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� 64274 Prinfad in U.S.A. <br /> DRY PIPE VALVE TRIP TEST REPORT <br /> . nG�,� P�oN �� ����� <br /> ° EXECUTIVE OFFICES • 10 DORRANCE STREET • PROVIDENCE,R.I.02901 • 401-456-5600 <br /> v.`.� ��tioio`O, <br /> �-- <br /> FOR .�'�,�!�.. f�: `: i�l :�.- -�/ �it � � .-" rJt� � INSPECTION NO. ?(�_(� � S�� � �� <br /> STREET - � �'-- �t r`� CITY <�� `�/' STATE '���� � CONTRACT NO. <br /> OATE OF TRIP TEST �`�� ""�?,L— INSPECTOR f'���-'�!�'�n'✓'►F�? DAY WORK NO. <br /> p� NOTE: BEFORE ANY DRY PIPE VA�VE IS TRIP TESTEO, THE WATER SUPPL.Y LINE TO IT SHOULD BE TMOROUGHLY FLUSMED. THE TWO INCH <br /> EF�`' ORAIN BELOW TME VALVE SHOULD BE OPENED WIDE, AND WATER AT FULL PRESSURE SNOULO BE DISCHARGED LONG ENOUGH TO <br /> CLEAR THE PIPE OF ANV ACCUMULATION OF SCALE OR FOREIGN MATERIAL. IF TMERE IS A HYDRANT ON TME SUPPIV LINE, TMIS <br /> MVDRANT SMOULD BE FLUSHED BEFORE TME TWO INCH DRAIN IS OPEHED. THE DRIP VALVE OH TME DRY PIPE VALVE SHOULDBE <br /> CHECKED BEFORE TRIPPING TME DRV PIPE VALVE, TO SEE TNAT IT IS IN OPERATING CONDITION. <br /> DRY PIPE VALVES SYSTEM N0. ( ) SYSTEM N0. ( ) SYSTEM NO. ( ) SYSTEM N0. ( ) <br /> VALVE SERIAL NUMBER ��[j <br /> MANUFACTURER (NAME) ' i <br /> VALVE MODEL ' � <br /> i <br /> VAIVE SIZE L- INCH INCr+ iNCN i INCH <br /> (LOCATION) <br /> CONTROLLING SPRiNKLERS f✓�? / s <br /> (NUM8ER1 �� (APPROX�) . ! (APPROX) (APPROX) (APPqOX) ' <br /> DATE LAST TRIP TESTEDT L <br /> \ <br /> DATE LAST OPERATEDI - . � <br /> 1 <br /> AIR �ss �\ �es �ss �si -: <br /> PRESSURE BEFORE TEST <br /> WATER ►.ss ` �es �es �ss <br /> SIZE AND LOCATION OF TEST VA�VE � ! <br /> WAS GATE VALVE BELOW DRV VALVE OPEN / <br /> WIDE AT TEST1 (IF NOT NOW MANV TURN 1 '':i�- <br /> AIR PRESSURE � <br /> �es �es �es �es <br /> VALVE TRIPPED AT WATER PRESSURE ,,� �es �es �es , �as <br /> TIME ` MIN �' �. SEC MIN SEC MI 3EC MIN fEC <br /> IF SYSTEM FLOODED, LIST TiMfi WATER � <br /> REACHED TE57 OPENING MIN .--�-�- sEc MINt sec yilN sec MIN sec <br /> PERFORMANCE ,- :; J <br /> INTERIOR OF BODY <br /> MOVING PARTS _ ;+ <br /> VALVE CONDtTION RUBBER FACING � 't <br /> SEATS <br /> RESET? i" - � <br /> OID ALARMS OPERATE AT TRIP TEST7 („- � 4 <br /> ALl LOW POINT DRAINS BLOWN OUT1 <br /> WATER CONTROL VALVE LEFT <br /> OPEN AND SEALEDI <br /> i <br /> ALARM CONTROLVALVELEFT <br /> OPEN AND SEALED? � <br /> OUICK OPENING DEVICES SYSTEM N0. ( ) SYSTEM N0. ( ) SYSTEM 0. ( ) SYSTEM MO. ( ) ' <br /> DEVIGE SERIAL NUMBEFi ! <br /> MANUFACTURER (NAME) r' <br /> TYPE AND MODEL <br /> AIR PRESSURE IN UPPER CHAMBER �es �ss �es �ee <br /> QUICK OPENING DEVICE TRIPPED AT s �ea sE Lss sE �ss seC �es <br /> PERFORMANCE J <br /> QUICK OPENING DEVICE LEFT IN SERVICE <br /> AND CONTROL OPEN AND SEALEDI <br /> LISTrAHY UNSATISFACTORV CONDITIONS: Ll � rf� �""��: �,,L; ^_�.'�„ ! �,� ;/f f�� : �f a � !i'r" �'� �7�f/;-'" <br /> :�L:.✓�� i.' t��/��"�.1, f� !' ,G ! '}.�..�,JY'�.%'���/� � �� � 9 <br /> N E M A R K 5: �,P.�O/./G/� a;, Sf F- s'� ,%....� �.�;,��"L �1��L�-^_. c ` � , r;z� <br /> /�i / ,' � � - / S ,� �.: 11 , " f-' _ ,,,�-`- � <br /> � :. � � � . _ <br /> , . ,'? / �,�, �= , �' ,�,.., ;� f'sS , ,` -- r--; � : <br /> _ _ . , .. <br /> f✓''/c'�1/ E=`f :�;'� '''`���`".LR-- .: � . <br /> INSURANCE BUREAU COPY <br />