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� � �) :\ <br /> �// \\ <br /> � O � �_ AUTOMATIC SPRINKLER CO. �� =� ` <br /> 1612 94th Lane N.E. • Blaine, Minnesota 55434 • (612) 784-8902 <br /> DRY PIPE VALVE TRIP 7EST REPORT <br /> FOR ���" - O ��� ��/I _ INSFEGTION �10.�_./ ._.�__._,4.� <br /> STREET CITY��`"��,�_� STATE � ' CONTRAGT NO. �- <br /> DATE OF TRIP TEST / � � � ` �`� INSPECTOR J DAY WpRK NO. _ _ .._�� <br /> STANDAt2D FARM OF TNE NATIONAL AUTOMA IC SPRIN LER AND FIRE CON7ROL ASSOCIA7iAN <br /> NOTE: BEF6RE ANY DRY PIPE VALVE IS TRIP TESTED, THE WATER SUPPLY LINE TC IT' SH�u�D eE THOROUGHIY FLUSHE�. THE TWO INCH <br /> DRAIN BELOW THE VAIVE SNOULD BE OPENED WIDE, AND WATER AT FULL PRESSURE SHOUI.D 8E DISCHARGED L03�lG ENOUGH TO <br /> CLEAR THE PIPE OF ANY ACCUMULATION OF SCAI.E OR FOREIGN MA?ERIAL. IF THERE IS A HYDRAMT ON THE SUPPLY LINE, TNIS <br /> HYDRANT SHOULD BE FLUSHED BEFORE THE TWO INCH DRAiN IS OPENED. THE DP.IP VA�VE ON THE DRa PIPE VALVE SNOULDBE <br /> CHECKED BEFORE TRIPPING THE DRY PIPE VALVE, TO SEE TMAT IT 15 !N OPERATING CONpITION. <br /> DRY PIPE VALVES SYSTEM NO. ( ) SYSTEM NO. ( ) SYSTEM NO. ( ) SYSTEAA NO. ( } <br /> VALVE SFRIAL NUMBER <br /> MANUFACTURER INAMEI _ /�r/ � __ _ <br /> -_-�- <br /> VALVE MODEL_ � � � _ � �`� _` <br /> VALVE SIZE INCH INCN INCH INCH <br /> _- __-______._..-.�_-. —_..__ ___ '—__'�.�_ _.'_�-__.�.-'-� <br /> (LOCATIONI -,��--, � <br /> CONTROLLING SPRINKLER5 /� - --��-�-` ��- -'�--- '�- '—'�'- <br /> I (NUMBER) /[� IAPPROX) IAPPROXI (APPqOX) (APPROX) <br /> -,�� - <br /> DATE LAST TRIP TESTEDt ,�►-- � <br /> DATE LAST OPERATED? � -_�-� �� <br /> AIR� ---- - _�� LB5 V L5� A 1.85 � LBS <br /> PRESSURE BEFORE TEST � � -'-� �'" <br /> - --�WATER L.Bs I �.Bs I �e� LBs <br /> --- --��--- -t- ----a---- - <br /> SIZE AND LOCATION OF TEST VALVE e�/ (y� I _ <br /> WAS GATE VALVE BELOW DRY VALVE OPEN J�i } /� —� <br /> WIDE AT TEST? (IF NOTx HOW MANY TURNS?) IJV /I,�L __ � __..___ <br /> AIR PRESSURE � �BS �es �e5 LBS <br /> VALVE TRIPPED AT WATER PRESSURE LBS �Bs LBs �BS � <br /> TIME '�� MIN SEC MIN SEC MIN SEC MIN 9EC <br /> IF SYSTEM FLOODED, LIST T1ME WATER <br /> REACHED TEST OPEkING ' " MIN Q SEC MIN sEC Mlr� SEC MIN _ SE�C <br /> PERFORMANCE �C1� <br /> INTERIOROF BODY �� _ <br /> MOVING PARTS � __ <br /> VALVE CONDITION RU68ER FACING <br /> SEATS � <br /> RESET? �/ <br /> DID ALARMS OPERATE Al" TRIP TEST? �C� <br /> ALL LOW POINT DRAINS BLOWN OUTi ' /Z� <br /> WATER CONTRdL VALVE LEFT ��� <br /> OPEN AND SEALED? .. � . <br /> ALARM CONTROL VALVE LEFT {/ <br /> OPEN AND SEALED? / �� <br /> QUICK OPENING DEVICES SYSTEM NO. ( ) SYSTEM N0. ( ) SYSTEM NO. ( ) SYSTEM N0. ( ) <br /> DEVICE SERIAL NUMBER ��Q-� <br /> MANUFACTURER INAME) <br /> TYPE AND MODEL `- ' <br /> AIR PRESSURE IN URPER CHAMBER �B5 Les LBS LBS <br /> __ � - <br /> QUICK OPENING DEVICE TRIPPED AT sec �es sec �as sEc �es sEc �ee <br /> PERFORMl�NCE fJC'7 <br /> QUICK OPENING DEVICE LEFT IN SERVICE �� <br /> AND CONTRO� OPEN AND SEALED7 _ <br /> LIST ANY UNSATISFACTORY CONDITIONS: <br /> REMARKS: <br /> DIS7RIBUTIC�N: Whife to Owner - Canary & Pink to Appreving Agent - Gold to NaTional Fite <br /> ■ ENGINEERS i FABRICATORS ■ INSTALLERS 95 <br />