Spreadsheet: 21196d1208387845-that-excel-to-pdf-thing-latest-2008-106
Sheet: Page 2

 | Report of Inspection, Testing & Maintenance of Wet Pipe Fire Sprinkler Systems…continued
 | Inspecting Firm: Fire Prevention Services Ltd., Sprinkler Division |  |  |  |  | W.O.#: | #N/A
 | #N/A
 | #N/A |  |  |  |  | Date: | #N/A
 | Inspection Frequency:
 | Quarterly Inspection for |  |  |  |  | Quarterly Testing for Wet Pipe Sprinkler
 | Wet Pipe Sprinkler Systems |  |  |  |  | Systems
 |  | Y | N/A | N |  |  | Y | N/A | N
 | B.1.0 System in service on inspection | x |  |  |  | C.1.0 System in service before testing
 | B.2.0 Hydraulic nameplate attached and legible | x |  |  |  | C.1.1 Pertinent parties notified before testing
 | B.2.1 Alarm device free from physical damage | x |  |  |  | C.1.2 Adequate drainage provided before flow testing
 | B.3.0 FDC is visible | x |  |  |  | C.2.0 Water flow alarm (other than vane type)
 | B.3.1 FDC is accessible | x |  |  |  | tested and is operational
 | B.3.2 FDC swivels/couplings undamaged/rotate | x |  |  |  | C.2.1 Test conducted with inspector's test connection
 | smoothly |  |  |  |  | C.2.2 Test conducted with bypass connection
 | B.3.3 FDC plugs/caps in place undamaged | x |  |  |  | (freezing weather)
 | B.3.4 FDC gaskets in place and in good condition | x |  |  |  | C.2.3 Test conducted per manufacturer's
 | B.3.5 FDC identification sign in place | x |  |  |  | instructions
 | B.3.6 FDC check valve not leaking | x |  |  |  | C.2.4 Alarm devices appear free of physical damage
 | B.3.7 FDC automatic drain valve in place and | x |  |  |  | C.3.0 Adequate drainage provided before
 | operating properly |  |  |  |  | flow testing
 | B.3.8 FDC clapper is in place and operating | x |  |  |  | C.3.1 A main drain test conducted downstream
 | properly |  |  |  |  | from backflow preventer
 | B.3.9 FDC interior inspected where caps missing |  | x |  |  | C.3.2 A main drain test conducted downstream
 | B.3.10 FDC obstructions removed as necessary |  | x |  |  | from pressure reducing valve
 | B.4.0 Pressure reducing control valves (PRV) |  | x |  |  | C.3.3 Supply water gauge reading before flow (static) |  |  | [NAME]
 | indicate open |  |  |  |  | C.3.4 Gauge reading during stable flow (residual) |  |  | [NAME]
 | B.4.1 PRV not leaking |  | x |  |  | C.3.5 Time for supply pressure to return to normal |  |  | sec
 | B.4.2 PRV maintaining downstream pressure |  | x |  |  | C.4.0 Pertinent parties notified of test conclusion
 | per design |  |  |  |  | C.5.0 ALARM PANEL CLEAR
 | B.4.3 PRV in good condition |  | x |  |  | C.6.0 SYSTEM RETURNED TO SERVICE
 | B.4.4 PRV handwheel installed and not broken |  | x |  |  | C.7.0 COMMENTS
 | B.5.0 ALARM PANEL CLEAR | x
 | B.6.0 COMMENTS:
 | Semi-Annual Testing for Wet Pipe Sprinkler Systems
 |  |  |  |  |  |  | Y | N/A | N
 | D.1.0 System in service before testing
 | D.1.1 Pertinent parties notified before testing
 | D.2.0 Supervisory switch initiates distinct signal during first two hand wheel revolutions or before valve stem
 | removed one-fifth from normal position
 | [NAME] restored only when valve returned to normal position
 | D.3.0 Adequate drainage provided before flow testing
 | D.3.1 Main drain test conducted
 | D.3.2 Supply water gauge reading before flow (static) |  |  |  |  |  |  |  | [NAME]
 | D.3.3 Gauge reading during stable flow (residual) |  |  |  |  |  |  |  | [NAME]
 | D.3.4 Time for supply pressure to return to normal |  |  |  |  |  |  |  | sec
 | D.4.0 Pertinent parties notified of test conclusion
 | D.5.0 ALARM PANEL CLEAR
 | D.6.0 SYSTEM RETURNED TO SERVICE
 | D.7.0 COMMENTS:
 | (Form 106A)
 | INSPECTOR'S INITIAL ________          OWNER/DESIGNATED REP. INITIAL ________               DATE: ________                     Page 2 of 4