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13 <br /> 1 <br /> Stree <br /> . 1110. 111411711.& <br /> "U St.Paul, nt Minnesotat <br /> 111(.41 ..0 ..lir �"'� St. 55117 <br /> AUTOMATIC SPRINKLER CO. (651)558-3300 • (800)229-6263 <br /> Setting The Standard... Fax: (651)558-3310 <br /> SHEET 2 of 2-Use separate sheet for each system inspected System No.or Description if multiple <br /> systems 3 . f�-3 0 f <br /> Inspection Report <br /> No. l7/Q75/ <br /> 11 Date dry-pipe valve trip tested(control valve partially open) A)" (See Trip Test Table which follows) <br /> 12 Date dry-pipe valve trip tested(control valve fully open) A 1 (See Trip Test Table which follows) <br /> / <br /> 13 Date quick-opening device tested . I 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 AJ pa.- (See Trip Test Table which follows) <br /> TRIP TEST TABLE <br /> Operation ❑PNEUMATIC ❑ELECTRIC o HYDRAULIC <br /> Piping Supervised ❑ YES ❑ NO Detecting Media Supervised ❑ YES o 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 ❑ 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 I. 2 'h Pi ( 5 ti,25 S <br /> Bypass Valves a..- (r, :7S i i , yd,5 VD C <br /> Tank Control Valves <br /> Pump Control Valves <br /> Sectional Control Valves <br /> System Control Valves j./. til u Ig F V eS ,' t4 5 5)0 c <br /> Other Control Valves <br /> Kitchen Control Valves <br /> 16 Water Flow Test at Sprinkler Riser <br /> Water Supply Source: City 8l Tank Pump <br /> Residual <br /> Test Pipe Size of Static (Flow) <br /> Date Location Test Pipe Pressure Pressure <br /> Last Water Flow Test /D-/!fl- t3$ /� 15 o I- .7'1 55 .5" <br /> This Water Flow Test /D-/S-6 9 Q t s N d— .2 ' ' 3-Y $'4c) <br /> 17 Explain any"No"answers and comments: <br /> 18 Adjustments or rrections made during this inspection: _ L) ��o cp C n itJ 4 A C ( L/ A. 100 5' — <br /> CLocko4 /9L..s?bta4 t S•fo.}/9(9 — <br /> 19 Although these comments are not the result of an engineering review,the following desirable improvements are recommended: <br /> Signature: 7 5.-14t'19Date: I -/5'... 09 <br /> (Rev.2/8/06) <br />