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r' �� DRY PIPE VALVE TRIP TEST REPORT <br /> � GRINNII,L FIRE PR,OTECTION SYSTQVIS COMPANY <br /> e <br /> FOR �! `.- - . ', :-'L/` � INSPECTION NO. �'.` '����� � �� <br /> . . ,�Y2 � � <br /> r: STREET-1��-�•-- `' ' CITY " '�'��-=-�� STATE �'��'�'` CONTRACT NO. �'„!� <br /> ' DATE OF TRIP TEST '+` %;� INSPECTOR - �� of �-•--- DAY WORK NO, t'�� <br /> NOTE: BEFORE ANY DRV PIPE VALVE IS TRIP TESTED, TME WATER SUPPLV LINE TO IT SMOULO 8E TMOROUGMI.Y FI.USHEQ. TME TYIO INCN <br /> DRAIN BELOW THE VA�VE SMOU�D BE OPEMED WIDE, AND MATER AT FUIL PRESSURE SMOULD BE DISCHARGEO LOMG ENOUGN TO <br />'" CLEAR THE PIPE Oi ANY ACCUMULATION OF SCALE OR FOREIGH MATERIAL. IF THERE IS A NVDRANT OH TME SUPPLV LINE, THIS <br /> MVDRANT SMOULD BE FLUSMED BEFORE THE TWO INCH DRAIN IS OPENED. TNE DRIP VALVE ON THE ORV PIPE VALVE SHOULDBE <br /> CMECKED BEFORE TRIPPING TNE DRY PIPE VALVE, TO SEE THAT IT IS IN OPERATING CONDITION. <br /> ORY PIPE VALVES SYSTEM N0. ( ) SYSTEM NO. ( ) SYSTEM NO. ( ) SYSTEM NO. ( ) <br /> VAIVE SERIAL NUMBER <br /> IdANUFACTURER (NAME) �:'� .- <br /> VALVE MODEL <br /> VALVE SIZE � �� INCM INCM INCM / INCN �" <br /> (LOGATION) . 7--� <br /> CONTqOLL1NG SPRINKLERS <br /> (NUMBER) (APVI�OR) (APPROIII (APPROIO (APr1�07O ��� <br /> DATE LAST TRIP TESTEDI ��. Z,j - Lr <br /> DATE LAST OPERATEDI � � <br /> AIR l.sf Lss l.s! Ls1 �' <br /> PRESSURE BE�ORE TEST <br /> WATER � ��s �ss �es L�s -. <br /> '`. SIZE AND LOCATION OF TEST VALVE � �� <br /> L� <br /> ;�: WAS GATE VAIVE BELOW DRV VALVE OPEN <br /> '�� MIDE AT TEST' UF NOT MOW MANV TURN 1 <br /> AIR PRESSURE �of �BS �u Ls3 ' <br /> � VALVE TRIPPEO AT WATER PRESSURE / �es , �ss ��s �as �i <br /> TIME MIN .� Z SEC MIH S MIN fEG MIN fEC �.- <br /> a�'• — <br /> IF SVSTEM FIOODED, LIST TiMfi WATER <br /> REACHED TEST OPENING NIN /� tEC MIN 3EC MtN fEG MIN 3EG � <br /> PERFORMANCE d <br /> INTERIOR OF 80DY I ' <br /> MOVING PARTS � N <br /> VALV�E CONDITION RUBBER FACING c'�j� _ <br /> � SEATS j <br /> RESET+ � � � � <br /> OID ALARMS OPERATE AT TRIP TE5T1 <br /> ALL LOW POINT DRAINS BLOWN OUT1 r <br /> WATER CONTROL VALVE LEPT —t— � <br /> OPEN ANO SEALED� __ __ _ _� __ � <br /> ---��----- � <br /> ALARM CONTROL VAIVE LEFT .:�— -- -- - <br /> OPEN AHD SEAIED� <br /> -�— �__�- — __�_.---- <br /> OUICK OPENING DEViCES SYSTEAK'NO. ( ) i SYS?E4 N . ( ` ) , SYSTEM N0. ( ) SYSTEM N0. ( ) <br /> DEVICE SERil1l. NUMBER <br /> � <br /> — - -- -- � ---- <br /> MANUFACTURER (NAME) � <br /> TrPE ANG MODE� <br /> AIR PRESSURE IN UPPER CNAMBER �os LI�f � l.�t � ���� <br /> QUICK OPEwIHG OEV�CE TRIPPED AT scc �es s[c ��s sac ��s �[C ��f . <br /> .: PERFORMANCE ' � ' <br /> ;:- QUICK OPENING DEVtCE LEFT IH SENVICE � � i - <br /> -� AMD CONTROL OPEN ANOSEALEDI <br /> '�-� LIST ANV UNSATISFACTORV CONDITIONS: �f / �:�(�G�_ <br /> _. �+../`�-�� .— <br /> REMARKS: f �� .. _ � ^- . _ •� c�` _i% . <br /> . �/�,�f �'i.�_ - L �:'�!� . <br /> f .� r � � �..�> <br /> � <br /> tNSURANCE BUREAU C�►��' <br /> « <br />