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O1/22/2009 14:02 F.aS 425ia1."500 \ITROS INC �002 <br /> :. � <br /> . ':N,tr�x�nG • h7edicnl Gases • Medical Gas Line Verificatior.: • Analgesia Equipment <br /> �** DENTAL AIR AND VACUUM VER[FICATION �"*" <br /> 22 JANUARY 2009 <br /> I <br /> CONTRACTOR; Dr. GHORBANI <br /> DATES AND TIMES OF TESTING: 13 JANUARI' 2009/ 1315hrs <br /> 20 JANUARY 2009/ 1300hrs <br /> 21 JANUARY 2009/ 0900hrs <br /> FACILITY: Dr. HAMID GHORBANI, I�P.�D <br /> SLTNRISE DENTAL <br /> 11 l S.E. EVERFT7 MALL WAY <br /> EVEREI"I', WA. <br /> SCOPE OF �VORK: DLNTAL AiR AND VACWM SYSTEMS <br /> I. GENERAL FINDINGS� � <br /> A. DENTAL AIR AND VACWM ARE IN COMPLiANCE \yITH NFPA 99 i <br /> (2005ed.) LEVEL 3, DENTAL � <br /> li. NO CROSSED LiNES \'VERE FOUND IN DENTAL AIR OR VACUUM <br /> [I�T 7"ES"T'ED PR�AS ON TI�E DAY OF TESTING. <br /> C. DENTAL ATR MEETS OXYGLA' CONCENTRATION. <br /> D. DENTAL AIR MBETS FLOW ANA PRESSURE REQUIREMENTS. <br /> G. DENTAL VACUUM, MEETS VACUUb; i,EVEL AND FLOW <br /> REQUIREIvf�NTS. <br /> P. DENTAL AIR AW VACWM SYSTEM COMPONE��TS 'V ,SREA TESTED <br /> ARE IN COIv1PL1ANCE WITH I�FPA 99 (2005ed.). 'L�iVEL#3 ` �See Note) <br /> G. LINE PRCSSURE TLST FOR 2A HOIJRS: PASS <br /> CITY EVERETT: #OStO-005 <br /> GHORBAN[-01J3.09 Pg 1 of 3 <br /> � `� 2706 164�h Street S.W., Lynnwood, wA 98087 <br /> (425) 741-8807 • 1-&00•736-7047 • Fax� (425) 741•2500 <br /> l <br /> �' � <br />