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2321 Mayport Rd Dollar Tree fire sprinkler system testing results 11-2-2020 rvrwP 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#5993 Property Address: 2321 Mayport Rd Atlantic Beach FL 32233 Date of Work: 11/2/2020 All responses refer to the current work(inspection,testing and maintenance)performed on this date. This work is(check one): DVlonthly Iv(Quarterly [Annual nThird Year Fifth Year Part I-Owner's Section 4.Annual Inspection Berns fin addition to above Items) '' A Is the building occupied? ®Yes Ohio V ®v'A Proper number and type of spare spnnlders? Ores A B less the occupancy classitcatbn and hazard of contents remained the same since B.Visibla sprinklers V ®Ys Ow1.Free of corrosion and physical damage? OYes Ohio V'A the last inspection? g t 2 Free of obstructions to spray paters? Y05 A C.tura al fire protection systems In service? ®Yes Ohio 3.Free of foreignmaterials including paint? Yes A O.Has the system remained in service eathort modification since the last inspection? ®1'es ()No 4.Liquid in al glass bulb sprinklers? Yes /'YJo �A E.Was the system free of actuation of devices or alarms since the last inspection? ®Yes C.3 C.Msible pipe: of ®/�4'(" Weekly logs of inspections required by FFPAtl28 on file? ,, 1.In good condioorVno external corrosion? ()Yes Ohio etriA F Wee Oyes ON° 2.No nechenm cal damage and no leaks? ()Yes Ohio C_A G.All deficiencies reported at last inspection corrected? �f ®Yes Ow 3.Properly signed and no external bads? H.By signing I know the location and understand of at control vabs.11/2/2020 ()Ys Cr) �YA D Nsible ape hangers and seismc traces not damaged or lose? V Regina Ray E.Hose.hose coupings and nozzles on sprinkler system passed Owner or representative(pert name) Signature Date ElOwner or Owner fep inspection in accordance wrth NEPA 1962? Oyes 013 i**A not onsite F Adequate heat in areas with wet pang? Oyes OM ®NA Part II-Inspector's Section G.Has an internal inspection of the ppe been performed by removing A.Inspections the flushing connection and one sprinkler near the end of a branch es"1.Daily and Weekly Ibmu s lowithin the last 5 yews? Oyes Ohio es A A Control valves supervised with seals in correct(open or closed) (If the answer was Teo'.conduct an internal inspection.) position? 5.F!M Year Inspection Items(n addition to above items) 5 Year Inspection Due: 9/2025 oyes Ohio DyA B Becdbw Preventers- �w V A.Alarm valves and their associate strainers.fibers and rstnc➢on �"' �� 1 Valves in correct(open or closed)position? :Yes0o OVA orifices passed internal inspection? s NC Oyes ONo 0"A 2 Sealed,locked or supervised&accessible? Yes t Ivo 0YA B Check valvs intern",inspected and al parts operate property.Trove V V la Vim.'' treaty and are in good condition? OMC ()Yes ON? A 3.Relef port on RPZ device not discharging? OYes O4o @1/A B.TestingV �J_ C.For freezer systems.is the gauge near the corrpssor reading the (/two v�y sorts as the gauge neer the dryype valet ()Ys v V A t.a following tests T Tests are to be performed at the noted internals.Report any talus on Pert III of ties form erly 2.Monthly Inspection hems fir addition to above items) A Mechanical water sow alarm devices passed tests by opening the A Control valves with locks or electrical supervision in correct(open on inspectors test connection or bypass conlection\with alarms actuating closed)position? @Yes Ohio OVA and flow observed? OYes Ow € A B.Sprinkler wrench with spare sprinklers? ®Yes ()No OJ'A B.Post indicating valves opened until sprang or torsion is fell in the rod. //��.��� C.Gauges on wet-pipe system in good condition and showing normal then closed back one-quarter tum? OYes ON" 0"A water supply pressure? ®Yes ONO OVA C.Main drain test for system downstream of backflow or pressure reducing vafae: v D.Alarm Valves. Pressure Record Static Pressure 42 psi and Residual 35 Psi ❑ Pressure normal show rrtel supply water pressure, m p Tree horn el See comments-on page 2 dans e,valves in correct(open or closed)position and no leakage /��"" from retarding chamber or drains? Oven (>a MVA 2.Was s flow obeerved? orA v 3.Are results comperable to previous test? ®Yea ONO IYA 3.Quarterly Inspection Items(n addition to above terns) �J 2.Semieniaal Test(n addition to previous items) A A Pressure Reducing Vale In open position.not baking,maintaining A Valve supervisory switches indicate movement? OYea V.'-V ®Y'A dowrstream pressure per design criteria.and in good conNtion vette 8.Electrical water flow alarm devices passed ase by opening the V hand wheels not broken? Oyes ONo OVA inspectors test connection or bypass connection with alarms actuating �w''� 8 Fydrauic nameplate(calculated systems)securely attached to reser and flow observed? OYes t }o �A and Biba? ®Yes ()No C)4/A 3.Annual Test(em addition to previous lams) V VV J A Main drain test C.Fire Department Connection 1.Record Stahc Pressure psi and Residual psi sAsible.accessible,couplings and swivels not damaged and rotate Pressure smoothy.plugs or caps in place omit cottonseed,gaskets in place and ❑ See comments•on page 2 in good condition,identiscation sign(s)in place,check valve is not 2 Was flow observed? Oyes �v ®NA leaking.clapper is in place and operating properly and automatic drain Cres 3.Are resuts comparable to previous test? OYes OJo @NIA value in place and operating properly? V s 0") OVA B.We all sprinklers date 1920 or later? Oven Cub ®WA (V pugs or ceps ere not in piece.inspect interior for obstructions.) /��' V D.Alarm devices free horn physical dansge? @Yes [ ,vo ON/A C.Fast response sprinklers 20 or more years old replaced or successfully senple tested wittn last 10 years? O Ys A C V Ow Wet Pipe Report page2 D.Standard response sprinklers 50 or more years old replaced or A Partin•Comments(any"No'answers,test failures orotherproblems found with the sprinkler system O"' V must be explained here.Also,note here any products noticed on the system that have been the successful sample tested within last 10 years? subject ora recall ora replacement program. E Standard response spnrdders 75 or more years old replaced or succesafuty sample tested within last 5 yearn? ri'. ON, A F.Dry-type sprinkler replaced or successfuty sample tested within last v- 10 years? Ores ONo a4A G.Specific grayly of antifreeze correct? Ores 0W, (,/A H.All control valves operated though lull range and returned to normal " position? Ores 0w (//>1A 1. Backflow devices passed backflow test? OYes Otvn •' ® A J.Backflow devices passed full flow test? Ores ONo rlr K Pressure reducing valves posed partial flow test? ()Yes ()Nn a 4.Test to be done every third year: Hose(more than 5 years okf)connected to the system has been service tested in accordance with IrFPA 1962.Water discharged and water flow alarms operated? nr.,Ic 0Yes > �..A 5.Test to be done every 5th year \\fes, /V�,' ��fJ- A Sprinklers rated above high temperature tested? Oyes ■ ave A 8.Gauges checked by caibrated gauge or replaced? a"a" ^�()to t rvA C.Pressure reducing valves passed full flow test? O",lc Oyes ©Nn �J\!"A C.Maintenance 1.Regular Maintenance items A If spnnlders have been replaced,were they proper replacerrfents? OYes O`:,, a'A B Used hose was cleaned,drained and deed before being placed back in service? Oyes O'.• ��OJJ rca C.Hose exposed to hazardous materials was disposed of or � decontaminated in an approved manner? Ores O`1 Vl'''A D.Systems normally filled with hosh water were drained and refilled twice if raw water got into the system? ()Yes ON... ON'A E.If any of the blowing were discovered.was an obstruction investigation conducted? ()Yes ()N: O Explain reason(s)end obstruction tirwns p0on fi rAnng in Part Ill • 1.Defective Intake screen on pump with suction hon open sources 2 Obstructive nerenal discharged during water flow tests. 3.Foreign rretenas found in dry-tape valves,check valves or pumps. 4.Foreign matenal in water during drain test or plugging of inspectors test connection 5 Pkggng of ppe or sprinklers found dun ng activation or alteration. 6.Failure to flush yard pping or surrounding pubic mains renown()now installation or repairs. 7.Record of broken mains in the vicinity. 8 Abnormally frequent false-hipping of dry-ppe valves. Part IV - Recommendations: Not a part of the NFPA-25 inspection. the /dbwrng ,Nets may need to 9.System is returned to service after an extended period out of service(greater than one year). be reererned by a fire protection erlprneer. 10.There is reason to beteve the system contains sodium silicate or its denvatives or highly Valve seal #0003530 0003529 corrosive des in copper pipe systems. F.If conditions were found that required flushing,was flushing of system /� - conducted? Oyes a ave vt A 2.Annual Maintenance kerns(in addition to previous items) v �y A Operating stem of an OSBY valves lubricated completely closed,and () ()tib V re-opened? Oven A B.Spnnklers and spray nozzles protecting commercial cooking equipnwri and verdilatng systems replaced except for bulb-type which show no signs of grease holdup? Oye O /O/��4A C.Does there appear to be recalled fire sprinklers instated at this site? Yes O No '-4A 3.Regular Maintenance items �v A Alarm panel clear? ®Yes ONo OWA 8.System left in service? ®Yes ON,OWA C.Is system impaired?(Impairment program put into place per PFPA•25 and Fortitude Fire Protection protocols) Oyes Ole. Part V-Inspector's Intonation :state that the information on the form is correct at the true an)place of cry inspection and that all egaprnent tested at His tine was left in operational condition upon completion of this irspecbon except as noted in Part III above Date: 11/2/2020 Printed Name of Inspector: TJ Racer Signature of Inspector: License or Certification Number(if applicable): FP 118-000295 Color of tag placed on system: Recd 4/Green e c.c * 7 • - V%.1- I • " . .. . . Fes"