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Job 22818570 (City of Oakland)

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Affiliate Partner: Marmic Fire & Safety
Special Instructions:
Upon completion, you MUST get a close out number from the
manager on duty. Enter the close out number here:
_____________. The store manager will obtain this from Office
Trax when closing out the PO.
You must ALSO call Commercial Fire for a check out number.
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:
Family Dollar #21559
Grand Plz Shp Ctr
4314 N Grand Blvd
Saint Louis, MO 63107
US
Phone: (314) 533-4949
_________________________________
Customer Signature
_________________________________
Print Name
___________________ ___ / ___ / ____
Title Date
Sprinkler
4598824
Start Date: 10/1/21
Deadline: 10/31/21
IVR Phone: 844-325-8006
Tracking No: 186163719
Customer PO: PORequired
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 22818570
Alma Norman
Mod
631558218
10/5/21
Mod
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, #4598824,
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___
4598824
Technician
Statement
Service Location:
Family Dollar #21559
Grand Plz Shp Ctr
4314 N Grand Blvd
Saint Louis, MO 63107
US
Inspecting Affiliate:
Marmic Fire & Safety
1014 S Wall Ave
Joplin, MO 64801
Wo002si 02/02/2017
Kevin Hergenroeder
10/5/21
X
5 year internal pipe inspection due on wet sprinkler system
1 sprinkler gauge needs replaced
Sprinkler Inspection - Additional Information
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? Yes No
2a. If yes, where is the riser located? ____________________________________________________________________
3. Does the riser serve this location only? Yes No
3a. If no, what else is covered? ________________________________________________________________________
4. Who is responsible for the inspection of this system? Store Mall/Property Management
5. Who is responsible for the repairs to this system? Store Mall/Property Management
6. What is the name of the property management company? ____________________________ Phone: ________________
If inspection is not the responsibility of the location, no further information is required.
How many:
7a. Wet Risers? ________ 7b. Dry Risers? ________ 8a. Flow Switches? ________ 8b. Tamper Switches? ________
9. Does the system have an anti-freeze loop? Yes No
10. When is the system's next 5-Year inspection due? ______/____________ (mm/yyyy)
11. Does the system have a hydraulic nameplate? Yes No
11a. If yes, provide a photograph of the nameplate.
12. Is there a sprinkler backflow at this location? Yes No
13. Is there a domestic backflow at this location? Yes No
14. Is there an irrigation backflow at this location? Yes No
15. Does the system have a fire pump? Yes No
15a. If yes, what kind? Diesel Electric
16. Is there a fire hose at this location? Yes No
Service Location:
Family Dollar #21559
Grand Plz Shp Ctr
4314 N Grand Blvd
Saint Louis, MO 63107
US
Inspecting Affiliate:
Marmic Fire & Safety
1014 S Wall Ave
Joplin, MO 64801
4598824
Asset Data
Wo5001 8/13/2014
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Back stock room
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Due
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Job 22818570 (City of Oakland)

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Completed 19 October 2021

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