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1301 L'Orient Street <br /> . . St.Paul,Minnesota 55117 <br /> AUTONATIC SPRINKLER CO. (651)558-3300 • (800)229-6263 <br /> Setting.The Standard... Fax: (651)558-3310 <br /> SHEET 2 of 2-Use separate sheet for each system inspected System No.or Description if multiple <br /> systems - 4J* <br /> Inspection Report <br /> No. �j $ <br /> 11 Date dry-pipe valve trip tested(control valve partially open) i,1 (See Trip Test Table which follows) <br /> 12 Date dry-pipe valve trip tested(control valve fully open) Al/'°- (See Trip Test Table which follows) <br /> 13 Date quick-opening device tested Al 1:2 See Trip Test Table which follows) <br /> DRY VALVE TRIP TEST TABLEQ.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 /> OPERATING Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly <br /> TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO <br /> Without <br /> Q.O.D <br /> With <br /> Q.O.D <br /> 14 Date deluge or preaction valve tested Al (See Trip Test Table which follows) <br /> TRIP TEST TABLE <br /> Operation ❑PNEUMATIC ❑ELECTRIC ❑HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO IDetecting Media Supervised ❑ YES ❑ NO <br /> DELUGE& Does valve operate from the manual trip and/or remote control stations ❑ YFI, ❑ NO <br /> PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO IMethod 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 release <br /> YES NO YES I 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 /> City Control Valves r < <br /> Bypess Valves <br /> Tank Control Valves <br /> Pump Control Valves <br /> Sectional Control Valves <br /> System Control Valves .5 5 yj <br /> Other Control Valves <br /> Kitchen Control Valves P < p p S <br /> 16 Water Flow Test at Sprinkler Riser <br /> Water Supply Source: Ci ' Tank Pum <br /> Residual <br /> Test Pipe Size of Static (Flow) <br /> Date Location Test Pie Pressure Pressure <br /> Last Water Flow Test 2. i S 0,0?-,; <br /> This Water Flow Test 4 -_02 6 , 5 Q ee 5 Z ` <br /> 17 Explain any"No"answers and comments: <br /> 18 Adjustments or c rrections made durin tis inspection: p Qn J�4 0< <br /> C <br /> PC* <br /> e .soft cS 5t G,s.lfl�1 S <br /> 19 Although these comments are t the result of an engineering review,the fol wing desirable improvements are reco�l/Amended: <br /> J. !•)Ye,C)AAXQ A ac< <f Ge k.t� !.fie Cf n.,e�rJ�CrV <br /> Signature: T' _ Date: /Q -16, U <br /> (Rev.2/8/06) <br />