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1301 L'ORIENT STREET <br /> k 0 "50111hST. PAUL, MINNESOTA 5511.7 <br /> (651) 558-3300 • (800)-229-6263 <br /> ,r AUTOMATIC SPRINKLER CO. FAX: (651) 558-3310 <br /> SHEET 2FOF 2 - Use separate sheet for each system inspection System No.or Description if multiple r_ <br /> ;-� / systems 1; I"t s <br /> InspiNtion Report <br /> No. =' ",--.-, 1 �i C c70 j <br /> J <br /> 11. Date dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which follows) <br /> 12. Date dry-pipe valve trip tested (control valve fully open) (See Trip Test Table which follows) <br /> 13. Date quick-opening device tested (See Trip Test Table which follows) <br /> DRY VALVE TIP TEST TABLE Q.O.D. <br /> MAKE MODEL RIAL 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 Pressur pressure Air Pressure Test Outlet Properly <br /> MIN. I SEC. PRf PSI f MIN. SEC. YES I NO <br /> TEST Without <br /> Q.O.D. <br /> With <br /> O.O.D. <br /> 14. Date deluge or preaction valve tested / (See Trip Test Table which follows) <br /> TRIP TEST TABLE <br /> Operation ❑ P ATIC ❑ ELECTRIC ❑ HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO Detecting media supervised ❑ YES ❑ NO <br /> DELUGE& Does valve operate from the manual trjt and/or remote control stations ❑ YES ❑ NO <br /> PREACTION Is there an accessible facility in each ircuit for testing Method of testing-circuits <br /> VALVES ❑ YES ❑ NO <br /> Does each circuit operate Does each circuit Maximum time to <br /> MAKE MOD su ervisioalarm o erste valve release o erate release <br /> 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 /> City Connection Control <br /> Valve <br /> Tank Control Valves <br /> Pump Control Valves <br /> Sectional Control Valves <br /> System Control Valves 0C y 5 <br /> Other Control Valves <br /> Kitchen Control Valve <br /> 16. Water Flow Test at Sprinkler Riser <br /> Water Supply Source: City Tank Pump <br /> Date Test Pipe Size of Static Residual <br /> Location Test Pipe Pressure (Flow) <br /> Pressure <br /> Last Water Flow Test /0 ) 157pZ v 2 7J -J ? <br /> This Water Flow Test f / 62 71) ;;_3 J s, <br /> 17. Explain any "No" answers and comments: <br /> 18. Adjustments or corrections made during this inspection: '/ f <br /> / <br /> 19. Although these co ents are not the result of a engipeering review, the following desirable improvements are recommended: <br /> i <br /> Signatuc • � cYt Date: , <br />