Gemini 501-B - APPENDIX C Sample Smoke Detector Test Report

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APPENDIX C: Sample Smoke Detector Test Report
Detector
ID
Serial Brand/ Type
Listed
Alarm Pass (P)
Comments
Location
Number Number
Model
P/I
Sensitivity
Point Fail (F)
Range
Tested By: Name Signature Date Page
Building: Location: Room/Zone:
of
Property Name:
Property Address:
Property Contact Person:
Instrument used:

Gemini 501-B S/N:

Other:
SMOKE DETECTOR TEST REPORT

Annual Inspection & Function Test

Bi-Annual Sensitivity Test