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� r��°��rr�.� 1301 L'Orient Street <br /> � ��� ' �*"' St.Paul,Minnesota 55117 <br /> AUTOMATIG SPRINK�ER CO. (651)558-3300 • (800)229-6263 <br /> Setti_r�`The Standard... Fax: (651)558-3310 <br /> � <br /> SHEET 2 oE 2-Use separate sheet for each system inspected System No.or Desc}�iption if multiple <br /> systems / �-�`� <br /> Inspection Repart <br /> No. -.,'Ci,�� ! � <br /> 11 Date dry-pipe valve trip tested(control valve partially open) ,f;'��� - "��, . ;� !=' (See Trip Test Table whicli follows) <br /> 12 Date dry-pipe valve trip tested(control valve fully open) �/ �, _ ��.„;� ( (See Trip Test Tnble wllich follows) <br /> 13 Date quick-opening device tested / ���� . � ;_�:_ r� f? See Trip Test Table which follows) <br /> DRY VALVE TRIP TEST TABLE Q.O.D. <br /> MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. <br /> � <br /> ' f� � � C� ' / r I4 �.� <br /> DRY P1PE Time to Trip Water Air Trip Point Time Water Reached Alarm Operatecl <br /> OPERATING Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly <br /> TEST MIN. SEC. PSI PSI PSI M1N. SEC. YES NO <br /> Without <br /> Q.o.D % < < � ? y _ ._ (/ <br /> w�ch <br /> Q.O.D <br /> 14 Date deluge or preaction valve tested � �-� (See Trip Test Table w{iich follows) <br /> TRIP TEST TABLE <br /> Oper�tion ❑PNEUMATIC u ELECTRIC n HYDRAULIC <br /> Piping Supervised � YES c NO Detecting Media Supervised ❑ YES � NO <br /> DELUGE& Does valve operate from the manual trip and�or remote control stations ❑ YES ❑ NO <br /> PREACTION Is there an accessible facilitv in each circuitfor testing ❑ YES ❑ NO Method of Testing Circuits <br /> VALVES Does each circuit operate Does each circuit Maximum time to <br /> MAKE MODEL supervision loss alarm operate valve release operate releasc <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 /> Pum Control Valves <br /> SecHonal Control Valves <br /> S stem Control Valves i <J " - <br /> Other Control Valves <br /> Kitchen Control Valves <br /> 16 Water Flow Test at Sprinkler Riser <br /> Water Su 1 Source: �t Tank Pum <br /> Residual <br /> Test Pipe Size of Static (Flow) <br /> Date Location Test Pi e Pressure Pressure <br /> Last Water Flow Test �� � /�� � � i;' < `� � 'f� � �� <br /> This Water Fiow Test % � � <br /> 17 Explain any°No"answers and comments: <br /> 18 Ad' stments or co rections ma e uring t is inspection: ;� �`�;�J , . ( �.� �' . � .; _ <br /> �+ S .� -� '— <br /> ' J eC E�!'J e4 /7 if; !d , <br /> 19 A though t ese comments are not t e resu t o an engineering review,t e o owing esira `le improvements are recommen ed: <br /> �. �% � <br /> Signature: ,�� `� ����..� -1-- Date: - t�'�' � ' <br /> �_, <br /> (Re�.2/s/ob� <br />