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�! PCOtect10 <br /> FIRE INSPECTION AND TESTING REPORT <br /> 1-800-CET HELP(438-4357) <br /> Customer Contact l <br /> Number Telephone ?; { t I, Branch <br /> Number �' ° ! .� {dumber, Contract <br /> NumberGS <br /> _ <br /> Site , <br /> Number � � ° Numbed. Job } <br /> Number .. <br /> Customer r r <br /> Last Name First <br /> Name _ _ Today <br /> MI._. Date .. _ <br /> Site 1j <br /> Address 1/' state CPode <br /> Billing ; <br /> Address Of different from above Zip <br /> - _ City State�H_._Code <br /> TYPE TRANSMISSION SERVILE <br /> C3 McGuilob <br /> 13- <br /> Multiplex F Weekly <br /> t!T-Digital Monthly <br /> Reverse Priority Quarterly <br /> g.j RF 13 Semiannually <br /> f Other(Specify) Annually <br /> �_ .Other(Specify) <br /> .Control llnitManufacturers ' fn i Model Ng.; <br /> Circuit Styles: <br /> Number of Circuits: <br /> Software Rev.:— <br /> Last <br /> ev:Last Date System Had Any Service Performed: <br /> Last Date That Any Software or Configuration Was Revised: <br /> Quantity of Quantity of <br /> Devices Installed Circuit Style Devices Tested <br /> Manual Fire Alarm Boxes <br /> Ion Detectors <br /> Photo Detectors <br /> Duct Detectors <br /> Heat Detectors <br /> Waterflow Switches <br /> i Superivsory Switches <br /> Other(Specify): <br /> Alarm verification feature is disabled <br /> enabled <br /> i <br /> i <br /> Quantity of Quantity of <br /> Appliances installed Circuit Style Appliances Tested <br /> Bells <br /> Homs <br /> Chimes <br /> Strobes <br /> Speakers <br /> No.of alarm notification appliance circuits: Other(Specify); <br /> Are circuits monitored for integrity? yes No <br /> . . a i diff T449111 Jill f <br /> Quantity of Quantity of <br /> Devices Installed Circuit Style Devices Tested <br /> Building Temp. <br /> Site WeterTemp. <br /> Site Water Level <br /> } ' Fire Pump Power <br /> f . L Fire Pump Running <br /> Fire Pump Auto Position <br /> Fire Pump or Pump Controller Trouble <br /> Fire Pump Running <br /> 4Generator In Auto Position <br /> Generator or Controller Trouble <br /> Switch Transfer <br /> Generator Engine Running <br /> Other: <br /> 'j <br /> SIGNALING LINE CIRCUITS <br /> ua ' 9 S�Qtteting)Ine-circuits connected to wstem./sea NEPA 79 TAN.F 911, �_ <br />