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15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST <br /> �New system � <br />' All operational featt�res and f�nctions of this system were tested by, or in the presence of, the signer shown <br /> below, on the date shown below, and were found to be operating properly in accordance rovith the reqcrirements <br /> for the following: <br /> ❑Modifications to an existing system <br /> Al[newly modifted operational featttres and fi�nctions of the system were tested by, or in the presence of, the <br /> signer shown below,on the date shown belotiv,and were fot�nd to be operating properly in accordance with the <br />, • requirements of the following• <br /> FPA 72,Edition: Zd� � <br /> • � 70,National Electrical Code,Article 760,Edition: 2 � 1 � <br />� --- — -- -------- <br /> , ❑Manufacturer's published instructions <br /> Other(specify): <br /> , ❑Individual device testing documentation[Inspection and Testing Form(Figure 14 6.2.4)is attached] <br /> Signed: `�L�j� .�- - -- -- Printedname: ��l�t _��- ---- Date: -- - ---- - - <br /> � � � ' I <br /> i Organization: �x������ Title: �c(J. ��rj_�--- - --, ----- Phone: ��3__��.r�yU, <br /> 16. CERTIFICATIONS AND APPROVALS <br /> 16.1 System Installation Contractor: <br /> This system,as specified herein,has been installed and tested according to all NFPA standards cited herein. <br /> Signed: ��� Printed name: �[e(/!�l Date: <br /> � r <br /> - - ._.__._ -- -- - - .... _ <br /> ...---- - -- --- __�-- ------- �-- - <br /> Organization: ��_/"�� - --.___._..__ Title: _ �r�j- �L�- -- ----. Phone: ��(3�7��-�lCJ' <br /> 16.2 System Service Contractor: <br /> The undersigned has a service contract for this system in effect as of the date shown below. <br /> Signed: Printed name: Date: <br />, ..- -- -- ---- - -- - -- -- ----- - <br /> Organization. Title: Phone: <br /> 163 Supervising Station: <br /> This system,as specified herein,will be monitored according to all NFPA standards cited herein. <br /> c <br /> Signed: �%s����2i�� . -- -. - Printed name: .`��j�lil,� ,+ Date: <br /> � ^ \ � -- - --7-----c--/ - <br /> _._ .._. _. <br /> Organization. �aaC._/.`7�_. .�_------. Title: - �-�-'- �`n=��-- -_ Phone: �Ic7�0(_. o (�/ <br /> � <br /> NFPA 72, Fig. 10 18.2.1 1 (p. 11 of 12) <br /> Copyright OO 2009 Nafional Rre Protection Association.This form may be copied for individual use other lhan for resale.It may not be copied for commercial sale or distribution. <br />