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2321 Mayport Rd Dollar Tree 11-08-19 fire sprinkler system inspection report rwrwP 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(i fortitudefire.com Thank you and have a great day. - -- {�� [ w E, NOV 1 5 2019 Brittany Hardy - - -- - . Administrative Assistant r, w- 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 watersupply. Owner. Owner Phone Number: Job#: Owner's Address: Property Being Evaluated: Dollar Tree 5993 Property Address: 2321 Mayport Road,Atlantic Beach FL 32233 Date of Work: 11/08/19 All responses refer to the current work(inspection,testing and maintenance)performed on this date. This work is(check one): DAonthly IV K2uarterly [:]Annual ❑Third Year 1:1 Fifth Year Part I-Owner's Section LLJ ��JJ4.Annuallnspection nems(in addition to above Remsl A.Is the building DCcupled? @Yes ON. A.Proper number and type of spare spriulders? Oyes ��V1 rio @.A B.Has the occupancy classification and hazard of contents remained the same since B.Visible sprinklers the last inspection? @Yes ON. 1.Free of corrosion and physical damage? OYes I^ `J Hvc &A O O 2.Free of obstructions to spray patterns? Yes NO • /A C.Are all fire protection systems in service? @ Yes No 3.Free of foreign materials including paint? Yes Jo * A D.Has the system remained in service without modification since the last inspection? Y- ON.V 4.Liquid in all glass bulb sprinklers? Yes Ohio • q E.Was the system free of actuation of devices or alarms since the last inspection? @Yes ON. C.Visible pipe: �� F.Weekly logs of inspections re Wired by NFPA#25 on file? 1.In good condition/ra external corrosion? OYes ONO (kA @Yes ONO 2_No mechanical dams d no leaks? Yes ION tv/ G.All deficiencies reported at last inspection corrected° 9e an O ONO �q /// @Yes ON. 3.Properly aligned and no external loads? H.o signing I knowthe location and underspnd thyo n of all control vaN es. Oyes ONO Josh Co I I i n s 7 11/08/19 D Visible pipe hangers and seismic paces not damaged or lose? ONO � A E.Hose,hose couplings and nozzles on sprinkler system passed Owner or representative(print name) Signa r Date � ElOwneror Owner rep. inspection in accordance with NFPA 1962? OYes ()N- f�lv, No A not onsite F.Adequate heat in areas with wet pipng? OYes ON- @.A Part II-Inspector's Section G Has an internal inspection of the pipe been performed by repaving V/ A.Inspections the flushing connection and one sprinkler near the end of a branch /� 1.Daily and Weekly Items line within the last 5 years? OYes ON° [�N,1q A.Control valves supervised with seals in correct(open or closed) (If the answer was"No-,conduct an internal inspection.) n V position? ^' /+� 5.Fifth Year inspection ttertrs(m addition to above items) 5 Year Inspection Due: 2022 @Yes ( ryO ( ry/q B.Backtbw Preverrters: �s V \/ A.Alarm valves and their associate strainers.filters and restriction 1.Valves in correct(open or closed)position? eyes O^N° ee&A orifices passed internal inspection? IONIC OYes ONO f1,iiA 2.Sealed,locked or supervised&accessible? `@ Yes ( ryo # tpA B.Check valves internally inspected and all parts operate properly,move V �f_ 3.Relief port on RPZ device not discharging? QYes ON- V.l/A freely and are in good condition? (>IC QYes ONO @��q C.For freezer systems.is the gauge near the compressor reading the v B.Testing �" Ves same as the gauge near the gry-pipe valve? The following tesla are to be performed at the noted intervals.Report any failures on Part III of the form. ( N„ `-yv/q �V/ V 1.Quarterly Tests 2.Monthly Inspection items(in addition to above items) A.Mechanical water flow alarm devices passed tests W opening the A.Control valves with locks or electrical supervision in correct(open or inspector's test connection or bypass tonne ctlon with alarms acfuatlng closed)position? Yes ^�' ^�IA and flow observed? Oyes Ohio �.I;A 8.Sprinkler wrench with spare sprinklers? @yes ONO / T�11A B.Post indicating valves opened until spring or torsion is felt in the rod, /�.� `/ C.Gauges on wet-pipe system in good condition and showing normal ,ewe �rVr� then closed back one-quarter tum? OYcs f n @)-A water supply pressure? @Yes ONO F WA C.Main grain test for system downstream of backflow or pressure reducing valve: `J ��„ D.Alarm Valves. V V 1.Record Static Pressure psi and Residual psi Pressure Gauges show normal supply water pressure,free from physical ❑ damage.valves in correct(open or closed)position and no leakage �A See commen6-on page 2 from retarding chamber or drains? @Yes ONo (DILA 2.Was flow observed? @Ves p ryo # N/A 3.Quarterty Inspection items(in addition to above items) �/ `/ 3.Are results comparable to previous test? @Yes Vac ��'�V//A 2.Semiannual Test(in addition to previous items) v^� �J A.Pressure Reducing Valve.In open position,not leaking.maintaining A.Valve supervisory switches indicate movement? Oyes r ,Vo t�/q downstream pressure per design criteria,and in good condition with 8.Electrical water flow alarm devices passed tests by opening the \vJ \tel" hand wheels not broken? OYes ONO &A inspectoYs test connection or bypass connection with alarms actuating /� 8.Hydraulic nameplate(calculated systems)securely attached to riser and flow observed? QYes ('Irv° (�#-A and legible? QYes # . IOWA 3.Annual Test(in addition to previous items) tv! �J C.Fire Department Connection'. F��J. A.Main laintest: 1.Record Static Pressure psi and Residual psi Visible,accessible.couplings and swivels not damaged and rotate Pressure smoothly,plugs or caps in place and undamaged,gaskets in place and ❑ See commen6-on page 2 in good condition.identification signs)in pacecheck valve is not leaking,clapper is in place and operating property and auto Trete drain 2.Was flow observed? Oyes Ohio �WA �r�rs ^� ^ valve in place and operating property? #.�lY es V J V 4 3.Are results comparable to previous test? Oyes D. (Ifplugs or caps are not in place,inspect intenor for obsbuchons.) @) v" 8.Are all sprinklers date 1920 or later? Oyes Ov° TA D.Alarm devices free from physical damage? Ves `/�),'' C.Fast response sprinklers 20 or more years old replaced or successfully v @)Y- v sample tested within last 10 years? OVes nfvo @)1`1/11 Wet Pipe Report page D.Standard res () ( Part III-Comments(any"No"answers.test failures o rotherproblems found with the Sion nkler system poise sprinklers 50 or more years old replaced or Yes o IA must be explained here.Also, note here any products noticed on the system that have been the successfully sample tested within last 10 years7 suo/ect of a recall ora replacement program. E.Standard response spriolders 75 or more years old replaced or /..� successfJly sample tested within Is s15 years? ©Yes a Wo �I;q F.Dry-type sponlder replaced or successfully s a mple tested within last V� vim. 10 years? OYes ■/ n ISN_/A G.Specific gravity of anttreeze correct? ()Yes ()No (V),IlA H.At control valves operated through ful range and returned to normal ��l Position? OYes ONO n^teNIA I.Backflow devices passed backflow test? OYes ONo )N/A J.Backflow devices passed full flow test? OYes (>- ( til/A K.Pressure reducing valves passed partial flow test? Oyes [)N- �@)/A 4.Test to be done every third year: V Hose(more 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 ()Yea ()No @),VA 5.Test to be done every Sth year V�J A.Sprinklers rated above high temperature tested? O (�Yes OAhio WIA B.Gauges checked by calibrated gauge or replaced? ()Yes ` Ivo� t�NIA C.Pressure reducing valves passed full flow test? ()NIC()Yes Vo @) N/A C.Maintenance V 1.Regular Maintenance Items /� @Y TA If sprinklers have been replaced,were they proper replacementO Cres ■ N /- f TA B.Used hose was cleaned,drained and died before being placed back in ser-vice? V ice? [ yea " �CN- Ulm C.Hose exposed to hamrdous materials was disposed of or /��' n decontamnated in an approved rrenner? OYes a yv^ tJ/A D.Systems normally filled with fresh water were drained and refilled twice if raw ��// `l water got into the system? Oyes Ohio ON/A E.If any of the following were discovered,was an obstruction investigation conducted? O Yes ONo O WA Explan reason(s)and obstruction rnresogahon hndrng in Part lit 1.Defective intake screen on pump with suction from open sources. 2.Obstructive material discharged Wring water flow testa. 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 spnnklem found owing activation or afteration. 6.Failure to flush yard piping or surrounding public mains following new installation or repairs. 7.Record of broken mains in the vicinity. 8.Abnormally frequent false-tripping of dry-pipe valves. Part N - Reconrrnendations: Not a art of the NFPA-25 ns p inspection, the following Mems may need to 9 System is returned to service after an extended period out of service be renewed by a fire protecacn engineer. Y p (greater Man one year). 10.There is reason to believe the system contains solum silicate or its derivatives or highly corrosive fluxes in copper pipe systems. F.If conditions were found that required Tushing,was flushing of system /� conducted? ()Yes ■ ryo 0", 2.Annual Maintenance items(in addition to previous items) �/ A Operating stem of all OS3Y valves lubricated completely dosed.and Imor.� re-opened? ()Yes ()No OWA p B.Sprinklers and say nozzles protecting commercial cooking equipment :/J and ventilating systems replaced except for bulb-type which show no signs of grease buildup? Sy:: No$.A C.Does there appear to be recalled fire sprinklers installed at this site? YNo NiA 3.Regular Maintenance items ___ A Alarm panel clear? *Yes Ohio Ory/A B.System left in service? *Yes Ohio ON/ A C.Is system inpaired?(Impairment program put into place per NFPA-25 and Fortitude Fire Protection protocols) ()Yes ®No PartV-Inspectors 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 this time was left in operational condition upon completion of this inspection except as noted in Part III above. Date: 11/08/19 Printed Name of Inspector: TJ Racer Signature of Inspector: License or Certification Number(if applicable): FP11 8-000295 Color of tag placed on system: ❑Red Green IJ ellow