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��"'��� 1301 L'Orient Street <br /> St.Paul,Minnesota 55117 <br /> AUTUMATIC SPi71NKLER Cfl. (651)558-3300 • (800)229-6263 <br /> Settin�; The Standard... Fax: (651)558-3310 <br /> SHEET 2 of 2-Use separate sheet far each system inspected System No.or Descrip 'on i�ultiple <br /> systems /_ r� <br /> Inspection Report <br /> No. � � :,�"'�� <br /> 11 Date dry-pipe valve trip tested(control valve partially open) J�> -,� (_ � � (See Trip Test Table u�hich follozos) <br /> 12 Date dry-pipe valve trip tested(control valve fully open) % !_ .. � q (See Trip Test Tnble whicli folloins) <br /> 13 Date quick-opening device tested � � . �, _ �;� �j (See Trip Test Ta le zuhic}�follows) <br /> D�zY vALVE TRIP TEST TABLE Q.O.D. <br /> MAKE MODEL SEIZIAL NO. MAKE MODEL SERIAL NO. <br /> l' f Z [ � ., �, ti_- <br /> DRY PIPE Time to Tri� Water Air Trip Point Tiine Water Reached Alarm Operated <br /> OPERATI NG Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly <br /> TEST MIN. SEC. I'SI PSI PSI M1N. SEC YES NO <br /> w�cr,� <br /> Q.o.� / � � �' =� � � ' `��� �,. <br /> w�rt, <br /> Q.o.� <br /> 14 Date deluge or preaction valve tested � � (See Trip Test Tnble wliidi folloms) <br /> TRIP TEST TABLE <br /> Oper�tion ❑PNEUMATIC ❑ELECTRIC ❑HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO Detecting Media Supervised ��� YES ❑ NO <br /> DELUGE& Docs valve operate from the manual trip and�or remote control stations �� YES ❑ NO <br /> PREACTION Is there an accessible facility in eoch circuit for testing � YES n NO Method of'Cesting Circuits <br /> VALVES Does eadi circuit oper�te 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 /> 15 See Control Valve Maintenance Table <br /> CONTROL VALVE MAINTENANCE TABLE <br /> Explain <br /> Abnormal <br /> Control Valves Number Type Open Secured Closed Signs Condition <br /> Cit Control Valves <br /> B �ass Valves <br /> Tank Control Valves <br /> Pump Control Valves <br /> Sectional Control Valves <br /> Svstem Control Valves ? - �' �'S ��� Q < r:�S <br /> Other Control Valves <br /> Kitchen Control Valves <br /> 16 Water Flow Test at Sprinkler Riser <br /> ,�.,., ;� <br /> Water Su 1 Source: �Cit } , Tank Pum <br /> " Residual <br /> Test Pipe Size of Static (Flow) <br /> Date Location Test Pi e Pressure Pressure <br /> Last Water Flow Test � �/� ,. r �:��<�.. � '` �, !! <br /> This Water Flow Test _ --��7 ; ��� �> ' /� -i <br /> 17 Explain any "No"answers and comments: <br /> 18 Adjustments oz�corrections made during this inspection: _. ��)��;;; j- �; d%� f��.:,�, ��,;_( j%�; �tf,� �, _.... <br /> — r l s t;r �s ' -:�- � 5 �<�t � —_ <br /> � � ` � ><�. � .� k c ��f'< �!:;� �-- <br /> 19 Althoug fllese comments are i�ot t e result o an engineering review,the o owing desira le improven�ents are recoinmended: <br /> Signature: �� Date: fr� - /�.- - (°�`� <br /> (Rev.2/8/06) <br />