Page 24 - Med Plaza and Cancer Center

ZONE VALVE/ AREA ALARM / OUTLET PERFORMANCE/GAS CONCENTRATION AND PURITY INSPECTION DOCUMENT

Facility Florida Hospital Orlando-Med Plaza Inspector Steve Gourley
City/State Orlando, FL Date 12-4-17 Page 1 of 2
Contractor n/a Facility Contact Darrell Huckaby

Area Served Decontamination room Floor/Bldg 1 Floor Med Plaza
st

Zone Valve Location for this Area Next to solid holding ZVB Manufacturer Medaes

FL Hosp. Tag # No FL Hosp #
Location IAW NFPA 99 Pass Labeled Pass Gauges Pass Leak Test Pass
Test Gauge AIR 51
Pressure vs.
ZVB Gauge 51

Valve Size 1/2
Comments: Blank Off. No ZVB for N2 in decontamination room

Gas/Pipeline Purity Med Air Comments
Hydrocarbons <1 PPM
Dew Point 23
Carbon Monoxide <1 PPM
Carbon Dioxide 370 PPM
Gas Concentration 21.0 (%O2)
Particulates <1

Odor/Discoloration None
Test Location Decont. room

Area Alarm Panel Location for this Area No alarm panel at this location

Corporate Office ∙ 4518 Clements Rd. Lakeland Florida 33811 Phone: 863-646-7555 ∙ Fax 863-646-2999
“Medical Gas Pipeline Equipment Service, Sales & Verifications”
©Daniel Voight 2009