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A1301 L'Orient Street <br /> . e - St.Paul,Minnesota 55117 <br /> AUTOMATIC SPRINKLER CO. (651)558-3300 • (800)229-6263 <br /> Setting Tile Standard... Fax: (651)558-3310 <br /> s <br /> SHEET 2 of 2-Use separate sheet for each system inspected System No.or Description if multiple <br /> systems ;_ y'(iCT <br /> � t <br /> Inspection Report /- nc�oy' <br /> No. f2/155* <br /> 11 Date dry-pipe valve trip tested(control valve partially open) Ai l4 (See Trip Test Table which follows) <br /> 12 Date dry-pipe valve trip tested(control valve fully open) IQ/k (See Trip Test Table which follows) <br /> 13 Date quick-opening device tested A) IQ.- (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 /> With <br /> Q.O.D <br /> 14 Date deluge or preaction valve tested Aht (See Trip Test Table which follows) <br /> TRIP TEST TABLE <br /> Operation ❑PNEUMATIC o ELECTRIC ❑HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO Detecting Media Supervised ❑ YES ❑ NO <br /> DELUGE& Does valve operate from the manual trip and/or remote control stations o YES o NO <br /> PREACTION Is there an accessible facility in each circuit for testing D YES ❑ NO (Method of Testing Circuits <br /> VALVES 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 /> 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 Control Valves <br /> Bypass Valves <br /> Tank Control Valves <br /> Pump Control Valves <br /> Sectional Control Valves ��i <br /> System Control Valves i-4" 057 J � �'< e 4 S <br /> Other Control Valves I (0" 8 k- YPS Q S t�S <br /> Kitchen Control Valves (- / '' A F OS • Ye 1 ,eS <br /> 16 Water Flow Test at Sprinkler Riser <br /> Water Supply Source: Ci L e Tank Pump <br /> Residual <br /> Test Pipe Size of Static (Flow) <br /> Date Location Test Pipe Pressure Pressure <br /> Last Water Flow Test lo-n.09 12 . S 2A°S 7 r 6,3 ST <br /> This Water Flow Test /(}..f -OS se i S P A S 2 `' 41/ _S-S" <br /> 17 Explain any"No"answers and comments: <br /> 18 Adjustments or c erections made during this inspection: _ 0),,,, k e D&)/Q v I J A too S <br /> P (fe9 t,A(AA#1.1 i S r�9,tlf1C5 <br /> 19 Although these comments are nfc t the resultlof an engineering review,the following diRIsirable improvements are recommended: <br /> C?,JI�R A t KPret f1 el9 /i4....15 art? I.i 54* RJ o 4 C L.a.1 4 O y Q V— <br /> Signature: �r'./ Date: /0-(I, -©Q <br /> (Rev.2/8/06) <br />