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k Y, 1 x g - ' - 1301 L'ORIENT STREET
<br /> ter rw. r � ` ST.PAUL, e rte :
<br /> L , = sMINNESOTA 55117
<br /> �= t V1 I N G
<br /> s � (651)558-3300• (800)-229-6263 r '. ' ;
<br /> +°mss ss z P AUTOMATIC SPRINKLER CO �'� `''', 4:„.7z
<br /> y - FAX (651)558-3310 x
<br /> r' SHEET 2 OF f- Use separate sheet for each system inspection i System No. or Description if multiple , "�
<br /> ` r 4 systems x >
<br /> Inspection Report - sr.,,, y : ; Z I * 77 4 ' Vin /w' 41
<br /> 'w 3�" -+' :lid. r-}*n .Y•4{� tµ -T ! a - .:
<br /> '.41
<br /> 11. Date dry-pipe valve trip tested (control valve partially open) (See rip Test Table which follows) ,.:,;-,,,,.:4,,:-.4,-,,:-.4.3
<br /> F 12. Date dry-pipe valve trip tested (control valve fully open) z =, : (See Trip Test Table which follows) *"
<br /> t 13. Date quick-opening device tested (See Trip Test Table which follows) _ „,.:. ,, h • "; - -
<br /> DRY VALVE TRIP TEST TABLE 0.0.D. ` m
<br /> "M _ MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. `t '
<br /> ",',','''.'-;-•',,-:"'-
<br />' t�� DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated .. T.
<br /> Thru Test Pipe Pressure pressure Air Pressure Test Outlet Properly '—÷7.-'
<br /> „�., ”
<br /> TEST MIN SEC. } PSI PSI PSI MIN.i SEC. YES NO y
<br /> -Without
<br /> Q.O.D. F.-..1.-...":.,',.: 4 ,--s '
<br /> -a With . �54,5,5,--
<br /> 5........„-
<br /> 14. Date deluge or preaction valve tested _ -. . (See Trip Test Table which follows) rfF ��
<br /> ` TRIP TEST TABLE : . -
<br /> Operation 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC „ h>
<br /> Piping Supervised 0 YES 0 NO Detecting media supervised ❑ YES ❑ NO 4
<br /> .;.,...x,,„7.-4.4..",,,.,..u_'-4-4-,' ,. •fir'_DELUGE& Does valve operate from the manual trip and/or remote control stations 0 YES 0 NO i" '
<br /> ,
<br /> '''-:‘,,,-4-4,1„g:'''.. , '� Is there an accessible facility in each circuit for testing Method of testing-circuits nr t`�"K�
<br /> �•s ,� VALVES 0 YES 0 NO
<br /> a s'a«
<br /> ,� �,.�.T Does each circuit operate Does each circuit Maximum time to K �.,+ I `
<br /> „ ��,.,,,, , MAKE MODEL supervision loss alarm operate valve release operate release YES NO YES NO YES NO .--,"4--..
<br /> 15. See Control Valve Maintenance Table. •0 :-. ;, ,75 �- �` `
<br /> ,� :t Control Valve Maintenance Table ' `- i 7� �
<br /> W Explain ,
<br /> Abnormal a
<br /> % '%' "kControl Valves -" Number Type Open Secured Closed Signs Condition y .�; „ <;.
<br /> ?" City Connection Control
<br />'''''''"-:'•- Valve ..r
<br /> Tank Control Valves
<br /> - Pump Control Valves
<br /> - > Sectional Control Valves �`/ / //
<br /> System Control Valves JJ jp�, iv,yv; /`f7
<br /> Other Control Valves ,
<br /> Kitchen Control Valve I -'-:,
<br /> y
<br /> '; 16. Water Flow,Te§C at Sprinkler Riser ;,
<br /> Water Supply Source: City Tank Pump M;--
<br /> Date Test Pipe Size of Static Residual ,
<br /> - *`,. i..,-.4.,... .Y.,"aLocation Test Pipe Pressure (Flow)
<br /> - .7.ititePressure
<br /> Last Water Flow T -
<br /> This Water Flow Test "
<br /> c}-- ,/, 14,-..„...,„-.:,-.,,,,,,
<br /> 17.Explain any "No"answers and comments '
<br /> -
<br /> >e s 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 .,,,;„.„;_„..,.1:.t.,,.....,'
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