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1301 L'ORIENT STREET <br /> ST. PAUL, MINNESOTA 55117 <br /> (651)558-3300 9 (800)-229-6263 <br /> �l1TOMAl1C SPRINKLER CO. FAX: (651) 558-3310 <br /> SHEEP 2 OF 2 - Use separate sheet for each system inspection System No. or Description if multiple <br /> vlems 1 2 'W A <br /> l� +3 <br /> Ins pe tioort /.�; ii`C j��/4JJ� 1 vc�t �,fitilA[ A(o2 <br /> 11. Date dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which to <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 TRIP TEST TABLE Q.O.D. <br /> MAKE MODEL-- AL NO. MAKE MODEL SERIAL NO. <br /> DRY PIPE Time to Trip Water Trip Point Time Water Reached Alarm Operated <br /> OPERATING Thru Test Pipe Pressure _Xel Air Pressure Test Outlet Properly <br /> MIN. SEC. PSI PSI PSI MIN. SEC. YES NO <br /> TEST Without <br /> Q.O.D. <br /> With <br /> Q.O.D. <br /> 14. Date deluge or preaction valve tested (See Trip Test Table which follows) <br /> TRIP TEST TABLE <br /> Operation MATT ❑ ELECTRIC ❑ HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO Detecting media supervised ❑ YES ❑ NO <br /> DELUGE& Does valve operate from the manual tri and/or remote control stations ❑ YES ❑ NO <br /> PREACTION Is there an accessible facility in ea circuit for testing Method of testing-circuits <br /> VALVES [3 YES ❑ NO <br /> Does each circuit operate Does each circuit Maximum time to <br /> MAKE ODEL su ervision loss alarm o erate 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 /> City Connection Control <br /> Valve <br /> Tank Control Valves <br /> Pump Control Valves <br /> Sectional Control Valves <br /> System Control Valves <br /> Other Control Valves "p <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 O 2_ .2` CD <br /> This Water Flow Test S <br /> 17. Explain any "No" answers and comments: <br /> 18. Adjustments or corrections made during this inspection: <br /> 19. Although these comments are not the result of an engineeri g review, the following desirable improvements are recommended: <br /> Signatu Date: ��� ��2--- <br />