HomeMy WebLinkAboutSystem Test Report - FIR Inspections - 6/14/2005 KNIONNOWTROTECTION9 INC. a
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
(360) 786-8606 '
FAX 786-8722
I
"ON GUARD LICENSE NO. KNIGHFP044LK I
24 HOURS A DAY"
SYSTEM TEST REPORT
F
ACILPY INSURANCE AGENTINSPECTION DATEDDRESS ,ADDRESS
' ' Led
t 1 o`t ANNUAL SEMI-Al�pd
CITY J l3`T�A ITE ZIP { K v/
PHONE�n TIME AM PM
O R/MANAGER ` 5-O
�, � LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
cl
T
STEM MANUFACTURER
CHEMICAL AGENT DETECTION LINK ELECTRONIC
- C� 6c a �a0
ODEL
(MSC T AREA OR DEVICE PROTECTING
1. Is system connected to building alarm or otherwise monitored? YES NO N/A
2. Is cylinder pressure gauge and/or weight at acceptable levels? �L 3. Are all safety tamper seals and devices intact?
4. Are there any visible signs that system has been fired or tampered with?
5. Check hazards against nozzle layout?
6. Are all no
zzles positioned p and angled properly?
7. All protective blow off caps or nozzle covers have been
cleaned and/or replaced? —�
8. Checked action on self closing caps?
9. Tested system actuation with all automatic detection devices? ,/
10. Tested system actuation with all electrical devices for proper operation:
Solenoid,thermostat or micro switch? �✓/
11. Tested system actuation with all manual actuators?
12. Manual actuators are unobstructed and in the path of egress?
13. Removed all cylinders from mounts and inspect?
(Note any added maintenance needed: r/14. Inspect all chemical agents,if bad or contaminated,replace as per Mfg,recommendations?
15. Current service tag and seals are in place?
16. Is customer currently under a service agreement?
.'roblems Found:
)ate Corrected:
)n this date,the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA standards and the
manufacturer's O&M manual. This system was o rated according to these procedures with results indicated above.
WHITE—CUSTOM YELLOW—KNIGHT FIRE PINK—AUTHORITY HAVINGJURISDICTION
GOLD-INSURANCE
4Y�
RVICE TECHNIC
CUSTOMER'S AUTHORIZED AGENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
OAWoNffemplat wSTEM TEST REPORTAm
KNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
(360) 786-8606
FAX 786-8722 i
Ll
ON GUARD LICENSE NO. KNIGHFPO WLK
24 HOURS A DAY"
SYSTEM TEST REPORT
FACIL ` INSURANCE AGENT INSPECTION DATE `�
a 6
ADD S ADDRESS ANNUAL SEMI-ANDi.
I-Intl 019�lncl
CIT� SATE ZIP,�p 1,11�n W pil � PHONE b� 6 TIME AMA Phi
Z :v v �/'
O R 1 LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
SYSTEPM4ANUFACTU R CHEMICAL A ENT DETECTION LINK ELECTRONIC
M�EL ARE R IC PROTECTI G
.. t f(Nv
YES NO N/A
1. Is system connected to building alarm or otherwise monitored?
2. Is cylinder pressure gauge and/or weight at acceptable levels? )e
3. Are all safety tamper seals and devices intact? X
4. Are there any visible signs that system has been fired or tampered with? 1C
5. Check hazards against nozzle layout? �c
6. Are all nozzles positioned and angled properly?
7. All protective blow off caps or nozzle covers have been cleaned and/or replaced?
8. Checked action on self closing caps?
9. Tested system actuation with all automatic detection devices?
10. Tested system actuation with all electrical devices for proper operation:
Solenoid,thermostat or micro switch? X
11. Tested system actuation with all manual actuators?
12. Manual actuators are unobstructed and in the path of egress? �C
13. Removed all cylinders from mounts and inspect?
(Note any added maintenance needed: ) �C
14. Inspect all chemical agents,if bad or contaminated,replace as per mfg.recommendations?
15. Current service tag and seals are in place?
16. Is customer currently under a service agreement?
Problems Found: d^C �i 5 4 y-n /I-- 5 4 CTo
cnpJ
Date Corrected:
On this date,the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA standards and the
manufacturer's O&M manual. This system was operated according to these procedures with results indicated above.
' WHITE—CUSTOMER YELLOW—KNIGHT FIRE PINK—AUTHORITY HAVING JURISDICTION GOLD-INSURANCE
is
SIERVI IAN CUSTOMER'S AUTHORIZED AGENT
r
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
0:\Word\Temp1&WNSYSTEM TEST REPORTAw
- • KNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
(360) 786-8606 f '
FAX 786-8722 ��
"SON GUARD
LICENSE NO. KNIGHFP044LK
24 HOURS A DAY"
SYSTEM TEST REPORT
FACILIT. ` INSURANCE AGENT INSPECTION DATE
ADDRESS ADDRESS ANNUAL SEMI-ANN
CITY STATE ZIP PHONE TIME AM PM
OWNER/MANAGER LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
l
SYSTEM MANUFACTORER CHE ICAL AGENT DETECTION LINK ELECTRONIC
MO E AREA O CE PROTECTING
C - 5_ X 5` DEVI CA s k_� i t
YES NO N/A
1. Is system connected to building alarm or otherwise monitored?
2. Is cylinder pressure gauge and/or weight at acceptable levels?
3. Are all safety tamper seals and devices intact?
4. Are there any visible signs that system has been fired or tampered with?
5. Check hazards against nozzle layout?
6. Are all nozzles positioned and angled properly?
7. All protective blow off caps or nozzle covers have been cleaned and/or replaced?
8. Checked action on self closing caps?
9, Tested system actuation with all automatic detection devices? ,
10. Tested system actuation with all electrical devices for proper operation:
Solenoid,thermostat or micro switch?
11. Tested system actuation with all manual actuators?
12. Manual actuators are unobstructed and in the path of egress?
13. Removed all cylinders from mounts and inspect? /
(Note any added maintenance needed:
14. Inspect all chemical agents,if bad or contaminated,replace as per mfg.recommendations?
15. Current service tag and seals are in place?
16. Is customer currently under a service agreement?
Problems Found: N �„ 1_�'° ' fC, r CM4
y
Date Corrected:
On this date,the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA standards and the
manufacturer's O&M manual. This system was operated according to these procedures with results indicated above.
WHITE—CUSTOMER YELLOW—KNIGHT FIRE PINK—AUTHORITY HAVING JURISDICTION 9OLD-;]SURANCE
SERVICE TECHNICIAN CUSTOMER'S AUTHORIZED AGENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
O:\Wowd\TenpIiiw\SYSTEM TEST RFPORTAm
KNIGHT FIRE PROTECTION, INC. -
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
(360) 786-8606
FAX 786-8722
"ON GUARD LICENSE NO. KNIGHFP044LK
24 HOURS A DAY"
SYSTEM TEST REPORT
FACILITY INSURANCE AGENT INSPECTION DATE
ADDRESS ADDRESS ANNUAL SEMI-ANN
CITY STATE ZIP PRONE TIME AM PM
OWNER/MANAGER LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
SYSTEM MANUFACVJRER CHEMICAL AGENT DETEC ION LINK ELECTRONIC
nODEL
AREA OR DEVICE PROTECTING
YES NO N/A
1. Is system connected to building alarm or otherwise monitored?
2. Is cylinder pressure gauge and/or weight at acceptable levels?
3. Are all safety tamper seals 0 .devices intact?
4. Are there,any visible sign5'toxx system has been fired or tampered with?
5. Check hazards against nozzle 1 yout?
6. Are all n° zles positioned and kgled properly?
7. 'All protec�ve blow off caps or nozzle covers have been cleaned and/or replaced?
8. 'Checked action on self closing caps?
9. Tested system actuation with all automatic detection devices?
10. Tested system actuation with all electrical devices for proper operation:
Solenoid,thermostat or micro switch?
11. Tested system actuation with all manual actuators?
12. Manual actuators are unobstructed and in the path of egress?
13. Removed all cylinders from mounts., d inspect?
(Note any added maintenance neede )
14. Inspect all chemical agents,if bad or ntamin"hted,replace as per mfg.recommendations?
15. Current service ta4 and seals are in place?
16. Is customer currently under a service agreement?
Problems Found: f' tC4 e
Date Corrected:
On this date,the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA standards and the
manufacturer's O&M manual. This system was operated according to these procedures with results indicated above.
WHITE—CUSTOMER' YELLOW—KNIGHT FIRE PINK—AUTHORITY HAVING JURISDICTION GO �-r�URANCE
SERVICE TECHINTICIAN CUSTO 'S UTHORIZED AGENT
s "QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
0AW.,dge,plet,1SYSTEM TEST REPORT.do
I-A o oa tb
KNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188
(360) 786-8606
FAX 786-8722 FIL E
"ON GUARD LICENSE NO. KNIGHFP044LK Copy
24 HOURS A DAY" 1
SYSTEM TEST REPORT
FACILITk�PC SQ K � A e .� INSURANCE AGENT INSPEC o, 13^ a
ADDRESS ADDRESS ANNUAL SEMI-ANN
G 4p1A RJ X
CITY STATE I ZIP PHONE TIME AM I PM
OWNER/MANAGER LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
irk - TeCr,--1 7
SYSTEM MANUFACTURER CHEMICAL AGENT DETECTION LINK ELECTRONIC
Rico C- De 6-6- 3
ARE OR DEVICE PROTECTING
MSC ! O x Z5, PdL
YES NO N/A
1. Is system connected to building alarm or otherwise monitored? x
2. Is cylinder pressure gauge and/or weight at acceptable levels? S!
3. Are all safety tamper seals and devices intact?
4. Are there any visible signs that system has been fired or tampered with? X
5. Check hazards against nozzle layout? _
6. Are all nozzles positioned and angled properly? xr
7. All protective blow off caps or nozzle covers have been cleaned and/or replaced? X
8. Checked action on self closing caps?
9. Tested system actuation with all automatic detection devices? X
10. Tested system actuation with all electrical devices for proper operation:
Solenoid,thermostat or micro switch? x
11. Tested system actuation with all manual actuators? J�
12. Manual actuators are unobstructed and in the path of egress? �!
13. Removed all cylinders from mounts and inspect?
(Note any added maintenance needed: )
14. Inspect all chemical agents,if bad or contaminated,replace as per mfg.recommendations? _
15. Current service tag and seals are in place?
16. Is customer currently under a service agreement?
Problems Found: , VD LA `� �/5 ��✓� ! e 5+ �®
Date Corrected:
On this date,the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA standards and the
manufacturer's O&M manual. This system was operated according to these procedures with results indicated above.
WHITE—CUSTOMER YELLOW—KNIGHT FIRE PINK—AUTHORITY HAVING JURISDICTION GOLD-INSURANCE
r^
r—
r
SERVIC ICIAN CUSTOMER'S AUTHORIZED AGENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
0:\Wowd\TerW1w\SYSTEM TEST REPORTAx
IF*IF "'W .., 14(.Wvu"P,�� ,.��I _: r dt�"7 _ ..�.�. ,¢�. � ..avi+y►� it�w :w «� ,
KNIGHT FIRE PROTECTION, INC. ' w
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512-9188 '
(360) 786-8606
FAX 786-8722
"ON GUARD LICENSE NO. KNIGHFP044LK
24 HOURS A DAY"
SYSTEM TEST REPORT
FACILITY INSURANCE AGENT INSPECTION DATE
1< + - --) -.?
ADDRESS ADDRESS ANNUAL SEMI-ANN
/ L_ _
CITY STATE ZIP PHONE TIME AM PM
OWNER/MANAGER LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
119 -7
SYSTEM MANUFACTURER CHEMICAL AGENT DETECTION LINK ELECTRONIC
n
MODEL AREA OR DEVICE PROTECTING
i
YES NO— — N/A
i 1. Is system connected to building alarm or otherwise monitored?
2. Is cylinder pressure gauge and/or weight at acceptable levels?
3. Are all safety tamper seals and devices intact?
4. Are there any visible signs that system has been fired or tampered with?
5. Check hazards against nozzle layout?
6. Are all nozzles positioned and angled properly?
7. All protective blow off caps or nozzle covers have been cleaned and/or replaced?
8. Checked action on self closing caps?
9. Tested system actuation with all automatic detection devices?
10. Tested system actuation with all electrical devices for proper operation:
Solenoid,thermostat or micro switch?
I I. Tested system actuation with all manual actuators?
12. Manual actuators are unobstructed and in the path of egress?
13. Removed all cylinders from mounts and inspect? t
(Note any added maintenance needed:
14. Inspect all chemical agents,if bad or contaminated,replace as per mfg.recommendations?
15. Current service tag and seals are in place? 1
16. Is customer cu�rre tly under a service agreement?
Problems Found: `�c" •' , ,.,
Date Corrected:
On this date,the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA standards and the
manufacturer's O&M manual. TWs system was operated according to these procedures with results indicated above.
WHI•IE-CUSTOMER YELLOW-KNIGHT FIRE PINK-AUTHORITY HAVING JURISDICTION GOLD- ISURANCE
SERVIC TECHNICIAN ' CUSTOMER'S AUTHORIZED AGENT
/ "QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
O:\Word\Tem)WNSYSTEM TEST REPORTAm
KNIGHT FIRE PROTECTION
A DIVISION OF KNIGHT FIRE SPRINKLER
6436 MULLEN ROAD SE
OLYMPIA, WA 98503
(206) 456-2162
FAX 456-2151
LICENSE NO. #KNIGHFS 150LD
"ON GUARD
24 HOURS A DAY"
SYSTEM TEST REPORT
FACILITY t' INSURANCE AGENT INSPECTION DATE
v
ADDRESS ` ADDRESS ANNUAL SEMI-ANN
6 V
6---
CITY STATE ZIP PHONE NO. PHONE NO. TIME AM PM
u cT1Wit , '� 2 =1�6 5'a . o J
OWNER/MANAGER LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
SYSTEM MANUFACTURER CHEMICAL AGENT DETECTION LINK ELECTRONIC
0
MODEL AREA OR DEVICE PROTECTING
7
YES NO N/A
1. Is system connected to building alarm or otherwise monitored? . . . . . . . . . . . . . ❑ ED— ❑
2. Is cylinder pressure gauge and/or weight at acceptable levels? . . . . . . . . . . . . . . U- " ❑ ❑
3. Are all safety tamper seals and devices intact? . . . . . . . . . . . . . . . . . . . a- ❑ 1 ❑
4. Are there any visible signs that system has been fired or tampered with? . . . . . . . . . . ❑ 13", ❑
5. Check hazards against nozzle layout? . . . . . . . . . . . . . . . . . . . . . . . ❑.' ❑ ❑
6. Are all nozzles positioned and angled properly? . . . . . . . . . . . . . . . . . . . ❑-''" ❑ ❑
7. All protective blow off caps or nozzle covers have been cleaned and/or replaced? . . . . . . . 0 ❑ ❑
8. Checked action on self closing caps? . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ l�
9. Tested system actuation with all automatic detection devices? . . . . . . . . . . . . . . C-Y" ❑ ❑
10. Tested system actuation with all electrical devices for proper operation:
solenoid, thermostat or micro switch? . . . . . . . . . . . . . . . . . . . . . . p' ❑ ❑
11. Tested system actuation with all manual actuators? . . . . . . . . . . . . . . . . . . ❑-- ❑ ❑
12. Manual actuators are unobstructed and in the path of egress? . . . . . . . . ❑ ❑ ❑
13. Removed all cylinders from mounts and inspect? . . . . . . . . . . . . . . . . . . ❑ a ❑
(Note any added maintenance needed: )
14. Inspect all chemical agents, if bad or contaminated, replace as per mfg. recommendations? . . . . ❑ [a* ❑
15. Current service tag and seals are in place? . . . . . . . . . . . . . . . . . . . . . ❑- , ❑ ❑
16. Is customer currently under a service agreement? . . . . . . . . . . . . . . . . . . ❑-'" ❑ ❑
i
Problems Found:
Date Corrected:
I
On this date,the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA stand
and the manufacturer's O&M manual and was operated according to these procedures with results indicated a " ve.
WHrM-CUSTONat YELLOW KMGHT FIRE PINK-AUTHORITY HAVING RAUSDIC ION GOLD-INS CE
SERVICE TECHNICI i CUSTO R'S AUT90RIZED AGENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
R RTDO
KNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW t.
OLYMPIA, WA 98512-9188
fW
(360) 786-8606
FAX 786-8722
"ON GUARD LICENSE NO. KNIGHHOULK
24 HOURS A DAY"
SYSTEM TEST REPORT
FACILITY l�, INSURANCE AGENT INSPECTION DATE
ADDRES
S 1 �f,r.. �L� � ' ADDRESS ANNUAL SEMI
CITY ST TE ZIIP� PHONE TIME AM PM
OWNER/MANAGE LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
SYSTEMMANUFACTURER CHEMICAL AGENT DETECTION LINK ELECTRONIC
MOp .gyp X�d Y i AREA OR DE
VICE E�VICE�`R G
CTIN �.
CJ 1� S DE
YES NO N/A
1. Is system connected to building alarm or otherwise monitored?
2. Is cylinder pressure gauge and/or weight at acceptable levels?
3. Are all safety tamper seals and devices intact?
4. Are there any visible signs that system has been fired or tampered with?
5. Check hazards against nozzle layout?
6. Are all nozzles positioned and angled properly?
7. All protective blow off caps or nozzle covers have been cleaned and/or replaced?
8. Checked action on self closing caps?
9. Tested system actuation with all automatic detection devices?
10. Tested system actuation with all electrical devices for proper operation:
Solenoid,thermostat or micro switch? lE-
11. Tested system actuation with all manual actuators?
12. Manual actuators are unobstructed and in the path of egress?
13. Removed all cylinders from mounts and inspect?
(Note any added maintenance needed:
14. Inspect all chemical agents,if bad or contaminated,replace as per Mfg.recommendations? ✓
15. Current service tag and seals are in place?
16. Is customer currently under a service agreement.)
Problems Found:
Date Corrected:
On this date,the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA standards and the
manufactur 's O&M manual. This.s s m was,pperated according to these procedures with results indicated,above.
ITE—CUSTOME { / W—KNIGHT HIRE PINK—AUTHORITY HAVING JU ISDI N` GO -�JSURANCE _
r
SERVICE TECHNIC - USTOMER'S AUTHORIZED AGENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
��, ' 0AW-hTemplatWSTEM TEST REPORTA.
KNIGHT F1Kr; PROTECTION ;
riivl A DIVISION OF KNIGHT FIRE SPRINKLER
6436 MULLEN ROAD SE
OLYMPIA, WA 98503
(206) 456-2162
FAX 456-2151
LICENSE NO. #KNIGHFS 150LD
"ON GUARD
24 HOURS A DAY"
SYSTEM TEST REPORT
FACILITY INSURANCE AGENT INSPECTION DATE
Pe4ersP,� a"b��� tS Ncv -99
ADDRESS ADDRESS ANNUAL SEMI-ANN
i
CITY STATE ZIP PHONE NO. PHONE NO. TIME AM PM
9'83gL/
OWNER/MANAGER LAST HYDRO DATE HYDRO TEST DUE SIX YEAR MAINTENANCE
X.If k Z T<< Pe^`
SYSTEM MANUFACTURER CHEMICAL AGENT DETECTION LINK ELECTRONIC
p. r � C �,C,--q 3 - /49
MOD L AREA OR DEVICE PROTECTING
PC • SD X.So X Z-S` h s r aR. 1
YES NO N/A
1. Is system connected to building alarm or otherwise monitored? . . . . . . . . . . . . . ❑ 0 ❑
2. Is cylinder pressure gauge and/or weight at acceptable levels? . . . . . . . . . . . . . 0' ❑ ❑
3. Are all safety tamper seals and devices intact? . . . . . . . . . . . . . . . . . . . 12r ❑ ❑
4. Are there any visible signs that system has been fired or tampered with? . . . . . . . . . . ❑ 0 ❑
5. Check hazards against nozzle layout? . . . . . . . . . . . . . . . . . . . . . . . 9f ❑ ❑
6. Are all nozzles positioned and angled properly? . . . . . . . . . . . . . . . . . . . gf ❑ ❑
7. All protective blow off caps or nozzle covers have been cleaned and/or replaced? . . . . . . . ❑ ❑
8. Checked action on self closing caps? . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ la
9. Tested system actuation with all automatic detection devices? . . . . . . . . . . . . . . 0 ❑ ❑
10. Tested system actuation with all electrical devices for proper operation:
solenoid,thermostat or micro switch? . . . . . . . . . . . . . . . . . . . . . . Cal ❑ ❑
11. Tested system actuation with all manual actuators? . . . . . . . . . . . . . . . . . . ❑ ❑
12. Manual actuators are unobstructed and in the path of egress? . . . . . . . . . . . . `d ❑ ❑
13. Removed all cylinders from mounts and inspect? . . . . . . . . . . . . . . . . . . . PT ❑ ❑
(Note any added maintenance needed: )
14. Inspect all chemical agents, if bad or contaminated, replace as per mfg. recommendations? . . . . ❑ Z ❑
15. Current service tag and seals are in place? . . . . . . . . . . . . . . . . . . . . . V ❑ ❑
16. Is customer currently under a service agreement? . . . . . . . . . . . . . . . . . . 1Z ❑ ❑
Problems Found: /VC kj S VSw ,P ✓ti
Date Corrected:
On this date, the above system was tested and inspected in accordance with procedures of the applicable editions of NFPA stand
and the manufacturer's O&M manual and was operated according to these procedures with results indicated above.
WH[E-CUSTOMER YELLOW-KNIGHT FIRE PINK-AUTHORITY HAVING JURISDICTION GOLD-INSURANCE
SERWO- TECHNICIAN CUSTOMER'S AUTHORIZED AGENT
"QUALITY IS REMEMBERED... LONG AFTER PRICE IS FORGOTTEN!"
REPORT DOT