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2321 MAYPORT FIRE PROTECTION INSPECTION REPORT rr I-. FORTITUDE FIRE PROTECTION 2430 University Blvd W. * Jacksonville, FL 32217 * 904-733-9008 www.fortitudefire.com Good Afternoon, Please find the enclosed inspection reports for your area. If you have any questions, have received in error or need further information please give me a call at 904-733-9008 or email me at brittany@fortitudefire.com. Thank you and have a great day! Sincerely, Brittany Hardy Administrative Assistant s , pF FINgN Uniform Summary ITM Report '..:17E nF FLOR `. TM Service Company: Contact Telephone#: Fortitude Fire Protection, LLC (904)733-9008 Inspector's Name: Inspector's Permitee#: Travis Hunt FP122-000008 Inspected Property Name: Inspection Start Date: Inspection Finish Date: Dollar Tree # 05993 6/3/2022 6/3/2022 Inspected Property Address: City: State: ZIP: 2321 Mayport Rd. Atlantic Beach FL 32233 System(s)Inpected: inspection Status: ;_ (1 ) Wet ed g s Yellow Tag Eli Brief Description of Noncritical Deficiencies: None Brief Description of Critical Deficiencies: None Brief Description of Impairments: None Additional Comments: Quarterly r w'r Er FORTITUDE FIRE PROTECTION 2430 University Blvd W. * Jacksonville, FL 32217 * 904-733-9008 www.fortitudefire.com NFPA-25 Inspection, Testing and Maintenance of Wet Pipe Fire Sprinkler Systems Information on this form covers the minimum requirements of NFPA 25 for fire sprinkler systems connected to distribution systems without supplemental tanks or fire pumps. Separate forms are available to inspect, test and maintain fire pumps, water tanks and other fire protection systems. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the watersupply. Owner: Owner Phone Number: Job#: Owner's Address: Property Being Evaluated: Dollar Tree#05993 Property Address: 2321 Mayport Rd. Atlantic Beach Florida 32233 Date of Work: 6/3/2022 All responses refer to the current work(inspection,testing and maintenance)performed on this date. This work is(check one): Monthly []Quarterly Annual Third Year Fifth Year Part I-Owner's Section 4,Annual Inspection Items(in addition to above items) �s A.Is the building occupied? ()Yes ONe A Proper number and type of spare sprinklers? ©Yes ` svo s�pyA S Has the occupancy classification and hazard of contents remained the same since B.Visile sprinklers: `V NA �V the last inspection? ()Yes Olio 1.Free of corrosion and physical damage? OYes O ® A C.Are at fire ys 2.Free of obstructions to spray patterns? Yes r'o tit/ A protections terra in service? ()Yes ONo X( ■J D.Has the system renamed in service without modrficaton since the last inspection? V'es Ow 3.Free of foreign materials Including paint? Yes V o A V' 4.Liquid in at glass bulb sprinklers? Yes 0140 �A E.Was the system flee of actuation of devices or alarms since the last inspection? ()Yes Olio C.Visible pipe: �f 1 In good condition/no external corrosion? °Yes OliIII/�����ss...��.l� o VJ A F.Weeky logs of inspections required by NFPA426 on file? V ()Yes Olio 2.No rrechanical Barre d no leaks? OYes ONc O,t, G.All deficiencies reported at last inspection corrected? ge an A H.By signing I know the iocation and understan•tb o,-/ter r�r'�•r of vabes. ()Yas ONO 3.Properly aligned and no external loads? /� Faith H. irk',// , 6/3/2022 D.Viside pipe hangers and seisms braces not damaged or lose? 0Y" �Jo t�tyA E.Hose,hose couplings and nomas on sprinkler system passed V v Owner or representative lornrt name) Signature Date ❑Owner or Owner repinspection in accordance with NFPA 1962? ()Yes °No OVAnot onsite F.Adequate heat in areas with wet piping? ()Yes Olio tt�riA Part II-Inspector's Section G Has an intemal inspection of the pipe been performed by removing VV A Inspections the flushing connection and one spookier near the end of a branch /� 1.Daily and Weekly Items ()Yes Ow t w line within the last 5 years? V A A Control valves supervised with seals in correct(open or closed) (If the answer was"No",conduct an internal inspection.) position? 6.Filth Year Inspection hems(in addition to above items) 5 Year Inspection Due: 9/2025 ()Yes Olio OVA B.Backflow Preventers. A.Alarm valves and their associate strainers,filters and restncton ON 1.Valves in correct(open or closed)position? ()Yes ON OMorificespassed internal inspection? ■/a�aiiC Ones ON. OVA 2.Sealed.locked or supervised&accessible? ()Yes 040 OLA B.Check valves internaly inspected and at parts operate properly.move �V/ ��fJ__ 3.Relief porton RPZ device not discharging? ()Yes OJo OVA Keely end are in good condition? ONIC ()Yes Olio �q C.For freezer systema,a the gauge near the compressor reading the v- B.Testng �_ The folovnng tests are to be performed at the noted intervals.Report any failures on Part III of this form. same as the gauge near the dry-pipe valve's ()Yes Otto OLA 1 Quarterly Tests 2.Monthly Inspection Items(in addition to above items) A.Mechanical water tow alarm devices passed tests by opening the A.Control valves vim locks or electrical supervision in correct(open or inspector's test connection or bypass connection with alarms actuating //��•• closed)position? ()Yes OVo OVA and flow observed? Ones ON' &A B.Sprinkler wrench wily spare sprinklers? ()Yes Olio 04/A B Post Indcatng valves opened until spring or torsion is felt in the rod, on C.Gauges on wet-pipe system in goad cdtion and showing normal V then closed back one-quarter turn? Ones OJo C.aA wafer supply pressure? °Yes ONo OLA C.Main drain test for system downstream of backflow or pressure reducing valve: V D.Alarm Varves: 1 Record Static Pressure 40 psi and Residual 35 psi Gauges show normal supply water pressure.free from physical ❑ Pressure damage,valves In correct(open or closed)position and no leakage /�w� See comments-on page 2 from retarding chamber or drains? Ones Olio OVA 2 Was flow observed? ()Yes ()No OWA 3.Quarterly Inspection Items(in addition to above items) vV/ 3 Pee results (It comparable to previous test? 0Y es '••' '•' 2.Semiannual Test(in addition to previous items) �J v A Pressure Reducing Valve.In open position,not leaking.maintaining A Valve supervisory switches indicate movement? On"opening ONo 0i q downstream pressure per design criteria,and in good condition with B Electrical water flow alarm devices passed tests bythe v v- hand wheels not broken? ()Yes ONo OLA inspector's test connection or bypass connection with alarms actuating /1� B.Hydraulic nameplate(calculated systems)securely attached to riser and flow observed? Ones ()N° @0 A Imo'' 3.Annual Test(n addition to previous items) V and legible? ()Yes OJo ! >/A q drain ain test C.Fire Department Connection'. V I Record Static Pressure psi and Residual psi Visible,accessible.couplings and swivels not damaged and rotate Pressure smoothy.plugs or caps in place and undamaged,gaskets in place and ❑ See comments-on page 2 in good condition,identification sign(s)in place,check valve is not leaking,clapper is in2.Was flow observed? Ones ONo O WA ppplace and operating properly and automatic drain ^ C> lo In place and operating proper N? .-ryes I avo OVA 3.Are results comparable to previous test? Ones OJo ()WA (If plugs or caps are not In place,inspect rnlenor for obshuctons) V V \�� B.Are all sprinklers date 1920 or later? OYes �kk+ OWA D.Alarm devices free from physical damage? @Yes Olo OLA C Fast response sprinklers 20 or more years old replaced or successfully �f �J- sample tested within Last 10 years? Ones 0 @.AWA Wet Pipe Report page2 D.Standard response sprinklers 50 or more years old replaced or Ores ONo WA Part Ili-Comments(any"No"answers.test failures orother problems found with the spnnklersystem Vv must be explained here. Also,note here any products noticed on the system that have been the successfully sample tested within last 10 years? subject of a recall ora replacement program. E.Standard response sprinklers 75 or more years old replaced or _ successfully sample tested within last 5 years? Ores ONo Os" F.Dry-type sprinkler replaced or successfully sample tested within last t�::lJ 10 years? Ores ONo 1lA G.Specific gravity of antifreeze correct? Ores ONO A H.All control valves operated through full range and returned to normal /►.' ��wJ_ position? °Yes s avo OVA I.Backflow devices passed backflow test? °Yes ONo lfA J Backflow devices passed full flow test? Oyes Quo /1,nlA K.Pressure reducing valves passed partial flow test? ()Yes ONo 0q/ __A 4.Test to be done every third year Hose(noire than 5 years old)connected to the system has been service tested in accordance with NFPA 1962.Water discharged and water flow alarms operated? ( NIC Ores OW ®41A 5.Test to be done every 5th year C) �f `/��/- A Sprinklers rated above high temperature tested? Ores /ON. (�1WA B.Gauges checked by calibrated gauge or replaced? Oyes Oslo CIdIA Vv C Pressure reducing valves passed full flow test? ( NIC Ores ONo JyA C.Maintenance „ V 1.Regular Maintenance Items A If sprinklers have been replaced.were they proper replacements? °Yes Quo ®FIIA B.Used hose was cleaned,drained and dried before being placed back in service? °Yes vv ONO \\®���s�,u C.Hose exposed to hazardous materials was disposed of or decontaminated in an approved manner? ()Yes ONo ®N/A D.Systeme normally filed with fresh water were drained and refilled twice if raw \vim__ -- water got into the system? Ore' ONo O WA E.If any of the blowing were discovered,was an obstruction investigation conducted? Ores °No @ fdA Explain reason(s)and obsauchm rnvesagalion finding in Part III 1 Detective intake screen on pump with suction from open sources. 2.Obstructive material discharged during water flow tests. 3 Foreign materials found in dry-pipe valves.check valves or pumps. 4 Foreign material in water during drain test or plugging of inspector's test connection. 5 Plugging of pipe or sprinklers found during activation or alteration. 6.Failure to flush yard piping or surrounding pubic mains following new installation or repairs T.Record of broken mains in the vicinity. 8.Abnormally frequent false-tripping of dry-pipe valves. Part IV - Recommendations: Not a part of the NFPA-25 inspection. the following items may need to 9.System is returned to service after an extended period out of service(greater than one year). be reviewed bye fire protection engineer 10 There is reason to believe the system contains sodium silicate or its derivatives or highly corrosive fluxes in copper pipe systems. F.If conditions were found that required flushing.was flushing of system ^ � conducted? Ore' ( No JiA 2.Annual Maintenance Hems(in addition to previous items) VVV V A Operating stem of al OS&Y valves lubricated conpetely closed,and re-opened? °Yes ONo ®.OA B.Sprinklers and spray nozzles protecting commercial cooking equipment V and ventilating systems replaced except for bulb-type which show no signs of grease buildup? QYes ONO tvl/A Seal # 0006792 / 0006794 C.Does there appear to be recalled fire sprinklers installed at this site? QYes No A 3.Regular Maintenance Items A Alarm panel clear? @Yes ONo°WA B.System left in service? ()Yes ONo Qui C.Is system impaired?(Impairment program put into place per NFPA-25 and Fortitude Fire Protection protocols) °Yes ONo Part V-Inspector's Information I state that the information on this form is correct at the time and place of my inspection and that all equipment tested at the time was lett in operational condition upon completion of this inspection except as noted in Part Ill above. Date: 6/3/2022 • j1..: -fl -. Printed Name of Inspector: Travis Hunt °. Signature of Inspector: License or Certification Number(if applicable): FP122-000008 -. •1. ` Color of tag placed on system: Red ✓Green Yellow