/2I
N Andover Mall:
ALARM: Manual Station ALUI LIM08 MARKET BASKET REAR EXIT BY
ELECTRIC ROOM 13:39 12/09/21
N Andover Mall:
ALARM: Photo Detector ALUI L I S28 MARKET BASKET LUNCH ROOM
13:46 12/09/21
N Andover Mall:
ALARM: Manual Station ALU 1 L I M09 MARKET BASKET LUNCH ROOM
13:46 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALUI L1 S27 MARKET BASKET REAR MAIN RTU
13:47 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALUI L1 S26 MARKET BASKET FRONT MAIN RTU
13:48 12/09/21
N Andover Mall:
ALARM: Thermal Det ALUI L 1 S31 MARKET BASKET MECHANICAL ROOM
13:48 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALUI L I S22 MARKET BASKET FRONT DAIRY RTU 6
13:50 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALUI L1 S21 MARKET BASKET FRONT CHECK OUT
RTU 3 13:52 12/09/21
N Andover Mall:
ALARM: Manual Station ALU 1 L I M 10 MARKET BASKET OFFICE
Page 6 of 8
Market Basket#12&Plaza
350 Winthrop Ave Andover, MA 01843
December 9th,2021
13:53 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALUI LIS24 MARKET BASKET DELI RTU 4
13:54 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALUI L1 S25 MARKET BASKET REAR DAIRY RTU 7
13:55 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALUI LI S23 MARKET BASKET REAR CHECK OUT
RTU 5 13:57 12/09/21
N Andover Mall:
ALARM: Manual Station ALUI L2M22 OLYMPIA SPORTS SIDE EXIT
14:24 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALUI L2S20 OLYMPIA SPORTS H.V.A.0
14:25 12/09/21
N Andover Mall:
ALARM: Manual Station ALU 1 L2M21 OLYMPIA SPORTS FRONT ENTRANCE
14:26 12/09/21
N Andover Mall:
ALARM: Manual Station ALUI L2M11 LIQUOR STORE REAR EXIT
14:29 12/09/21
N Andover Mall:
ALARM: Photo Duct Det ALU 1 L2S 10 LIQUOR STORE DUCT SMOKE
14:3 0 12/09/21
N Andover Mall:
ALARM: Manual Station ALU 1 L2M09 LIQUOR STORE FRONT ENTRANCE
14:31 12/09/21
Page 7 of 8
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Market Basket#12& Plaza
350 Winthrop Ave Andover, MA 0 1843
December 9th,2021
On/Oft'Premises Monitoring:
Alarm and Trouble signals were tripped to and received by ADT.
All signals restored to normal condition.
Notifications Made After Testing is Complete
Monitoring Organization Yes Contact: Andover Fire Department Time: 3:00pm
Building Management Yes Contact: Store Manager Time: 3:00pm
Building Occupants Yes Contact: Customers Time: 3:00pm
AHJ Yes Contact: Andover Fire Department Time: 3:00pm
System placed in Test Mode on: Date: December, 9' 2021 Time: 3:00pm
System placed in Test Mode by: Arthur Methot
This Testing Was Done in Accordance with Applicable NFPA Standards:
All Manual Pull Stations were operated. The Smoke Detectors were functionally tested by magnet.
The Duct Smoke Detectors were tripped by remote test switch. The Roof Top Units shutdown
according to proper correlation. The Horn Strobe circuits were operated.
Notes: Replaced the batteries in the Main FACP
Name of Inspector:Tony Barry Name of Inspector:Arthur Methot
Organization: Lowell Central Electric Inc. Organization: Lowell Central Electric Inc.
Date: December 9;h, 2021 Date: December 91h, 2021
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