HomeMy WebLinkAbout2011-06-08 Viking Automatic Sprinkler Letter Forwarding Fire Pump Test Reports , .
FIRE PUMP TEST REPORT JOB#
VI kll N 0 Viking Automatic Sprinkler Co. INSPECTOR
301 York Ave, St. Paul, MN 55130
FAX:
GENERAL INFO PUMP INFO DRIVER INFO
Name: A.S. KING PLANT Serial #: Manufacturer:
Address:1103 KING PLANT RD Manufacturer: ITT-AC Type:
City: BAYPORT, MN Type: Power:
GPM: 1000 Engine Hours:
Inspector: MIKE CRUZ Pressure: 70 Gear Ratio:
Date: 6-8-11 RPM: 3550 Pump On:
Jockey On:
Jockey Off:
Rating: �O0 70;
RPM: :3550
Chum: 0 gpm 85.4 psi
TEST RESULT PASSED Rated 1000 gpm 70 psi
150% 1500 gpm 45.5 psi
. ': :- ., .
ii....
, . .
aura 00 vca ll. 84 iiiiii 0.975 1"b' Briliartiireali;` 0 0 0 0 0 0 0 0 0 83 .
Ee:2, 476,4 miximism 0.975 -0,..,.. Eat ,i.0. -._ 12 ..,-. 1 E.,,z1 am 0 0 0 0 0 0 0 0 0 83
°'3556 IIIMEEIM 61 RE] 0.975 EsE30:102mrsi 504 504 0 0 0 0 0 1,008 1,006 61
- 2554 - Eali J, 0,5 : rEiffiej 0.975 Ess t 32. ',, Ej sai i , ..o- .--" EA pai 504 504 504 0 0 0 0 1,512 1,510 47
-- -1
Pump Curves
00
CO
CO —
40 ' ■
3 • _, _____ , —
I 1 I ■
I I
-------- ----
0 .
-200 0 200 400 600 800 1000 1200 1400 1600
GPM
•III•Pump Rating , -0—Pump Test
_I
Rev 2-1 -1 1
,..
301 YORK AVENUE
Aril *ILI INI 0 ST. PAUL, MINNESOTA 55130
73 -4 C SPRINKLER CO. (651) 558-3300 • (800) 229-6263 .1
, r
Setting The Standard... Fax (651)558-3310
NAME `A C. 4 ( ik . •N LOCATION 12K-1 la,. / Lail q Pc, ii BY Iv\ AC DATE 68 I' -
SYSTEMS INVOLVED
WATER SUPPLY
WITNESS BY
Suction Disch Net R.P.M. Volts/ Nozzle TOTAL
Press Press Press Amps Size I l'i i` P k i 17 ki / / / / Disch.
( iS & 44 Pitot cb
C" 9z.. r 6 8(1 35i(i , I'' Li GPM di
(S-4 tit
, VS 46 Pilot 34 3
I k) 4/ - lb i3 4 i 3s G fis'i L + GPM/ _cog ,
I Do 8
0
rio ' iti S 4 1
Pito t 3 Z 7 3 ? 3 L-
es 1-rz. L i ? 555 tos'/ 6g GPM S) i 0 q S&/
7 ICI
,,, Z pita 3 z •
C L Ptiti4' Gpms I/
Pitot
GPM '
Pitot
• GPM
PUMP SPECIFICATIONS MOTOR SPECIFICATIONS
MFR 1 1 1 - (V H.P. So Rpm 3s4
TYPE Ce s , t GPM I (x)0 y s
k 3' ° PH J CYCL VOLTS •
HEAD Ft 11, PSI 1 0 0 IQ- 1
tommENTs . 0'4 - 0 i ? 5 '' ("1 — 01/
t ..., 4.
•
FIRE PUMP TEST REPORT JOB#
C t, kI N` Viking Automatic Sprinkler Co. INSPECTOR
n urawicaPIwn.ERCO. 301 York Ave, St. Paul, MN 55130
FAX:
GENERAL INFO PUMP INFO DRIVER INFO
Name: A.S. KING PLANT Serial #: Manufacturer:
Address:1103 KING PLANT RD Manufacturer: FAIRBANKS Type:
City: BAYPORT, MN Type: Power:
GPM: 2500 Engine Hours:
Inspector: MIKE CRUZ Pressure: 131 Gear Ratio:
Date: 6 -8 -11 RPM: 1770 Pump On:
Jockey On:
Jockey Off:
Rating: o o - 4131,.
RPM: ' ro
Chum: 0 gpm 160 psi
TEST RESULT PASSED Rated: 2500 gpm 131 psi
150 %: 3750 gpm 85.2 psi
1781,. iM ° ' 0.906 .':Q 4 4 T 1 ll - 41" i . 0 0 0 0 0 0 0 0 0 176
1781 `179'1 0. 178 2.5 0 . 9 0 6 c "" t; , 0 0 0 0 0 0 0 0 0 176
dive
1788:• x123. : 123 2.5 0.906 =!4- " . �° m pQ s` 632 632 632 632 0 0 0 2,528 2,534 124
17 93 40' 93 2.5 0.906 '14 "`14 ;i ,.
.._ .,,t.fi r * ,.1. -' . 632 632 632 632 632 832 0 3,792 3,820 94
Pump Curves
200
180 - __ __`_ ... - -._. __-__. _
120
E 100 _
■ t
80— _...: _
60 I
0 1
-500 0 500 1000 1500 2000 2500 3000 3500 4000 4500
GPM
L.- Pump Rating —e— Pump Test
Rev 2 -1 -11
V _
301 YORK AVENUE .
1 ST. PAUL, MINNESOTA 55130
A UTCMAATIC SPRINKLER CO. (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax (651)558- 3310
NAME )(LI 6 - k . ,, LOCATION BY Wit- DATE & . 8 it
SYSTEMS INVOLVED
WATER SUPPLY
WITNESS BY
Suction Disch Net R.P.M. Volts/ Nozzle
TOTAL
Press Press Press Amps Size 2 f 2 �' 2' t 2 t 2' 'L ii / Disch.
Pitot 0 E..
CV— 6 i 13 ,ribt GPM C 0
. ,
Pitot 1 R! 1 i L i 1 LI
ko f) 11.:1 12 3 116 GPM6 f
GCE b 3 t 6 3i ZSLI
roc 1(I 1`1 1 I 1c IV 14/
1 4 Ck 93 c13 13-Si GPM6 631 43/ 631 63' Gat
4 Pitot
GPM .
Pitot
GPM
Pitot
• GPM
PUMP SPECIFICATIONS MOTOR SPECIFICATIONS
MFR C'. - nes - 1�'�o.s c H.P. 3'00 RPM 1 lbo
TYPE 00, L GPM 2w PH -"' CYCL j VOLTS —
HEAD FT. PSI 131 c.% I
COMMENTS: SO 1 011 ° 13
4
k
1
301 York Ave
V Mt, St. Paul, Minnesota 55130
CO.
(651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems 'T }/ 7 - (hie Cu ll,l-----
Inspection Report ( J, 1 T(--t i-. l
No. -23001
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) A - y- f (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.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
t-0 U.' 1 F 4 WOO Z'1A?iv V. •I&. 46 --7 i 2c.)(/Z.
DRY PIPE Time to Trip Water Aix Trip Point Time Water Reached Alarm Operated
OPERATING Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D
With , t
Q.O.D C, t V
14 Date d e l u g e o r p r e a c t i o n v a l v e tested A - 5- I f (See Trip Test Table which follows)
7 • n514- TRIP TEST TABLE
Operation ❑ PNEUMATIC w tECTRIC ❑ HYDRAULIC
Piping Supervised ❑ YES a.NO Detecting Media Supervised BYES ❑ NO
DELUGE & Does valve operate from the manual trip and /or remote control stations AYES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing DES ❑ NO (Method of Testing Circuits f — // /+q )
VALVES
Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES NO YES NO
A /I A..1 i t IR` c a.-� ),` Y - I
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open
Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
1 Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
j 18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional items fo d during the co of the inspection (only attached if applicable).
Inspector's Signature: G ' Date: 6 - - f,
•
Inspection Form P2 1-24-11 -
i
301 York Ave
v, alma' St. Paul, Minnesota 55130
ANIOSIAlle SPRINKLER CO (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems UA I. v c tlocx
Inspection Report To c, el S (-- l`I*G ere ' "K
No. Zit /t
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) 6 - _ it (See Trip Test Table which follows)
13 Date quick - opening device tested ( ee Trip Test Table which follows)
2' ' DRY VALVE l 9 o TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
NIA 4- S ! -
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
�,v .O. /00 9 Z 2 7_ II-
Q.O.D
14 Date deluge or preaction valve tested (See Trip Test Table which follows)
TRIP TEST TABLE
��_Operation ❑ PNEUMATIC ❑ ELECTRIC o HYDRAULIC '
Pippin 9n ised ❑ YES ❑ NO (Detecting Media Supervised a YES ❑ NO
DELUGE & Does valve operate manual trip and /or remote control stations a YES ❑ NO
PREACTION Is there an accessible facility in e�3Lfrd "t for testing ❑ YES ❑ NO (Method of Testing Circuits
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL ' ion loss alarm operate valve release operate release
YES YES f NO YES NO
I
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves % Ce y V /lh,
System Control Valves 7 l 'V Cif Z- JLt)
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
I Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional items found during the course of the inspection (only attached if applicable).
Inspector's Signature: Date:
Inspection Form P2 1-24-11
it
301 York Ave
v, Bt. N a St. Paul, Minnesota 55130
AUTOMOmC tlpHOOC flR CO. (651) 558 -3300 • (800) 229 -6263
Suing The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems YiA RI) - Sw,'-i (.(-, (i ( A/l
Inspection Report T U. I
No. 130/ c ri
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) 6 - i (See Trip Test Table which follows)
13 Date quick - opening device tested ( Trip Test Table which follows)
LI " DRY VALVE 1115 TRIP TEST TABLE Q.O.D.
L _ Z MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D /3 /3 I C7 y I I d -1 6
1
With ,
Q.O.D I
14 Date deluge or preaction valve tested (See Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC
Piping Supervised ❑ YES ❑ NO (Detecting Media Supervised ❑ YES ❑ NO
DELUGE & Does valve operate from the manual trip and /or remote control stations ❑ YES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO (Method of Testing Circuits
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES NO YES NO
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves I ` r Y
System Control Valves t/ S
Other Control Valves j N R. S ; S )uSC l°c.7j1. l: C TGt2
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional items found during the urse of the inspection (only attached if applicable).
Inspector's Signature: 0 , L Date: 6-4 1
Inspection Form F21 -24-11
301 York Ave
v ito N co St. Paul, Minnesota 55130
AUTOMATIC SPwNICUMCO. (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 -3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems
Inspection Report
No. zit)/ fn
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) G . I/ (See Trip Test Table which follows)
13 Date quick - opening device tested (See Trip Test Table which follows)
y" DRY VALVE E�/(j TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
1Qrft�Mi. c 3'l I ESetsdsVl- -----
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without ��//,� OC.�
Q.O.D 0 Z2 ds S2 Zr) (Z) "et
1r 0 With
Q .O.D ....... ..""' ..
14 Date deluge or preaction valve tested (See Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC
Piping Supervised ❑ YES ❑ NO (Detecting Media Supervised ❑ YES ❑ NO { i
DELUGE & Does valve operate from the manual trip and /or remote control stations ❑ YES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO (Method of Testing Circuits
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES I NO YES I NO YES I NO
15 See Control Valve Maintenance Table -
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non-Inspection Related Deficiencies
form for additional items found during the of the inspection (only attached if applicable).
Inspector's Signature: \ , / . Date: (7 '7 - j' 1
Inspection Form P21 -2411
301 York Ave
v■ P t, N CS St. Paul, Minnesota 55130
AUTOMATIC tlM CO. (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems
Inspection Report N c 0 S I
No. 23(.491-
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.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D
With
Q.O.D
14 Date deluge or ',reaction valve tested 4-q- I ( (See Trip Test Table which follows)
Z V t? ( j "Z S iJ 00N-) TRIP TEST TABLE uJ !: 1 ra t: U '.
Operation Aftwraunc ❑ ELECTRIC OHYDRAULIC
Piping Supervised AXES ❑ NO 'Detecting Media Supervised DOES ❑ NO
DELUGE & Does valve operate from the manual trip and /or remote control stations ❑ YES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO 'Method of Testing Circuits Lo s3 Ai,"
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision Loss alarm operate valve release operate release
Al C YES I NO YES I NO YES NO
cv. P - x 01- u: k,.• I- - 3 ). k 'Sr .
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves .
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of gineering review, please see the attached Non- Inspection Related Deficiencies
form for additional i fo the co of the inspection (only attached if applicable).
Inspector's Signature: Date: 6 - - //
Inspection Form P21 -24-11
301 York Ave
v ,, N Q St. Paul, Minnesota 55130
AUTOMMIC Spp NICLO ! CO. (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems
Inspection Report . r.-.4 • c, ,' if
No. Z301 3'
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.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D
With
Q.O.D
14 Date deluge or preaction valve tested 4 9 1 I (See Trip Test Table which follows)
y 7 00 TRIP TEST TABLE
- 1, 1 Operation porfIEUMATIC ❑ ELECTRIC ❑ HYDRAULIC
�� 1( I 1 1 Piping Supervised profES ❑ NO !Detecting Media Supervised geig ❑ NO
,4 DELUGE & Does valve operate from the manual trip and /or remote control stations gXES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing pr4FS ❑ NO !Method of Testing Circuits L. b A - A 1
VALVES Does each circuit operate Does each circuit um time to
P p • 0 MAKE MODEL supervision loss alarm operate valve release operate release
c <� YES NO YES NO YES NO
C U k,'-, F 1 ,( x 1
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional items found during the course of the inspection (only attached if applicable).
Inspector's Signature: Date: 6- e 1 1
Inspection Form P2 1
301 York Ave
v■ .t, N`a St. Paul, Minnesota 55130
AUTOIL 1C alts CO. (651) 558 -3300 • (800) 229 -6263
Settlug The Standard... - Tax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
,,, systems j . N. S` t",,r► ue l T. 3
Inspection Report
No. 7 30 0-)
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) 6,- !v . / 1 (See Trip Test Table which follows)
13 Date quick - opening device tested (See Trip Test Table which follows)
( 6 DRY VALVE TRIP TEST TABLE Q.O.D.
1 .) C MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
U, k.. f i t), - !3 - ?
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
�CL-. Nu7 Q.O.D
F ' n S CL1A CC with 0 • • .
Q.O.D ...... / 1 0 6 ii t) t 8' -----
14 Date deluge or preaction valve tested : (--/(). i I (See Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ PNEUMATIC crEEECTRIC o HYDRAULIC
Piping Supervised ❑ YES 40)10 (Detecting Media Supervised oolES o NO
DELUGE & Does valve operate from the manual trip and /or remote control stations g• o.'l ES o NO
PREACTION Is there an accessible facility in each circuit forating goVES ❑ NO (Method of Testing Circuits 1 - t..l ►A lD
VALVES k Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES NO YES • • NO
Cr,. at it l A- L ): X I I 's
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
&Plain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non- Inspection Related Deficiencies
form for additional items found during the course of the inspection (only attached if applicable).
Inspector's Signature: Date:
Inspection Fomi,P2 - 24 - 11
a
s'
301 York Ave
y■ a t, N a St. Paul, Minnesota 55130
AUTOMATIC SPIIIIIKUIR CO. (651) 558 - 3300 • (800) 229 - 6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each systeut inspected System No. or Description if multiple
systems to 3 Ji
Inspection Report 1 . it 7 S. T‘.14.... (
No. Z7O j>fl-
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) 6 - q - f' (See Trip Test Table which follows)
13 Date quick - opening device tested (See Trip Test Table which follows)
9 ' DRY VALVE 1 1133 TRIP TEST TABLE Q.O.D.
L J- L i V MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
r1,, - N4 d ,,` - 3 , 1 AScxS 6 3
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D (b lib l v 3 '5" 1 g 360. by ‘1--
With
Q.O.D 1
14 Date deluge or preaction valve tested b -9- 1 / (See Trip Test Table which follows)
Z 'z ? t Xf SA) j Ply TRW TEST TABLE
Operation ❑ PNEUMATIC ❑erLECTRIC ❑ HYDRAULIC
Piping Supervised ❑ YES uoNO (Detecting Media Supervised W ❑ NO
DELUGE dr Does valve operate from the manual trip and /or remote control stations erYES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO (Method of Testing Circuits / - /14
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES
't t . IN a I NO YES NO
•
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE .1
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
, Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City / Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
L AS r\ CC . ,pan (40
19 Although the comments are not the result of an engineering review, please see the attached Non-,Inspection Related Deficiencies
form for additional items fo d during the course f the inspection (only attached if applicable).
� L
\\„.Z Inspector's Signature: l� L/
� Inspection Fort P21 -24-11
301 York Ave 1
v, rt, N� St. Paul, Minnesota 55130
AUTOMAI1C SPw.tast CO. (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple 0
systems (ku hH( (Z To ( :(a 4L .
Inspection Report V\ k
No. 7J Jf f
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) A - c' i (See Trip Test Table which follows)
13 Date quick - opening device tested ( Trip Test Table which follows)
6 DRY VALVE 0,dikrrtizi e tCu C TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
flat I . 1 . , I F 0 3(R 3 - ---• -- _
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without l Z Z L -
Q.O.D � / Z f
With
Q.O.D ..
14 Date deluge or preaction valve tested 6 - 9 - 1 r (See Trip Test Table which follows)
2 ' ft 7 (...)4)t St.) i g v 0 t TRIP TEST TABLE
Operation ❑ PNEUMATIC neLECTRIC o HYDRAULIC
Piping Supervised ❑ YES q•NO !Detecting Media Supervised a l'ES o NO
DELUGE Sr Does valve operate from the manual trip and /or remote control stations ES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing o YES ❑ NO !Method of Testing Circuits l - H A Q
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES NO YES NO
M. r.014 ' X
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE '-
Explain
Abnormal
Control Valves Number Type Open Secured Clued Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test .
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional items found during the course of the inspection (only attached if applicable).
Inspector's Signature: Date:
Inspection Form P2 1-24-11
301 York Ave .
V ■ Bt, N a St. Paul, Minnesota 55130
AUTOMATIC ER CO. (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems
Inspection Report
No. /$)
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.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D
With
Q.O.D
14 Date deluge or preaction valve tested 6-10-11 (See Trip Test Table which follows)
TRIP TEST TABLE
Operation ci IEUMATIC ❑ ELECTRIC ❑ HYDRAULIC
AAA 9C Piping Supervised orf ES ❑ NO (Detecting Media Supervised poYESS ❑ NO
DELUGE & Does valve operate from the manual trip and /or remote control stations p►YES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing UXES ❑ NO (Method of Testing Circuits L oss , 'r
VALVES ‘ Does each circuit operate Does each circuit Maximum time to
N ,' — Lir MAKE MODEL supervision loss alarm operate valve release operate release
L 0 - -35 YES I NO YES I NO YES I NO
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non- Inspection Related Deficiencies
form for additional items found during the aµroe of the inspection (only attached if applicable).
r � I
Inspector's Signature: , Date: G -/ c.) - /
Inspection Form P21 -24-11
301 York Ave
v■ 1411141131 St. Paul, Minnesota 55130
AUTOMATIC wee CO. (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems 7, if 2
Inspection Report is .., /• au Si-t t r2 - 4tA. T /"UL C C c/
No. 7,30 }
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) (, . 4- a (See Trip Test Table which follows)
13 Date quick - opening device tested (See Trip Test Table which follows)
Z t'L DRY VALVE '°I C TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
t ().3 W 0 y I vS y Z -z_`r a 1 7
Q.O.D _
14 Date deluge or preaction valve tested L - C - ) f (See Trip Test Table which follows)
y 1 ` , & t i TRIP TEST TABLE
Operation ❑ PNEUMATIC goLIECTRIC ❑ HYDRAULIC
Piping Supervised ❑ YES cro14O (Detecting Media Supervised oefES ❑ NO
DELUGE & Does valve operate from the manual trip and /or remote control stations geYES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO (Method of Testing Circuits ) - If ►4 p
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES I NO YES NO
6.•,/ 'Pt li V.. Y Y
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Pump
, Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
i
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional items and during the urse of the inspection (only attached if applicable).
Inspector's Signature: �� 1 Date: 69 -
Inspection Form P2 1-24-11
301 York Ave
... st■ N c3 St. Paul, Minnesota 55130
AUTOMATIC SPtiOtLIR CO. (651) 558 -3300 • (800) 229-6263
Setting The Standard... - Fax: (651) 558
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems A sN - t3y
Inspection Report 0 R tr — 7 A■cid P At(-id T PC:
Z3018
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) 6-I" (See Trip Test Table which follows)
13 Date quick - opening device tested (See Trip Test Table which follows)
is DRY VALVE zau6 TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
Ui t l
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without I° 5 3 6 I C.31.4.: G.
U
Q.O.D
With
Q.O.D 1
14 Date deluge or preaction valve tested (See Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC
Piping Supervised ❑ YES ❑ NO (Detecting Media Supervised ❑ YES ❑ NO
DELUGE & Does valve operate from the manual trip and /or remote control stations ❑ YES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO Method of Testing Circuits
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES I NO YES I NO
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE I
Expo
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
, Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser `
Water Supply Source: City Tank Pump
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test 1
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional items found during the course of the inspection (only attached if applicable).
Inspector's Signature: Date:
Inspection Form P2 1-24-11
301 York Ave
V■ et. NW St. Paul, Minnesota 55130
MUt N 11C SPRINKLER CM (651) 558 -3300 • (800) 229-6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems
Inspection Report )C co I? -P4
4
No. Zit? /f'
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 TRW TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D
With
Q.O.D
14 Date deluge or Reaction valve tested (See Trip Test Table which follows)
ri - 62- L 2 U() 6 TRIP TEST TABLE
Operation t .Pi iEUMATIC o ELECTRIC ❑ HYDRAULIC
L v - 31. Piping Supervised p/4ES o NO (Detecting Media Supervised ar'rES o NO
DELUGE & Does valve operate from the manual trip and /or remote control stations d4ES o NO
PREACTION Is there an accessible facility in each circuit for testing oorES ❑ NO (Method of Testing Circuits /..c, is A--
VALVES - Does each circuit operate Does each circuit Maximum time to
S MAKE MODEL supervision loss alarm operate valve release operate release
YES NO 'YES NO YES NO
V, fc. t= t I I
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Expo
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Puau>
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional items found during the course of the inspection (only attached if applicable).
Inspector's Signature: Date:
Inspection Foam P2 1-24-11
4* Addle
301 York Ave
v. all N a St. Paul, Minnesota 55130
AUTOMATIC SPIVIOCUIR CO. (651) 558 -3300 • (800) 229 -6263
Setting The Standard... Fax: (651) 558 - 3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems
Inspection Report -'( ti (c /(Pc
No. 7,3
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.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without
Q.O.D
With
Q.O.D
14 Date deluge or preaction valve tested 6 _ t o. / 1 (See Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ PNEUMATIC attfCTRIC ❑ HYDRAULIC
Piping Supervised ❑ YES 'Detecting Media Supervised SXES ❑ NO
DELUGE & Does valve operate from the manual trip and /or remote control stations p04/ES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO 'Method of Testing Circuits h - H !1
VALVES Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES I NO YES NO YES NO
is •, .• - 4 i u cloud, X Y °
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Expo
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
Water Supply Source: City Tank Ptnnp
Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or correction made during this inspection:
5(429(—‘ Z IOC t 1/4.)6(1n.
19 Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additio items found uring th co of the inspection (only attached if applicable).
Inspector's Signature: / Date: (j - /
Inspection Pam P21 -24-11
301 York Ave
v , 'times
. St. Paul, Minnesota 55130
AUTOMATIC SPirNKIERCp, (651) 558 -3300 • (800) 229 -6263 re Setting Whe Standard... Fax: (651) 558 -3310
SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple
systems )to v' Pt 1 c &r
Inspection Report ( ,
No. 23018 4 , .
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) - i (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.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
1.);14•``) F. t U; k..'y 0 - I
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
TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO
Without 1
Q.O.D
With j �
Q.O.D r I f S tg' Li
14 Date deluge or preaction valve tested L - / (j / 1 (See Trip Test Table which follows)
LJ ' 118 S V TRIP TEST TABLE
Operation ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC
Piping Supervised ❑ YES ❑ NO (Detecting Media Supervised ❑ YES ❑ NO
DELUGE & Does valve operate from the manual trip and /or remote control stations #, ❑ YES ❑ NO
PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO (Method of Testing Circuits
VALVES N Does each circuit operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
idlidlidlial , 11
15 See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
Abnormal
, Control Valves Number Type Open Secured Closed Signs Condiii
City Control Valves
Bypass Valves
Tank Control Valves
Pump Control Valves '
Sectional Control Valves
S Control Valves
s ''. Other Control Valves
Kitchen Control Valves
16 Water Flow Test at Sprinkler Riser
I, *°'t Water Supply Source: City Tank Pump
.1 Residual
Test Pipe Size of Static (Flow)
Date Location Test Pipe Pressure Pressure
Last Water Flow Test
This Water Flow Test
17 Explain any "No" answers and comments:
18 Adjustments or corrections made during this inspection:
19 - Although the comments are not the result of an engineering review, please see the attached Non - Inspection Related Deficiencies
form for additional iteq s found during the co • • e inspection (only attached if applicable).
Inspector's Signature: , , , Date: 6 -/0-ii
Inspection Form P2 1-24-11