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1301 L'ORIENT STREET <br /> <!F�t <br /> ST.PAUL,MINNESOTA 55117 <br /> (651)558-3300•(800)-229-6263 <br /> MATIC SPRINKLER CO. FAX: (651)558-3310 <br /> SHEET 2 8F 2 Use separate sheet for each system inspection System No or Descriptio f 1'ple <br /> mitts : 6UA: 7 : oa 4-r,\ <br /> Inspection Report <br /> 11. Date dry-pipe valve trip tested (control valve partially open) JZ, (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 TRIP TEST TABLE Q.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 /> th <br /> 14 14. Date deluge or preaction valve tested (See Trip Test Table which follows) <br /> TRIP TEST TABLE <br /> Operation ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO I Detecting media supervised ❑ YES ❑ NO <br /> DELUGE R Does valve operate from the manual trip and/or remote control stations ❑ YES ❑ NO <br /> PREACTION Is there an accessible facility in each circuit for testing Method of testing-circuits <br /> VALVES ❑ YES ❑ NO <br /> Does each circuit operate Does each circuit Maximum time to <br /> _ MAKEMODEL 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 CI Signs Condition <br /> City Connection Contrpl ij <br /> Valve 1-491-11 &/' <br /> Tank Control Valves <br /> Pump Control Valves <br /> Sectional Control Valves - <br /> System Control Valves <br /> Other Control Valves ,Q <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 <br /> This Water Flow Test ; `, rG_S l <br /> 17. Explain any "No" answers and comments: <br /> t <br /> 18. Adjustments or corrections made during thisinspection: ° ' <br /> T' f <br /> 6� <br /> 19. Although these comments are not the result of an engineering review, the following desirable improvements are recommended: <br /> Signature: =� � Date: i �� <br />