HomeMy WebLinkAboutFIRE SUPPR. TEST 4/20/2012JORGENSEN COMPANY
State Fire Marshal License A -0309 - Contractors State License'262995 C1.6, C10, C7
BAKERSFIELD (661) 327-4352 0 FRESNO (559) 686241' i
O MODESTO (209) 529 -0835 D RANCHO CORDOVA (916) 8524130
FIRE SUPPRESSION SYSTEMS MAINTENANCE
O FM200 *P, Halon a CO2 0 Inergen O
Date Lf - 2 y • P Z Annual Semi Annual X Quarterly
Name mt acs tl,rn f t Transmits to TLC 71 c ; 2. • <
Address. Itp oo Phone # & Code
Contact G10 L 0+ 0 t r ir :" Results
Phone (A 6, 1- 32 -5 W 161 System Location C!, --% ;'c. -, L ,i ,•+
Control panel At,-r o o ()(N Lights and Fuses n f
Ground Fault ,, (! Cross -zoned Vc Time delay .70 1
Battery type 51 1 # 2 Amphr. Age ;.'N . /L Test Results A,;; to
Trouble Signals: Audible r, 1, Visual Alarm, Indicators: Audible ri It Visual )
Annunciators: # . l Test Results Auxiliary- -Function's ,11vrl e
Heat Detectors: Type °° % Tested Results_
Smoke Detectors: Type /., `.. F r . , , Functional Test /oo Calibrated ! r ,7
Other Detectors: Type -° Results ETL's: # Ohms
Manual Pull Stations: # Test Results Aborts: Deadman Keyed
Disconnects: Type r)i t a # Test Results
Hazard layout showing zoning, device location & Breakers r c
Container Temp PSIG Stamped Wt Actual Wt Hydro Date Initiator Age
Ll q X4-7 b° 315 331 9 (9/1
DEFICIENCIES
Ve PCw^CFri -7 A" f A`fTt`_R!c5 `711A t rA r G.o/7n OY.tr
Owners Representative Inspected by MIn
NFPA 72E, 72H, 12, 12A, 2001 & California Title 19
IE
IIIIIIII III 111111 28