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. .;;, . _ r. . __ _ <br /> �y _� ,. �--� �. _. � :�,.� <br /> � 4�. � <br /> 15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST <br /> �d "� <br /> ❑Ne I system <br /> All op I rational features and fitnctions of this system were tested by, or in the presence of, the signer shown <br /> below,l on the date shown below,and were found to be operating properly in accordance with the requirements <br /> for the following: - <br /> '�1�Iodifications to an existing system - <br /> All�ze I ly modified operational feakrres and functions of the system were tested by, or in the preser�ce of, the <br /> signer shown below, on the date shown be[ow,and were found to be operati�sg properly in acco�da�zce with the - <br /> requirei ents of the following: � <br /> �NF IA 72,Edition: __��1�____ <br /> G��NFPA 7p,Nationa!Electrical Code,Article 760,Edition: _��� <br /> (��Mal ufacturer's published instructions � <br /> .k, � <br /> Other�specify): ,�/F� <.�!�', � � T ; <br /> ❑Ind�vidual device testing documentation[Inspection and Testing Form(Figure 14.6.2.4)is attached] <br /> S <br /> - � �� , � / <br /> Signed�l ' Printed name:� - _{ �� � � Date: �2._/`/�,. �/�- <br /> /-- � r- <br /> Organi�iatio . ��o�_��...�-s..r_+1��'ElTitle: fa�� i_�=r����._..--- Phone: o t� •_�_2C�-S��� <br /> `I �-�-- <br /> 16. CERTIFICATIONS AND APPROVALS _ <br /> 16.1 Sy�stem Installation Contractor: <br /> This sysltem,as specified herein,has been installed and tested according to all NFPA standards cited herein. = <br /> !', � <br /> i� � � f / <br /> Signed��--.r.'`_���""�`� ` Printed name:�-�.l�r�,�,4��./����ll�a Date: � �!C !� - <br /> f--��-- <br /> Organi Iation: ��, ,�-�o,.��,, ��f� Title: fT��p-����� Phone: QL�.�, j�„ •����� - <br /> 16.2 SyI tem Service C'ontractor: <br /> The und I rsigned has a service contract for this syste .'in effect as of the date shown below. <br /> Signed: Printed name: Date: _ <br /> --- - ---------._.._..._ _. ._.. _._.._ ---.._..------------- ---- � <br /> Organizition: __-- -- - Title: ------------- -------- — Phone: ------ _------ <br /> 16:3 Supervising Station: - <br /> This syst�m,as specified herein,will be monitored.according to all- A standards cited herein. <br /> Signed: Printed na e: Date: <br /> —. - --------- --- - , <br /> Organization: Title: Phone: <br /> --._.. ..____._---.._..-----. _. .__.._..------ --------- ---- ° <br /> � <br /> � <br /> .� <br /> NFPA 72, Fig. 10.182.1.1 (p. 11 of 12) <br /> •; <br /> Copyright OO 2009 Netional Fire Protection Association;for.individual use,not to be commercially produced or disVibuted. : <br /> . _ , _. _.. _ ,.:a <br />