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2321 Mayport Rd 20191108 fire sprinkler test results =; QVC rr � i i ! ORTITUO E Ill N0V 21 2019 I — 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 ofthe 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. 11�__!!f This work is(check one): I Monthly Q1=J uarterly I✓(Annual 1-1 Third Year F1 Fifth Year Part I-Owner's Section LLLJJJ a.Annual Inspection Mems(n addition to above items) /�A A.Is the building occupied? *Yes ONo A Proper number and type of spare sprinklers? @)Yes a wo OWA B Has the occupancy classification and hazard of contents remained the same since B.Visible sprinklers: /vim ^V the last inspection? *`les ON. 1.Free of corrosion and physical dame ge? @)Yes [ Wo ( N/q C.Are all fire protection systems in service? *Yes ONo 2 Free of obstrux;tlons to spray patterns? Yes �/�/ o �VV/___q /� 3.Free of foreign materials nclding paint? Yes [(7V[)YJ` A 0.Has the system remained in service without modification since the last inspection? tf•Nea O� �/� 4.Lipnid in all glass bulb sprinlders? •Yes ANO q E.Was the system free of actuation of devices or alarms since the last inspection? *Yes ON. C.Visible pipe: v F.Weekly logs of inspections required by NFPAJ26 on file? 1.In good condition/no external corrosion? @)Yes ONo OWA *Vas ONo 2.No mechanical dams and no leaks? Yes G.Al deficiencies reported at lest inspection corre ? � @) �° O-A H.By s'nin I know the location and unde *Yes ON. 3,Property aligned and re external bads? g 9 operatlon of all control valvas. JoshCol I i ns 11/08/19 C Visible pipe hangers and seismic braces not damaged or lose? @)Yes ON. Oyq E-Hose,hose couplings and nordes on sprinkler system passed V Owner or represerdetive(print name) Date❑ ///'''��� /�Owner or Owner rep. inspection in accordance with NFPA 1962? es l Flo pw,V-A not onsite F.Adequate heat in areas with wet piping? *Yes o (>A Part II-Inspector's Section G.Has an internal inspection of the pipe been performed by removing V A.Inspections the Aching connection and one spnnlder rear the end of a branch 1.Dally and Weekly Items O ©Yes ONore within the last 5 years? &A A.Control valves supervised with seals in correct(open or closed) (If the answer was-No",conduct an irdemal inspection.) position? Y� as c�A Firth 6.FYear Inspection Mems fin(in addition to above Mems) 5 Year Inspection Due: 2022 * B.Backtbw Preverders: ^ .^av� /� A.Alarm valves and their associate strainers,fitters and restriction /+� IA 1 Valves in correct(open or closed)position? `-/Yes /Y O [ NIA orifices passed internal inspection? X ,r OYes ON. @-A 2.Sealed,locked or supervised&amessible? Yes ■ NO OfVA B.Check veIves iraem ily inspected and all parts operate property,move V ONo v 3.Relief port on RPZ device not discharging? *Yes v/ey„_ VO-A freely and are m good condition? ONIC Oyes ■ No @VA C.For freezer system s the gauge near the compressor reading the �"r [VI'” B.Testing V v' ANo `_MvIII�ew.. q The following tests are to be performed at the noted intervals.Report any failures on Part III of this form. same as the gauge neer the diY-pipe valve? Oyes ! MVV/ V 1.ouartery testa 2.Monthly Inspection items(in addition to above Items) A Mechanical water flow alarm devices passed tests by opening the A.Control valves with locks or electrical supervision in correct(open or inapectofs lest connection or bypass connection will aims actuating w closed)position? *yes [ONO WA and flow observed? Oyes ON. @.A B.Sprinkler wrench with spare sprinldere? *Yes ONO V v"A B.Post indicating valves opened until spring or torsion is fell in the rod, v C.Gauges on wet-ppe system in good condition and showing normal then dosed back one-quarter Nm? ©yas ON. A watersuppy pressure? *Yes ON. ■ WA C.Main .in test for sys4m down a—of backflow or pressure reducing-Ne:D.Alarm Valves. V 1.Record Static Pressure psi and Residual psi �f Pressure Gauges stow norml supply water pressure.free from physical E]damage,valves in correct(open or closed)position and no leakage ^ /ems See comrrenle-on page 2 from retardingV� V chamber or drains? ®yes it NJA 2.Was lbw obseryV ed? @)Yes it V d a NIA 3.Quarterly Inspection items(n addition to above tans) 3.Are resufis comparable to previous test? @Y- nfJo O11A 2.Semiannual Test(In addition to previous Mems) �f A.Pressure Reducing Valve:In open position,not leaking,maintaining A.Valve supervisory switches indicate movement? @)Yes 0- ^.pq downstream pressure per design criteria,and in good condition with B.Electrical water flow alarm devices passed tests �/ v hand wheels not broken? Oyes ON. &A inspector's test connection or bypass connection the ry V with aWme:actuating �r�.�' fie. B.Hydraulic naneplate(calculated systems)securely attached to riser and flow observed? @)Yes it - r -11 ell legible? OYes �° �A 3.Annual Test addition to ievnus terns V V A,Main trio n n test P ) CFire Department Connection:. Visible,accessible,couplings and swivels not damaged and rotate 1.Record Static Pressure 38 psi and Residual 30 psi smoothy,plugsor ca in ace and Indama d,gaskets in ace and J Pressure R W ge W ❑ See commenb-on page 2 in good condition,identification sign(s)in place.check valve is not clapper is in ice and tall 2.Was lbw observed? a'es 010Wq leaking,c pile operating properly and autonefic drain ^ @ ///e��� valve in place and operating property? /�,,� V o /r"1„A 3.Are results comparable to previous test? OYes O`Joq (Irplugs or raps are not it place,inspect interior for obsfrucams.) Sl O O- B.Are eX sprinklers date 1920 or later? v@)Yes I(> A ON.D.Alarm devices free from physical damge? @Yes ■ N. O.A C.Fast response sprinklers 20 or more years old replaced or successfusuccessfully`J_ sample tested within last 10 years? OYes ONo OVA Wet Pipe Report page D.Standard response sprinlders50ormore years old replaced orOyas• �o V q Partlll-Comments(any"No"answers,testfailuresorotherproblems found with the sprinklersystem l�J� 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 old replaced or successhlly,sample tested within last 5 years? ® ()No■ o @l/A F.Dry-type sprinider replaced orsuccessfully,sample tested within last V V 10 years? Oyes ONo OWA G.Specific gravity of antifreeze correct? ®Yes ONO @Nr_A H.All control valves operated through ful range and returned to normal C) _ Position? @)Yes ( rya Co" I.Backflow,devices passed backflow teat? @Yes ONo ()N/AJ.Backflow devices passed full flow test? ©Yes ()NO @WA K.Pressure reducing valves passed partial flow lest? ®Yes O <JNo 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 w�'' NEPA 1962.Water discharged and water flow alarms operated? /rlmalC Oyes /TWO WA 5.Testto be done every5th year �J �wJ v� A.Sprinklers rated above Ngh temperature tested? Oyes fAN'o @-A B.Gauges checked by calibrated gauge or replaced? OYes VVV. Ivo vjiallq C.Pressure reducing valves passed full flow test? ONIC Oyes ONo r�.�/ q C.Maintenance ��f� 1.Regular Maintenance Items A.If sprinklers have been replaced,were they proper replacements? /Ores O^lo W.B.Used hose was cleaned.trained and tried before being placed back in service? ON. v coin C.Hose exposed to hazardous materials was disposed of or �.w'' decontaminated in an approved manner? ()Y" ■ yvo �fESN/A D.Systems normally filled with fresh water were drained and refilled twice if raw V water got into the slate m? OYes ONO ON/A E.If any of the following were discovered was an obstruction investigation conducted? ©Yes ONo @ N/A Explain reason(s)and obsbuction inveshgaoon finding in Partlll 1.Defective intake screen on pump with suction from open sources. 2.Obstructive material cisclarged fixing water flow test. Valve seals 0004029,0004030 3.Foreign materials found in dry-pipe valves,check valves or pumps. 4.Foreign material in water daring drain test or plugging of inspectors test connection. 5.Plugging of pipe or sprinklers found during activation or alteration. 6.Failure to flush yard piping or surrounding public mems folowing new installation or repairs. 7.Record of broken mains in the vicinity. 8.Abnormally frequent false-tripping of dry-pipe valves. Part N - Recommendations: Not a part of the NFPA-25 inspection, the lolbwvhg items may need in 9.System is returned to service after an extended period out of service(greater than one year). be reviewed by a fire protection engineer. 10.There is reason to beleve the system contains sodium silicate or its derivatives or highly corrosive flhixes in copper pipe systems. F.If conditions were found that required flushing,was flushing of system conducted! 0-110- al/A 2.Annual Maintenance items(in addition to previous items) A.Operatingstem of all OSdY valves lubricated completely closed,and re-opened? @)Yes ONS al, B.Sprinklers and spray ozbes protecting commercial cooking equipment ��.•JJ and ventilating systems replaced except for bulb-type which stow no sighs of grease buildup? Oyes ©No /@+AWA C.Does there appear to be recalled fire sprinklers installed at this site? Yes No ( fgq 3.Regular Maintenance Items �/V�I,�� A.Alarm panel clear? @)Yes ON.V"rq 8.System left in service? @res ON.OWq C.Is system impaired?(Impairment program put into place per NFPA:25 and Fortitude Fire Protection protocols) OYes @No Part V-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 8-00029'55 Color of tag placed on system: F]Red V Green IJ ellow rr 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 brittppykfortitudefire.com Thank you and have a great day. Brittany Hardy Administrative Assistant