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�r01��,,,`` 1301 L'Orient Street <br /> � St.Paul,Minnesota 55117 <br /> MATIG SPRINKLER GO. (651)558-3300 • (800)229-6263 <br /> Setti he Standard... Fax: (651)558-3310 <br /> , ,,, <br /> SHEET 2 of 2-Use separate sheet far each system inspected System No.or Description if multiple <br /> � systems <br /> Inspectigp� o.�t_� <br /> No. �l, t���� <br /> 11 Date dry-pipe valve trip tested(control valve partially open) (See Trip Test Table which follows) <br /> 12 Date dry-pipe valve trip tested(control valve fully open) (See Trip Test Table which follozoe) <br /> 13 Date quick-opening device tested See Trip Test Ta le which follows) <br /> DRY va[.vE TRIP TEST TABLE Q.O.D. <br /> MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. <br /> DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated <br /> � PERATING Thru Test Pipe Pressure Pressure Air Pressure Test Outlet I'roperly <br /> TEST MIN. SEC. PSI PSI 1'SI MIN. SEC. YES NO <br /> Without <br /> Q.O.D <br /> W ith <br /> Q.O.D <br /> 14 Date deluge or preaction valve tested (See Trip Test Table wliidl follows) <br /> TRIP TEST TABLE <br /> � Operation ❑PNEUMATIC c ELECTRIC o HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO Detecting Media Supervised ❑ YES ❑ NO <br /> � DELUGE& Does valve operate froin the manual trip and/or remote control stations ❑ YES e NO <br /> PREACTION ls there an accessible facility in each circuit far testing ❑ YES ❑ NO Method of Testin�Circuits <br /> VALVES Does each circuit operate Does each circuit Maximum time to <br /> MAKE MODEL supervision loss alarm operate valve release operate release <br />' YES NO YES NO YES NO <br /> < <br /> 15 See Control Valve Maintenance Table <br /> CONTROL VALVE MAINTENANCE TABLE •a: � <br /> Explain <br /> Abnormal � <br /> Control Valves Number T pe Open Secured Closed Signs Condition <br /> Cit Control Valves � <br /> B ass Valves <br /> Tank Control Valves <br /> Pum Control Valves <br /> Sectional Control Valves <br /> S stem Control Valves <br /> Other Control Valves <br /> Kitchen Control Valves <br /> 16 Water Flow Test at Sprinkler Riser <br /> Water Su 1 Source: Cit Tank Pum <br /> Residual <br /> Test Pipe Size of Static (Flow) <br /> Dat �I.ocation Test��'i e Pr s re P ssure <br /> Last Water Flow Test C1 .Q/• / <br /> This Water Flow Test � �- � <br /> 17 Explain any"No"answers an comments: <br /> 18 A justments ar corrections ma e uring t is inspection: <br /> 19 A qugh these con��s,are not e resu t o n e�►gine�ering review,t e o lowing esira le improvements are recommended: <br /> G� U�j .i� ypc.1 '1 V <br /> Signature: o't,O Date: / '1,� <br /> (Rev.2/8/06) <br /> ` . � <br /> - —_ <br /> � � <br /> L ; <br /> _ ,. c.:. , . � � <br />