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' 1301 L'ORIENT STREET <br /> V, I� ST.PAUL, MINNESOTA 55117 ,; <br /> , AUTOMATIC SPRINKLER CO i <br /> (651)558-3300• (800)-229 6263 • , <br /> - n�, ; FAX: (651)558-3310 <br /> SHEET 2 OF 2 - Use separate sheet for each system inspection *„ �^* .. System No. 9r Description if multiple , <br /> systems tot i S ' <br /> Inspe n/ eport •, j/�' 2. r .. .r. S_Is, e•-+J [r x '� <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) II <br /> PA! (See Trip Test Table which follows) <br /> 13. Date quick-opening device tested (See Trip Test Table which follows) <br /> • DRY VALVE RIP TEST TABLE O.O.D. <br /> w tom'!°::,:-4, .'....- MAKE MODEL- SERIAL NO. MAKE MODEL SERIAL NO. <br /> ,`T ": .► DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure pressure Air Pressure Test Outlet Properly <br /> TEST MIN. SEC. PSI I PSI PSI MIN. SEC. YES NO a <br /> Without <br /> ( <br /> Q.O.D. . <br /> e <br /> With <br /> i : ,.,, ,4. Q.O.D. ,, <br /> W;t"'4.--;.;.'-i;-- •''-4' ' ' . , '''' "; - — ; ; - - , ::.--, < ,.' ' Y' ' 'i- "---. •Ar--"..*';,--'..-7""4,V•,:-",. <br /> y <br /> 14. Date deluge or preaction valve tested ,'.-4-1'.'.. 4.; (See Trip Test Table which follows) t.. '- t <br /> TRIP TEST TABLE ,'; �"' <br /> Operation ❑ PNEUMATIC 0 ELECTRIC 0 HYDRAULIC �fx= { <br /> Piping Supervised 0 YES 0 NO Detecting media supervised 0 YES 0 NO T-T. '''''f';'4...;,411,-'. 'e: <br /> — DELUGE& Does valve operate from the manual trip and/or remote control stations 0 YES 0 NO <br /> PREACTION Is there an accessible facility in each circuit for testing Method of testing-circuits <br /> 4 . ,VALVES 0 YES 0 NO <br /> Does each circuit operate Does each circuit Maximum time to <br /> MAKE MODEL _supervision loss alarm operate valve release operate release <br /> YES NO YES NO YES NO <br /> . <br /> 1,' x <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 41 /y 55 )s_-s-- <br /> Other Control Valves #i QiY t/e'.S `S ..---- <br /> Kitchen <br /> `Kitchen Control Valve - $r.; p i�c - — <br /> 16. Water Flow Test at Sprinkler Riser 'Y <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 J o//9i ,(')"Svc ^`k p)66 2) lab i) c; S` <br /> • <br /> This Water Flow Test /;J03'/ 1) <br /> j (o7 2) 7c7 i)S 3 2) S'g' <br /> 17. Explain any "No" answers and comments: <br /> 18. Adjustments or corrections made during this inspection: .. .7.-(1.,2 —1 .:P .-4 4/4"*"' l adj <br /> L/t10r-,s rs <br /> 0ci'p---._x.S - � <br /> _ ,t'4(.. A Z(--,?mss —„ 21rnl) i r _Si/Jr/wit, <br /> 19. Although these comments are not the result of an engin eview th followi g desirable improvements are recommended: <br /> ” is <br /> F , <br /> �y� ux. f <br /> Signa a -4� - Tri .� .r�£ ,�a.� Date: / <')! • � `~ , I Ar•'° • i <br /> 3� r <br />