Affiliate Partner: Marmic Fire & Safety
Special Instructions:
*If there is no control valve sign on the riser, please install one
while on site for the PM*
If tech is turned away for any reason, please call CF before leaving
property. We can rectify the situation with corporate to avoid any
return trips.
Instructions
1. Schedule visit with store manager. Identify yourself as an affiliate partner of
Commercial Fire. Record the name and title of the manager with whom you made the
appointment and the date and time of the appointment:
Name _______________ Title __________ Date __/__/__ Time __:__ am pm
2. Check in upon your arrival at the store. Call Commercial Fire IVR using the phone
and tracking number above. If there are any issues using IVR, call Commercial Fire at
800-241-1277.
The customer requires successful IVR call-in and call-out per the instructions
provided. is an essential part of this work order. IVR must be successfully completed
for this work order to be complete. Failure to successfully IVR will result in a 10%
penalty on the entire amount of the invoice for this work!
3. Scope Of Work:
When scheduling your service, confirm riser room access.
Conduct an Annual inspection and test of the fire sprinkler system(s) within the
location as required per NFPA 25. If an Anti-Freeze Loop is present it must be
inspected and the solution tested. If this is a "Mall System or a system controlled or
maintained by other than the location occupant, STOP and call Commercial Fire for
further instruction. We do not accept "Visual Inspections" or inspections performed on
systems that are not the responsibility of the location occupant. If you are unable to
complete the annual inspection of the system(s) you must notify Commercial Fire
while onsite and ask to speak with an Account Manager who will attempt to resolve
access issues while you are onsite.
4. Additional Work If you find additional work that can be repaired on site, call the
IVR phone number and hit option 2 to request authorization. If work is authorized,
record the work authorized and the authorization number in the adjacent space.
5. Complete survey forms in their entirety. You must complete the Technician
Statement and indicate whether any additional work remains. You must have either a
signature or store stamp on the Work Order.
6. Check out before departing from the store. Call Commercial Fire IVR using the
phone and tracking number above. Enter the Closing Check Out number:
____________________.
Store Stamp
Service Location:
Pilot Travel Center #313
699 State Route 203
East Saint Louis, IL 62201
US
Phone: (618) 875-5800
_________________________________
Customer Signature
_________________________________
Print Name
___________________ ___ / ___ / ____
Title Date
Sprinkler
4551071
Start Date: 7/1/21
Deadline: 7/31/21
IVR Phone: 844-325-8006
Tracking No: 179974022
Customer PO: 223438-6010134
Commercial Fire, LLC
2465 St. Johns Bluff Road S, Jacksonville, FL 32246
800-241-1277 Fax 800-956-9789
Work Authorized:
Additional Work Authorization Number
(use separate sheet if necessary)
Important Reminder:
CommercialFire Mobile App
is the preferred and fastest
method for check in/out
compliance!
Visit CommercialFire.com/CFConnect for
more information
Wo002si 02/02/2017
Job 21994238
If the answer above is yes, describe every deficiency, detailing with particulars how this system is deficient. Separately
inspecting affiliate will provide Commercial Fire Inc. with a quotation (see below) for the cost to repair these deficiencies.
All deficiencies REQUIRE Photos
Description of all deficiencies
Please provide a complete price quote for the repair of these deficiencies, detailing the scope of work, the parts and materials
required and their cost, the number of men required, the number of hours of labor and the cost per hour to perform the repair
and all other charges. Quote must be broken down by Scope of work, Materials required, Cost of materials, Number
of hours (1 or 2 men) and Cost of labor, otherwise Commercial Fire will be unable to process quote for approval. Please
use the accompanying form.
Indicate whether any deficiency has been found at this location during the course of performing this work order, #4551071, by
circling yes if deficiencies were found or no if deficiencies were not found. If deficiencies have been found, please describe
them below, detailing with particulars how the system is deficient.
System has deficiencies: YES NO (circle one)
Name: ______________________ Signature: ______________________________ Date: ________, __ 20___
4551071
Technician
Statement
Service Location:
Pilot Travel Center #313
699 State Route 203
East Saint Louis, IL 62201
US
Inspecting Affiliate:
Marmic Fire & Safety
11694 Lackland Rd
Saint Louis, MO 63146
Wo002si 02/02/2017
1. Does jurisdiction require inspection reports to be submitted to the AHJ/3
rd
Party Reporting Service? Yes No
1a. If yes, with whom? _______________________________________________________________________________
2. Is there a sprinkler riser in this location?
2a. If yes, where is the riser located? Mechanical Room
3. Does the riser serve this location only?
3a. If no, what else is covered?
4. Who is responsible for the inspection of this system?
5. Who is responsible for the repairs to this system?
6. What is the name of the property management company? Phone:
How many:
7a. Wet Risers? 1 7b. Dry Risers? 0 8a. Flow Switches? 1 8b. Tamper Switches? 1
9. Does the system have an anti-freeze loop?
10. When is the system's next 5-Year inspection due? 08 / 2021
Yes
No
Sprinkler Inspection - Additional Information
Service Location:
Pilot Travel Center #313
699 State Route 203
East Saint Louis, IL 62201
US
Inspecting Affiliate:
Marmic Fire & Safety
11694 Lackland Rd
Saint Louis, MO 63146
4551071
Asset Data
Yes
No
Store
Mall
Store
Mall
Yes
No
Wo5011 8/18/2014