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2321 Mayport Rd fire protection quarterly inspection report rr rwP FORTITUDE �- FIRE PROTECTION -�� 6550 St. Augustine Road, Ste. 101 * 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 or email me at brittany fo� rtitudefire.com Thank you and have a great day. �be 6D - Brittany Hardy Administrative Assistant Irw rmp FORTITUDE FIRE PROTECTION —® 6550 St. Augustine Road, Suite 101 ' 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 water supply. Owner: Owner Phone Number: Job#: Owner's Address: Q Property Being Evaluated: Db Tits S l a Property Address: 3 / yr� a_ /�.�1d1 4 t� �G� FL 3 �� 3 Date of Work: d—' k- All responses refer to the current work(inspection,testing and maintenance)performed on this date. This work is(check one): C Monthly Quarterly (Z)Annual C Third Year C Fifth Year Part 1-Owner's Section a.Annual Inspection Items(in addition to above items) A.Is the building occupied? *Yes ON. A Proper number and type of spare sprinklers? Oyes ONO ONIA B.Has the Occupancy classification and hazard of conlenis remained the same since B Visible spnnklem the last inspection? 10 Yes ONn 1.Free of corrosion and physical damage? OYes CNo ON/q C.Are all fee protection systems in service? •Yes ONO 2.Free of obstructions to spray patterns? O Yes CNo VwA 3.Free of foreign materials including paint? Oyes ONO *NrA D.Has the system remained in service without modification since the last inspection? Yes O No � 4.Liquid in all glass bulb sprinklers? Oves C011- 4 7o 7 /q E Was the system free of actuation of devices or alarms since the last inspection? 0Yes No C.Visible pipe'. F.Weekly logs of inspections required by NFPAa125 on file? 1.In good condNordrho external corrosion? OYes ONO ON/A GAN defrxncies reported at last inspection cortecled? .Yes ON. 2-No mechanical damage and no leaks? O Yes ONO •NiA . KS yyyy����sigtting I know the location and undersUrW'the era ggqppp of all control valves. .yes No 3.Properly aligned and no external loads? e�R/, (✓O� '�•'('� D Visible pipe hangers and seismic braces not damaged or lose? O Yes ON, ONIA '-� E.Hose,hose comings and nozzles on sprinkler system passed Owner or representative(print name) Signature Dale. Owner or Owner rep. inspection in accordance with NFPA 19621 O Yes ON, WIA not onsite F.Adequate heal in areas with wet piping? O Yes CNn 011A Part 11-Inspector's Section G Hasan internal nspection of the pipe been performed DY removing A.Inspections the flushing connection and one spriNuer near the end of a branch 1.Daily and weekly Items line within the last 5 years? Oyes ONO (VA A.Control valves supervised with seals in torted(open or dosed) (If the answer vvas'No'.conduct an internal inspection.) position? 5.Fifth Year Inspection Items(in addition to above Items) •Yes ONO ON/A 9.Backflow Preventers A.Alarm valves and their associate strainers,filers and restriction 1 Valves in correct(open or closed)positron? *Yes ONO ONIA ordices passed attemal inspection? ONIC OYes ONO OVA 2.Sealed,locked or supervised d accessible? .Yes ONO ONIA B.Check valves internally inspected and all parts overate property,move 3.Retie'port on RPZ device rid discharging? •Yes CNo ON/A freely and are in good condition? ONIC OYes ON' &Vq B.Testing C For freezer systems.is the gauge near the compressor reading the same a5 the gauge near the dry-pips valve' Oyes 0140 ONIAThe following tests are to be performed at the noted intervals Report any failures on Part III of this form. 1.Quarterly Tests 2.Monthly Inspection Items(in addition to above items) A.Mechanical water flow alar devices passed tests by opening the A.Control valves with locks or eledrical supervision in correct(open or inspector's test connection or bypass connection win alarms actuating dosed)position? OYes ON. ONIA and It..observed? OYes ONO ONIA B.Sprinkler wrench with spare sprinklers? •Yes CNo ONIA B.Post indicating valves opened until spring or torsion is felt in the rod. C.Gauges on wet-pipe system in good cend,bon and showing normal then closed back ane-quarter turn? Oyes ONO ONIA water supply Pressure? 0 Yes ON. ONfA C.Main drain test for system downstream of backflow Or pressure reducing valve. D.Alarm Valves 1.Record Static Pressure Psi and Residual 16 Psi Pressure V Gauges show normal supply water pressure,free from physical r See comments-an page 2 damage.valves in correct(open o dosed)position and no leakage . from retarding chamber or drains? S Yes ONO OVA 2Was flow observed? fy- 0- (>Vq 3.Quarterly Inspection Items(in addition to above items) 3.Are results comparable to previous test? aYes ON. OWA 2.Semiannual Test(in addition to prevlous items) A.Pressure Reducing Valve:In open position,not leaking,maintaining downstream pressure per design criteria,and in good condition vim A.Valve supervisory lindicate movement? O Yes ON. �A B.Electrical water floww alarm devices passed tests by opening the hand wheels not broken? 0 Yes ON. &iA insyecloes lest connection or bypass connection vim alarms actuating 8.Hydraulic nameplate(calculated Systems)securely attached to riser V and now,observed? CYes 0 N ONIA and legible? •Yes ONO (aVA 3.Annual Test(in addition to previous items) C.Fire Department Connection IIJJ A.Main drain lest: 1,Record Static Pressure psi and Residual psi Visible,accessible.couplings and snivels not damaged and rotate Pressure smoothly,plugs or caps in place and undamaged,gaskets in place and r See comments-on page 2 in good conditionidentification sign(s)in pace,check valve is not 2,was flow observed? Oyes ONO •WA leaking,idapper is in place ao1 operating properly arM automatic drain valve m place and operating properly? 3.Are results comparable to previous test?valve Yes ONO WA *Yes ON. OWA (ff plugs or reps am not in pacer inspect inferior fbr Ob5"cfidn3.) 8.Are all Spriraclers date 1920 or later? Oyes ONO NIA D Alar devices free from physical damage? 41 Yes ONO ONtA C.Fast response sprinklers 20 or more years old replaced or successfully sample tested within last 10 years? Oyes ONO WA Wet Pipe Report page2 Oves ONO �.tiq PaRlll-Comments(any lVo'answers,test/alluresorotherproblemsfotmd with the sphnklersystem D.Standard response sproldnklefs 50 or more years oreplaced or 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 or a replacement program. E.Standard response sprinklers 75 or more years rid replaced or successfully sample tested within last 5 years? C Yes ONO OVA F.Dry-type sprinkler replaced or successfully sample tested within last 10 years? CYes ONO OVA G.Specific gravity of anlilmam correct? CYes ON. WA H.AN control valves operated through full range and returned to normal position? CYes ONO 40llA I.Backflow,devices passed backflow test? Cyes ONO `WA J.Backbow devices passed full flow lest? CYes ONO ONllA K.Pressure mduang valves passed Partial flow lest' CYes ONO tllA 4.Test to be done every third year. Hose(more than 5 years Old)connected to the system has been service tested in accordance with NFPA 1962 Water discharged and wafer now alarms operated? ONIC 0Ve5 ON- &UA S.Test to be done every 5th year A.Sprinklers rated above high temperature tested? C Yes ONO ON/A B.Gauges checked by calibrated gauge or replaced? CYes CNo ONIA G Pressure reducing valves passed full flow lest? ONIC CYes ONO WIA C.Maintenance 1.Regular Maintenance Items A.It sprinklers have been replaced were they proper replacements? QYes ON. VIA B.Used Lase was cleaned,drained and dried before being placed back in service? Oyes 0 No •we C.Hose exposed to hazardous materials was disposed of or decontaminated in an approved manner? CYOS ONO IVA 0.Systems normally filled with fresh water were drained and refilled twice it raw water got into the system? CYes O No ON/A E.If any of the following were discovered,was an obstruction investigation /� conducted? 0 Yes ON. 0 WA Explain reason(s)and obst—tion investigation finding in Part 111 1.Defective intake screen m pump with suction from open sources. 2.ObsWdive material discharged during water nae tests. 3.Foreign materials found in dry-pipe valves,check valves or pumps. 4.Foreign material in water during drain lest or plugging of inspectors test connection. 5.Plugging of pipe or sprinklers found dunrg activation or allembon. 6.Faaure to flush yard piping or surrounding public mains following new installation or repairs. 7.Record or broken mains in the vicinity. 8.Abnormally frequent false-tripping of dry-pipe valves. Part IV - Recommendations: Nd ad of the NFPA- pa 25 inapectan, the IOWwirrg items may need to 9 System is returned to service after an extended (greater than one year). be reviewed by a fire protection engineer y period out of service 10.There rs reason to believe the system contaim sodium silicate or its derivatives or high y cortoswe Ames in copper pipe systems. F.If conditions were found that required flushing,was flushing of system cordueled? (Pies ONO �A 2.Annual Maintenance Items(in addition to previous items) �J A.Operating stem of all OSBY valves lubricated completely dosed,and reopened? CYes ON. 4WA B.Sprinklers and spray?boles protecting commercial cooking equipment and ventilating systems replaced except for bulb-type which show no signs of grease buildup? O Ycs O No *NIA C.Does there appear to be recalled fire sprinklers installed at this site? 0 Yes C No *WA 3.Regular Maintenance Items A.Alarm panel dean is Yes O No ONIA B.System left in service? •Yes C NO OWA C.Is system impaired?(Impairnera program put into place per NFPA-25 and Fortitude Fire Protection protocols) QYes .No Part V-Inspectors Information I stale that the information on thus form is correct at the time and place of my inspection and that all equipment tested at this time was left in operational condition upon completion of this inspection except as noted in Part III above. t Date: Printed Name of Inspector: Signature of Inspector: ,r�Y License or Certification Number(if applicable): toto A q,� Color of tag placed on system: 1:1 Red Green F_� Yellow