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NFPA 72, Chapters (2r ij; (471 S% 6 ew 8 11 (circle all that apply) -2- <br /> NFPA 70,National Electrical Code,Article 760 <br /> Manufacturer's instructions <br /> Other(Specify: <br /> Signed:;.,, s Date: Org.: <br /> (V <br /> 3. Record of System Operation <br /> Documentation in accordance with Inspection Testing Form,Figure 10.,6 1.2.3 is attached: <br /> All operational features and functions of this system were tested by v <br /> on and found to be operating properly in accordance with the requirements of. <br /> NFPA 72, Chapters 1 2 3 4 5 6 7 8 10 11 (circle all that apply) <br /> NFPA 70,National Electrical Code,Article 760 <br /> Manufacturer's Instructions <br /> Other(specify): r, <br /> Signed: Date: —Org: <br /> (Chapters: T -Admin., 2—Referenced Pubs, 3—Definitions, 4—Fundamentals, 5—Initiating Devices, 6—Protected <br /> Premises, 7—Notification Appliances, 8—Supervising Station, 10—Inspecting& Testing, 11—Household Alarms) <br /> 4. Signaling Line Circuits: <br /> Quantity and Class(See NFPA 72, Table 6.6 1) of signaling line circuits connected to system <br /> Quantity: Style: 11A Class: <br /> 5. Alarm Initiating Devices and Circuits (Use blanks to indicate quantity of devices) <br /> Quantity and Class of Initiating Device Circuits (NFPA 72 Table 6.5): <br /> Quantity: Style: 4W Class: <br /> MANUAL Y <br /> a) Manual Stations: Noncoded Addressable: Transmitters: 4 <br /> b) Combination Manual Fire Alarm and Guard's Tour Coded Stations: <br /> AUTOMATIC / <br /> &/ ,� " <br /> Non-Required: <br /> Coverage: Complete: Partial: Selective: ' <br /> a) Smoke Detectors: Ion: Photo: Addressable: <br /> b) Duct Detectors: Ion: Photo: Addressable: <br /> c) Heat Detectors: FT: RR: FT/RR: Addressable: <br /> d) Sprinkler Water Flow Switches:Noncoded,: Transmitters: Addressable: <br /> e) Other(list): <br /> 6. Ar= Supervisory Signal Initiating Devices and Circuits(Use blanks to indicate quantity of devices) <br /> SPRINKLER SYSTEM ENGINE DRIVEN FIRE PUMP <br /> a) Valve Supervisory Switches h) Selector in Auto Position <br /> b) Building Temperature Points k) Selector in Auto Position <br /> C) Site Water Temperature Points i) Engine or Control Panel Trouble <br /> d) Site Water Supply level Points D Fire Pump Running <br /> ELECTRIC FIRE PUMP ENGINE DRIVEN GENERATOR <br /> e) Fire Pump Power 1) Control Panel Trouble <br /> f)_Fire Pump Running M) Transfer Switches <br /> g) Phase Reversal n)_Engine Running <br /> Other Supervisory Function(s)(specify): <br /> 7. Annunciator(s): Qty: Type: Location: <br /> 8. Alarm Notification Appliances and Circuits: <br /> For Emergency Voice/Alarm Service: <br />