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1301 L'ORIENT STREET _ '`
<br /> 1 ST. PAUL,MINNESOTA 55117 . � ,;
<br /> >rii•el . . ;_ (651)558-3300• (800) 229 6263 x , y,� td
<br /> AUTOMATIC SPRINKLER CO ? t ,...::.,-4,1,t.,,,,,,,,,,,,:.- FAX (651)558-3310 r
<br /> ,!.';45,.' r`' SHEET 2, - ..separate sheet for each system inspection "t, 4, �; < z,.,. System No. Descriptio multiple ,T t-
<br />-;�s-> '� .� a �, . ."i' 5i, x ' - ' v- at.r: systems j�^,7'�—(� f> '`— t..
<br /> Inspection Report - �. ' .: a k 1-. 'v;, / ,J '5-) s
<br /> H_ ,1 OSx , ,a . ..z /]
<br /> No } :. `1 r r �
<br /> / ♦ ��"CCJJ,ry v J am` �' "'ivy x 4 l
<br /> 7i,...xl,_,_.:,-1 , 11. Date dry-pipe valve trip tested (control valve'partially open) L • (See Trip Test Table which follows) r ,
<br /> Y� »' 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) tl
<br /> ar '
<br /> _ DRY VALVE TRIP TEST TABLE Q.O.D.
<br /> MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
<br /> r DRY PIPE Time tos 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 /> WithQ.O.D. ' `
<br /> tet'.
<br /> ., 'T 14. Date deluge or preaction valve tested Ai. ` (See Trip Test Table which follows) v ,
<br /> { TRIP TEST TABLE . y. . e.'
<br /> rt y* '-'4''''''''',"
<br /> �,,.�, ,-z a Operation 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC 4-,.�
<br /> a
<br /> Yg ' Piping Supervised 0 YES 0 NO Detecting media supervised 0 YES 0 NO r a t _,. acrd
<br /> z S; DELUGE& 4 Does valve operate from the manual trip and/or remote control stations
<br /> El YES 0 NO ^.^ r I sr c
<br /> ,� �, v PREACTION Is there an accessible facility in each circuit for testing Method of testing-circuits �` :: ... T�„k,�
<br /> _� VALVES 0 YES 0 NO q '
<br /> °3' �, Does each circuit operate Does each circuit Maximum time to .:
<br /> z`' �s ' * ,, MAKE MODEL supervision loss alarm operate valve release operate release
<br /> , YES NO YES NO YES NO t,
<br /> _ Y xN
<br /> b1,-;.--%-,-;;; ,':;:,,:;:,:-.', ...;.;::::.--r.. Py ,4 4
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<br /> P15. See Control Valve Maintenance Table.
<br /> Control Valve Maintenance Table `�
<br /> .
<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 Valvests)Itis'' � � 72 r �k i(U,e/[f)
<br /> Other Control Valves
<br /> ' � J "s Kitchen Control Valve / �, 13
<br /> 16. Water Flow Tact Sprinkler Riser _- tea `
<br /> Water Supply Source: City Tank Pump' a
<br /> Date Test Pipe Size of Static Residual i1
<br /> Location = , Test Pipe Pressure (Flow)
<br /> s x . Pressure ,
<br /> Last Water Flow Test -` - � ''
<br /> r. This Water Flow Test a i II `' ( , 5-/ "
<br /> 17. Explain any "No" answers and comments: (1),,,2 le
<br /> �/7�� 1' 1)
<br /> 18. Adjustments or corrections made during this inspection: To l��,2 k' ri°d�' '���!'• i'!�- �rti /',1i:ic.a '`,.C.
<br /> x�. Itr ')- ItEIz S .
<br /> g ( 7 S 70 ,v — le ,� f S,g� ble irr ovements re reco ended:
<br /> 19. Although these comments a of the result of an en eeringview, the followin esir
<br /> (41.!‘ S E� . Yl %`_
<br /> •
<br /> (4 k "' '
<br /> - 1
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<br /> Signature:, c;: Date:
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