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1301 UORIENT STREET <br /> V, ST.PAUL,MINNESOTA 55117 <br /> (651)558-3300•(800)-229-6263 <br /> AUTOMATIC SPRINKLER CO. FAX: (651)558-3310 <br /> SAEET 2 OF 2 - Use separate sheet for each system inspection System No. or Description if multiple <br /> systems <br /> Inspection Report 7 a <br /> s <br /> No. !234911 <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 TRIP TEST TABLE Q.O.D. <br /> MAKE MODEL 1=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 Pressure pressure Air Pressure Test Outlet Properly <br /> TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO <br /> Without j <br /> Q.O.D. <br /> With <br /> Q.O.D. <br /> 14. Date deluge or preaction valve tested Z''�+,' (See Trip Test Table which follows) <br /> TRIP TEST TABLE <br /> Operation ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO; Detecting media supervised ❑ YES ❑ NO <br /> DELUGE& Does valve operate from the manual trip and/or rem a control stations ❑ YES ❑ NO <br /> PREACTION Is there an accessible facility in each circuit for test' g Method of testing-circuits <br /> VALVES ❑ YES ❑ NO <br /> Do s each circuit operate Does each circuit Maximum time to <br /> MAKE MODEL supervision loss alarm o erate valve release operate release <br /> ES 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 <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 i53 <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 engineering review, the following desirable improvements are recommended: <br /> Signature: �9 SSC 0'�'� Date: <br />