3025 RUCKER AVE TRASK SURGICAL CENTER 2018-01-01 MF Import

CONFIDENCE TESTING AUTOMATIC SPRINKLER SYSTEMS � � pDDRESS c� � OCCUPIED AS ^ �� `� BUILDINGOWNER s /�.1-' PHONE y7.T'3/)'��✓� ADDRESS CTfY Z� CODR DATE OF INSPECTION� D TYPE OF INSPECTION: ANNUAL OTEIER � TESTER'S NAME(PLEASE PRIlVT)1 b�� _SFP CER'fIFICATIbN NOS�oiUl DRY SYSTEM: I, ?. Trip test irip conducted:......................................... Yes IYf�o ❑ � ' Systcm tn'p� seconds. � � 2, All flow switches,supervisory switches �o❑ N/A ❑ ' And alarm bells tested: .................................................. es ' Static Pressure: 6 7 psi ' 3. Alara►bell operates:..................................................... Yes �No❑ N/A❑ t Yes E!' No� ; 4. Flowtestsconducted�................................................. ,f. Flow pressure:�_Psi ,� � � 2-inch drain7 ..............................................................Yes I�No❑ � _ ` ' S. Systems inspected end lubricated: ....................................Yes L�' No ❑ ' 6. Air compressor refills 3ystem in 30 minutes:..........................Yes I�No� 7, System drained and restoted to normal operation:....................Yes �1'No❑ 8. Were the heat actuation devices cested on ` Pre-action and deluge systems? ........................................Yes ❑ No ❑ N/A� WET SYSTEM: � � 1. Flow test conductgd: .......................................................Yes L�No ❑ E Static pressure: �A sl Flow pressure: si 2-inch drain7 Yes I� No ❑ Other ❑ ............................................................... 2. Flow switches, supervisory switches �No � N/A ❑ And alarm bells tested:..................................................Yes 3. Alarm bell operates: ..................:...:...:............................Yes i��'�I�o ❑ N/A ❑ 4. Systems inspected and lubricated: .......................................Yes L�No ❑ — / , ' S. Pressure regulating valves tested:....................................•.••Yes � No ❑ N/A I� (tumble) ; �-0 ��Z i (��9i)