Page 104 - Med Plaza and Cancer Center
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ZONE VALVE/ AREA ALARM / OUTLET PERFORMANCE/GAS CONCENTRATION AND PURITY INSPECTION DOCUMENT

           Facility   Florida Hospital Orlando                Inspector  Steve Gourley
          City/State  Orlando, Fl.                            Date       12-5-17         Page       1 of 2
          Contractor  n/a                                     Facility Contact   Darrell Huckaby

                        Children’s Center for Cancer and Blood Diseases (Ste. 589) Exam
                        Rms 1-3, 7-8, Pediatric Cellular Therapy (Ste. 581) Exam Rms 1-5,
                                                                                                    th
          Area Served   Adler Family Coordinated Care for Kids (Ste. 586) Room 3       Floor/Bldg   5  Cancer Ctr.

           Zone Valve Location for this Area   In hallway to the right of elevators #000000234701   ZVB Manufacturer   Amico
           FL Hosp. Tag #        O2 000000234703  Air 000000234702  VAC 000000234707
          Location IAW NFPA 99   Pass               Labeled      Fail     Gauges     Pass      Leak Test   Pass
           Test Gauge   O2     52   AIR   49    VAC   24
           Pressure vs.
           ZVB Gauge           50         48          24
           Valve Size       ¾”         ¾”         1 ½”
          Comments: Label should read “Children’s Center for Cancer and Blood Diseases Exam Rms 1-3, 7-8, Pediatric

          Cellular Therapy Exam Rms 1-5, Adler Family Coordinated Care for Kids Room 3”


         Gas/Pipeline Purity  Oxygen      Med Air        Comments
         Hydrocarbons             <1 PPM         <1 PPM
         Dew Point                    -20             14
         Carbon Monoxide          <1 PPM         <1 PPM
         Carbon Dioxide           40 PPM        420 PPM
         Gas Concentration         99.9%        21.5 %O2
         Particulates                 <1              <1

         Odor/Discoloration         None           None
         Test Location        Ste 589/Ex.8   Ste 589/Ex.8


         Area Alarm Panel Location for this Area        NO ALARM FOR THIS AREA










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