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WANN E <br /> • Automatic Fire Sprinklers,Inc.® <br /> SYSTEM RECORD OF COMPLETION (continued) <br /> 9. NOTIFICATION APPLIANCES <br /> Type Quantity Description <br /> Audible -- -- <br /> Visible -- -- <br /> Combination Audible and Visible -- -- <br /> .10. SYSTEM CONTROL FUNCTIONS <br /> Type Quantity <br /> Hold-Open Door Releasing Devices -- <br /> HVAC Shutdown -- <br /> Fire/Smoke Dampers -- <br /> Door Unlocking -- <br /> Elevator Recall -- <br /> Elevator Shunt Trip -- <br /> 11. INTERCONNECTED SYSTEMS <br /> ❑ This system does not have interconnected systems. <br /> ❑ Interconnected systems are listed on supplementary sheet -- <br /> 12. CERTIFICATION AND APPROVALS <br /> 12.1 System Installation Contractor <br /> This system as specified herein has been installed according to all NFPA/standards cited herein. <br /> ��i'� - Printed name: -- �� 1 L%L c--Grl <br /> Signed: , Date: $/31/2020 <br /> Organization: Wayne Automatic Fire Sprinklers,Inc. Title: -- Phone: -- <br /> 12.1 System Operational Test <br /> This system as specified herein has been tested according to all NFPA standards cited herein. <br /> Signed: Printed name: -- ` �G l Date: 8/31/2020 <br /> Organization: Wayne Autfmatic Fire Sprinklers,Inc. Title: -- Phone' -- <br /> 12.3 Acceptance Test <br /> Date and time of acceptance test: 8/31/2020 10:00 AM <br /> Installing contractor representative: Date: <br /> Testing contractor representative: Date: <br /> Property representative: Date: <br /> AHJ representative: Date: <br /> I OM <br /> State Contractor's#: EF20001320 <br />