HomeMy WebLinkAboutSprinkler Inspection Report
~UT~!S~2'
1301 L'ORlENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300 . (800)-229-6263
FAX: (651) 558-3310
SI-jEET 1 OF 2 . Use separate sheet for each building inspection
AGREEMENT & REPORT OF INSPECTION <:, ,\~ 7 7'
INSPECTION # ~ t- (!.-
MINNESOTA LICENSE NO. COOS
REPORT TO> (' IA..", '^ n \-
STREET \i_~11 D.. Ul"
CITY & STATL'::>' 0:../0
'Sl
g
w\-t " "'-I
,A"'f, S, [:
<:. <,_~ 11
l1U1LDING OR LOCATION E,L'~<A+' 0"
INSPECTOF V\^ ~\ (.
Z ;>6-0 s--"
'3:::.:..0<<
(~Pvt4r.-
V\l\vl
DATF
Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or
building, ,a,od prepare a written report of that inspection for an agreed upon fee. As part of this agreement, owner agrees to terms
and conditions on rear of form and will complete the Owner's Section of this document.
Owner's Section (To be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspectio" A )r:)'.1JC
B. Describe fire protection modifications made since last inspection.
J\j(l.J )r
C. Describe any fires since last inspection.
JLh.J jJJi-'
D. When was the syste,? piping last checked for s!oppage, co:rosion or foreign material? lA~1: < I !-).L
E. When was the dry-plpmg system last checked for proper pltch? /..; ~
F. Arc dry va~'~adequatej;, protected from fre~g'? ..A t'41
Signature~rJ"'{-- "'-f::rv--z:;'1~1'\. Title 10(\.,+0 r
('"
Inspector's Section (All responses reference current inspection)
1. General
a. Is the building occupied'tVYes No
b. Are all systems in service? Yes No
c. Does there appear to he a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? Yes
d. Does the valve hose on the sprinkler system(s) appear to be satisfactory? I Yes No. ~ NA
2. Control Valves (See Item 15.)
a. Do sprinkler system control valves appear to be in the appropriate open or closed position? l/Yes !
b. Are control valves in the open position lock~d, .sealed or equipped with a tamper SWih~h? ,.....-.yes
3. Water Supplies (See Item 16.)
a. Was a water flow test of main drain made at the sprinkler riser(s)? l,.yes
4. Tanks, Pumps, Fire Department Connections
a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? 1 Yes LJ No
b. Are fire department connections in Jiatisfactory condition, couplings free, caps in place, and check valves tight? r"Yes
Are they accessible and visible?Y"Yes ,___ No NA
5. Wet Systems
a. Are cold weather valves (OS & Y.) in the appropriate open or closed position? Yes
b. Have antifreeze system solutions been tested? i Yes No ~~A
c. Were the antifreeze test results satisfactory? Yes No /NA
d. In areas protected by wet system(s), does the building appear to be properly heated in all areas, incl1,Jding blind attics and perimeter areas
where accessible?hcs I I No 1 : NA Do all exterior openings appear to be protected against freezing? [/Yes No NA
ry System (See !terns J 1 to 13.)
a, valve(s) in service? i-' Yes I No I NA
b. Arc the all' p riming water levels in accordance with the manufacturer's instructions? 1 Yes
c, Has the operation of the air or nitrog~ll .~up , been tested? Yes 1 No 1 NA Are they in service?
d. Were all known low points drained during this inspe Yes No NA
e. Did quick-opening devices operate satisfactorily? _~~ Yes _I 0 NA
f. Did the dry valve(s) trip properly during the trip pressure test? 1__ Yes L.. No I _ NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection? i i Yes
7. ~tems (See Itern~4.) . .,
a. DId the aelU~L. "J!, 1"'_.~tlOn valves operate properly dunng testmg? n1 Yes [i Nol NA
b. Did the heat-responsive deVIces OpCldlL.1JJe'1'.~ during testing? -I Yes ~J No -l NA
c. Did supervisory devices operate during testing? 1 Yes _J No _n] NA
8. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? 1_. Yes [_ No ?r"NA
b. Did electric alarm(s) test satisfactory? 17Yes 1--- No 1--- NA
c. Did supervisory alarm service test satisfactory? t..-'fYes I' No 1 NA
9. Sprinklers
a. Do visible sprinklers appear to be free from corrosion, loading or obstruction to~ay discharge? KYes I I No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing); Yes I No
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) ,/Yes
d. Is stock of spare sprinklers available? In es 1 ,No
e. Does the exterior condition of sprinkler system appear to be satisfactory ? ~ Yes I. No
f. Do visible sprinklers appear to be of proper temperature rating for their locations? Y Yes
10. Explain any "No" answer and comments:
Date";>-d~~il)
NA =NOT APPLICABLE
No
No
No
No
~NA
! No 1
NA
No ......NA
1 No
~ Yes
iNA
I No
!NA
! No
!NA
No
N/A
No
Signature: I/lAQ,t7 G
({t
X-
Cj
Date'
2-l(y'(J'j-
~UT~!S~~
SHEET 2 OF 2 - Use separate sheet for each system inspection
Inspection Report
No. s.......7"':
1301 L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300 . (800)-229-6263
FAX: (651) 558-3310
System No. or Description if multiple
systems -Ci _ ,., . /~""' u ..t --.
11, Date dry-pi~ valve trip tested (control valve partially open) (See Trip Test Table which follows)
12. Date dry-pipe"Valve trip tested (control valve fully open) (See Trip Test Table which follows)
13. Date quick-opening...qe~ice tested (See Trip Test Table which follows)
~y VALVE TRIP TEST TABLE 0.0.0.
I MA'*. ""- MODEL I SERIAL NO. I MAKE I MODEL
14. Date.~ preaction valve tested
~
I~lion 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC
I Piping S~d DYES 0 NO l Detecting media supervised
I Does valve operate~ manual trip and/or remote control stations
IlsthereanaccessiblefacilitYin~circuitfortesting
o YES ~o
I -,....Qoes each circuit operate
MAKE MODEL I slJhwvislon loss alarm
I I Y~"'k NO
DRY PIPE
OPERATING
TEST
DELUGE &
PREACTION
VALVES
I Without
0.0.0.
I With
O.O.D.
Time to Trip ....... Water
Thru Test Pipe .......... Pressure
MIN. SEC, "-PSI
"-.
"
"
PSI
Air
Pressure
SERIAL NO.
Trip Point
Air Pressure
Time Water Reached
TestOullet
Alarm Operated
Properly
YES NO
PSt
MIN. SEC.
(See Trip Test Table which fotiows)
TRIP TEST TABLE
IS. See Control Valve Maintenance Table.
Control Valves
City Control Valves
Bvoass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
DYES
DYES
o NO
o NO
Method aftesting-circuits
Does each circuit
ooerate valve release
YES NO
Maximum time to
ooerate release
YES I
NO
Control Valve Maintenance Table
Number
Open
'f.
1,-,.1')'"[;,1..-
Secured
Type
f.Jll)
Closed
Explain
Abnormal
Condition
I r\"..,t;- 1. r ,.,~,.'"' ~J
+ <-, ,
~\~.u 1."<-' 1 (."'~ JJv '1- lL,1. n', f~ ~; "-,L.. I ,(
I I' f, \ , 1 ,1'/,) Ii_.
" _...~~ "
16, Water Flow Test at Sprinkler Riser
Water Supply Source: {; ,/'" ,. I "toG
Date'
Last Water Flow Test
This Water Flow Test
,x..ICity (J,
Test Pipe'
Location
J, l
2--('I'(i'i
7 7k-uC
,1. ,_
17. Explain any "No" answers and comments:
18. Adjustments or corrections made during this inspection'
Signs
J/! J
Tank
Size of
Test Pipe
~
Pump 4"-
Residual
(Flow)
Pressure
,'I
1'1
19. Although these comments are not the result of an engineering review, the following desirable improvements are recommended:
Signalure --A, r OJ) 0.
('7,
\ (,
(,)
Static
Pressure
7
?
'is 1
"",
Date:
/'--7;<-0\
~~~~~
1301 L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300. (800)-229-6263
FAX: (651) 558-3310
Report of Inspection
Additional Comments
SoB 7z-il
I '
lVee~s. /1 1&:\1,,,~d OrCa nTI 1-<'\T Vulve..
~UT~!S~~2'
1301 L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300 . (800)-229-6263
FAX: (651) 558-3310
SHEET 1 OF 2 . Use separate sheet for each building inspection
AGREEMENT & REPORT OF INSPECTION " . "'7. c-
INSPECTION # ..) 0 ? Z--'
MINNESOTA LICENSE NO. COOS
REPORT Tn Clk", \,., ,,(
STREET 1(,<,11 b,I,,~ \,
CITY & STAT" \--),., GJ L--~{,.
,,~
rIA, < l.,~, \
llUILDING OR LOCATION
....'-"1/1 .,,1,.,
U-ii-
~,.._-
V:\Jt
v\ll.
<~), t
SS::, ;-2
INSPECTOR IIV~ Ii\ {
nATF 2- / b ,_/
Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or
building, and prepare a written report of that inspection for an agreed upon fee. As part of this agreement, owner agrees to terms
and conditions 011 rear of form and will complete the Owner's Section of this document.
Owner's Section (To be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection: ;1..;,..; i'JL
B. Describe fire protection modifications made since last inspection. ,1._____,:.),0 C
C. Describe any fires since last inspection. . i . , A...;' (-
D. When was the systel!' piping last checked for s~oppage, co~osion or forei~n/ma.terial?f\ Ji~ u..:': <...---
E. When was the dry-plplllg system last checked for proper pitch? 1>.. i\
F. Are dry v,!lvs;) adeq~ately protected f~ freezing? _ A.. I 1"1
Signature ~-'- -:;J~-";:p-r _,(,J.~I Title. k", ~,,,..: Date,;?~;(X-D.!::J-
Inspector's Section (All responses reference current inspection)
I. General
a. Is the building occupied? I~s ' No
b. Are all systems in service? ,Yes 1 No
c. Does there appear to be a minimum of 18 in. (457 111m) clearance between the top of the storage and the sprinkler deflectors? ItrYes
d. Does the valve hose on the sprinkler system(S) appear to be satisfactory? 1 Yes 1 No. I-""'NA
2. Control Valves (See Item 15.)
a. Do sprinkler system control valves appear to be in the appropriate open or closed position? r-Yes
b. Are control valves in the open position locked, sealed or equipped with a tamper switch~Y es
3. Water Supplies (See Item 16.)
a. Was a water flow test of main drain made at the sprinkler riscr(s}? ~cs
4. Tanks, Pumps, Fire Department Connections
a. Are tire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? Yes 1 No
b. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight'?.....-t'Yes
Are they accessible and visible? nes No 1 NA
5. Wet Systems
a. Are cold weather valves (0.5. & Y.) in the appropriate open or dosed position?: Yes
b. Have antifreeze system solutions been tested? Yes 1 No .A"NA
c. Were the antifreeze test results satisfactory?; 1 Yes No ....-rNA
d. In areas protected by wet system(s), does the building appear to be properly heated in all areas, incll1ding blind attics and perimeter areas
where accessible? YYes ..1 No L_J NA Do all exterior openings appear to be protected against freezing?J.1' Yes 1 No I NA
stem (See Items II to 13.)
a. Are dry service? 1 Yes I No ! NA
h. Are the air pressures an levels in accordance with the manufacturer's instructions?' I Yes 1 I No 1
c. Has the operation of the air or nitrogen supp Ie. ') i Yes No 1 NA Are they in service? 1 Yes 1
d. Were all known low points drained during this inspection? 1 e. NA
e. Did quick-opening devices operate satisfactorily? 1 Yes No ' NA
f. Did the dry valve(s) trip properly during the trip pressure test? 1 Yes 1 No I NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection? i Yes
7. Special Systems (See Item 14.)
a. Did thea<;;.ub.... '" I'~~ . n valves operate properly during testing? I Yes
b. Did the heat-responsive devices Iv during testing? 1 Yes
c. Did supervisory devices operate during testing? 1 Yes I~ I NA
8. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? 1 Yes 1-- No -J,..W"A
b. Did electric alarm(s) test satisfactory? 1 ~es i No I I NA
c. Did supervisory alarm service test satisfactory? l,..Yes No
9. Sprinklers
a. Do visible sprinklers appear to be free from corrosion, loading or obstruction to spray discharge ?~ Yes I' No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing)""-Yes 1 No
c. Arc quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing)' I Yes
d. Is stock of spare sprinklers available? VY es No
e. Does the exterior condition of sprinkler system appear to be satisfactory ? ~Y es --] No
f. Do visible sprinklers appear to be of proper temperature rating for their ]ocations? r:! Yes --1 No
10. Explain any "No" answer and comments:
NA =NOT APPLICABLE
No
iNn
. No
No
...rN A
i No 1
NA
No -1'"NA
6.
NA
No
NA
No i
NA
No
No
INA
NA
NA
No I
N/A
Signature:
.\~o.
~
C----"
D<lte.
2 -I;Y. 6>)
@UT~~S~Kll~
1301 L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300 . (800)-229-6263
FAX: (651) 558-3310
SHEET 2 OF 2 - Use separate sheet for each system inspection
System No. or Description if multiple
systems
Inspection Report
No. V~j 1 c-
11. dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which follows)
12. Date dry-p alve trip tested (control valve fully open) (See Trip Test Table which follows)
13. Date quick-opening 'ce tested (See Trip Test Table which lollows)
DRY TRIP TEST TABLE 0.0.0.
MAKE . ~D~ SERIAL NO. I MAKE
Time to Trip Waler ~ir Trip Point
Thru Test Pipe Pressure Pr~ Air Pressure
MIN. SEC. P;31 PSi...... PSI
~
MODEL
SERIAL NO.
DRY PIPE
OPERATING
TEST
rime Water Reached
Test Outlet
MIN.
SEC.
AI,mnOperaled
Properly
YES ' NO
IWithOU.'
0,0.0
I With
0.0.0
---....
DELUGE &
PREACTION
VALVES
(See Trip Test Table which follows)
TRIP TEST TABLE
I Operation 0 PN~ 0 ELECTRIC 0 HYDRAULIC
L Piping Supervised 0 YES ~ NO I Detecting media supervised
r Does valve operate from the manual trip and/or rem~Jt8",.2ntrol stations
Is there an accessible facility in each circuit for testing ~_ I Method of teSling-circuits
DYES DNa -............
'Does each circuit operate ""l..Poes each circuit
MAKE MODEL ,;uoervision In,;s alarm I Obs(ale valve release
I YES I NO YES, NO
DYES DNO
DYES DNO
Maximum lime 10
oo~rat!'! release
YES NO
15. See Control Valve Maintenance Table.
Control Valve Maintenance Table
Control Valves
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchel1 Control Valves
Number
Type
Open
C./,
Secured
J,'~ j
Closed
Signs
lJr)
Explain
Abnormal
Condition
~J ;, ;
.,c, u
.......-<.
r (-)"-""",
7:.&.
Last Water Flow Test
, This Water Flow Test
16. Water Flow Test at Sprinkler Riser _ f'sJ
Water Supply Source: LJ I't!,.-..,., / }..J City {:'J.I
, Date I Test Pipe
Location
I 11...._
p.
--, - L.o (J t/
,. Tank fA Pumo 0;
Size of Static Residual
Test Pipe Pressure (Flow)
Pressure
,lLi v'-. <;u
Ii,', y:'; -})/
? ,;.. rJ c-
17. Explain any "No" answers and comments:
18. Adjustments or corrections made during this inspection'
19. Although these comments are not the result of an engineering review, the following desirable improvements are recommended:
Signature.
l~O1 n'd
Date:
7-/'Jf'r,
,~'
"
So R 72- c;:
~!.~!~.2'
Report of Inspection
Additional Comments
L - PCl"I\~~ l,,,,).'>
I t Sf' ':,
f:'( '''1;/' ~ Ii h ,^ (7UI1'-€. J&.cw1
v... co \ \" L\ ~e,,{-I-,.
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1301 L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300 . (800)-229-6263
FAX: (651) 558-3310
T.-, c () ,
,
~UT~!S~~
1301 L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300 . (800)-229-6263
FAX: (651) 558-3310
SHEET 1 OF 2 - Use separate sheet for each building inspection
MINNESOTA LICENSE NO. COOS
REPORT TO(l ku,{ h cJ'
STREET Ib'3l1 j)-,-Ivj "-
CITY & STATF .poi. ,__ t~ '"
AGREEMENT & REPORT OF INSPECTION S v 7l 3
INSPECTION # 00
st
\'-\U'
/A'I"
I,M ,-'"- ~
5. L
$ S:'7 2..-
BUILDING OR LOCATION fJItM",< L..
INSPECTOF /tl1 )4 (
DATF Z-z ;:r-c c;'
~",I<-'-
Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or
building. and prepare a written report of that inspection for an agreed upon fee. As part of this agreement, owner agrees to terms
and conditions on rear of form and will complete the Owner's Section of this document.
Owner's Section (To be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection' ,,\ Olll L-'
B. Describe fire protection modifications made since last inspection. Ii. hJ \JJ (-
C. Describe any fires since last inspection.
AJ {JJUt;;;
D. When WdS the system plpll1g last checked for stoppage. corrosion or fOrelgjlrlatenaJ? IIjl;: L.Il."... r-
E. When was the dry-plpll1g system last checked tor proper pitch) )...- I}
F. Are dr) vahes adequately protected from freezmg" A. f '
Slgnatur(>~~ ::+"""L __ ~ Title ,; -~ .......J.. _~.,.-
~ "~ /
Inspector's Section (All responses ret:rence current inspection)
1. General
a. Is the building occupied? l-('Yes I No
b. Are all systems in service? (Yes I No
c. Does there appear to be a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? ~Yes
d. Does the valve hose on the sprinkler system(s) appear to be satisfactory? 1 Yes I No. _"11~"A
2. Control Valves (See Item 15.)
a. Do sprinkler system control valves appear to be in the appropriate open or closed position? ,__~es
b. Arc control valves in the open position locked. sealed or equipped with a~mp~witch? LYes
3. Water Supplies (See Item 16.)
a. Was a water flow tcst of main drain made at the sprinkler riser(s)? IAes
4. Tanks. Pumps, Fire Department Connections
a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? I Yes . I No 4JA
h. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? ....-ryes
Are they accessihle and visible? I..-rYes No I NA
5. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? 1 Yes
b. Have antifreeze system solutions been tested? ~ Yes -, No ;\fA
c. Were the antifreeze test results satisfactory? Yes XNo I NA
d. In areas protected by wet system(s), does the building appear to be properly heated in all areas, inc11.!ding blind attics and perimeter areas
where accessible? ;j'Yes] No '--I NA Do all exterior openings appear to be protected against freezing'VYes L No I NA
Svstem (See Items II to 13.)
a. Are" in service? 1 Yes 1 No I NA
h. Are the air pressures < water levels in accordance with the manufacturer's instructions? r Yes I i No 1 1 NA
c. Has the operation of the air or nitro lies been tested? i Yes No I NA Are they in service? I Yes I No 1 i NA
d. Were all known low points drained during t ection? Yes I No I NA
e. Did quick-opening devices operate satisfactorily? I Yes I No ~ NA
f. Did the dry valve(s) trip properly during the trip pressure test? I Yes _ No NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection?' I Yes ! 1 No
7. ~l Systems (See Item 14.)
a. Did the ucluo w;. nr,"'-action valves operate properly during testing? 1 Yes
b. Did the heat-responsive devl ate properly during testing? rYes
c. Did supervisory devices operate durin esting?-l Yes I-j No !_ NA
8. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? I Yes i' No d"NA
b. Did electric alarm(s) test satisfactory? !/'Yes 1-- No 1 _ NA
c. Did supervisory alarm service test satisfactdry? I~Yes [" No
9. Sprinklers
a. Do visible sprinklers appear to be free from corrosion. loading or obstruction to sway discharge ?P(Yes IJ No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) iI1"Yes L_J No
c. Are quick response and residential sprinklers less than 20 years old? (O]der sprinklers require sample testing) I i Yes ! I No I I N/A
d. Is stock of spare sprinklers available? -~es I No ~
e. Does the exterior condition of sprinkler system appear to be satisfactory? _' Yes : No
f. Do visible sprinklers appear to be of proper temperature rating for their locations? ~ Yes
10. Explain any "No" answer and comments:
Dale .J ...J X' - /' ,...
- '"
NA =NOT APPLICABLE
, No
I No
No
No
No
'NA
INo ""'-NA
6.
INA
I No -! NA
No ::- NA
NA
I No
Signature: IJ'.\. 1O 0
~-
Date:
Z 7 :t-Ol
@UT~!S~~
DOl L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300 . (800)-229-6263
FAX: (651) 558-3310
SHEET 2 OF 2 - Use separate sheet for each system inspection
11. Date dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which follows)
12. Date dry-pipe valve trip tested (control valve fully open) (See Trip Test Table which follows)
13. Date quick-opening device tested (See Trip Test Table which follows)
DRY VALVE TRIP TEST TABLE Q.O.o.
---::E MODEL I SERIAL NO. I MAKE
I Time ~ Water -L Air Trip Point Time Water Reached
Thru Test Pipe ~ pres~ure Air Pressure Test Outlet
MIN. SEC. PSI _ PSI PSI MIN. SEC.
Inspection Report
No. ~i JV'" 7 -<
"1
I
DRY PIPE
OPERATING
TEST
System No. or Description if multiple
systems -tl-i..".. L
MODEL
SERIAL NO.
Alarm Operated
Properly
YES NO
IWithOU.'
0,0.0
I With
Q.O.D.
--- ----
~-
14. Date deluge or preaction valve tested
DELUGE &
PREACTION
VALVES
(See Trip Test Table which fOllOWS)
TRIP TEST TABLE
Oper~ 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC
Piping Supervised~ 0 NO I DetectinQ media supervised
Does valve operate from the ma~~or remote control stations
IsthereanacceSSiblefaCilityineaChcircu~fort~
DYES 0 NO ---....._,.
Does each circuit operate
supervisinn In"" "IIHm
YES I NO
DYES
DYES
o NO
o NO
. Method of testing-circuits
MAKE
Does each circuit
nm'm'..v"lv.....I..""..
Maximum time to
nn...,,'.. ...1.."_,,..
-YES
MODEL
YES
NO
NO
15. See Control Valve Maintenance Table.
Control Valves
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Control Valve Maintenance Table
Number
Explain
Abnormal
Condition
Type
Open
Secured
Closed
Signs
I
I
~':Z C l )
,\, ~ ^
,
J :"_/
..
,~
Y_-:,
v:; "
L ",,..'J.
Kitchen Control Valves \
16. Water Flow Test at Sprinkler Riser
Water Supply Source: I. ;"" . . ,(;'-IVJ' "City ~/__
Date Test PIpe
Location
Last Water Flow Test
This Water Flow Test
),;.~. rl'l
J ,~ ie, ~ Tank //J Pump '<
Size of Static Residual
Test Pipe Pressure (Flow)
Pressure
lit" qO ~\'
" >eX- 87
Z ? ~dJ'
1'1.
f
,~
17. Explain any "No" answers and comments.
18. Adjustments or corrections made during this inspection.
19. Although these comments are not the result of an engineering review. the following desirable improvements are recommended:
SignatucP.
llA tJ o.
>Z
V
Date:
",}-)?r-G-S'
~~!s~.2
1301 L'ORIENT STREET
ST. PAUL, MINNESOTA 55117
(651) 558-3300. (800)-229-6263
FAX: (651) 558-3310
Report of Inspection
Additional Comments
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