Page 62 - Med Plaza and Cancer Center

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

Facility Florida Hospital Orlando-Med Plaza Inspector Joseph Voight
City/State Orlando, FL Date 11-17-17 Page 1 of 2
Contractor n/a Facility Contact Darrell Huckaby

Consult Rooms 2-4, Procedure Rooms
Area Served 1-2 and Holding (Suite 331) Floor/Bldg 3 Floor Med Plaza
rd

Zone Valve Location for this Area Outside of pain medicine ZVB Manufacturer Medaes
FL Hosp. Tag # VA/O2/N2-P-5PC-03-B-Z-W-06
Location IAW NFPA 99 Pass Labeled Fail Gauges Pass Leak Test Pass
Test Gauge O2 51 VAC 24 N2 176
Pressure vs.
ZVB Gauge 52 24 175
Valve Size ½” 1” 1 ½”
Comments: (Labels have a P-Touch, needs to be Normal FL Hosp. Tag) Label needs to include “Holding”

Gas/Pipeline Purity Oxygen Comments
Hydrocarbons <1 PPM
Dew Point -46

Carbon Monoxide <1 PPM
Carbon Dioxide <1 PPM
Gas Concentration 99.9%O2
Particulates <1

Odor/Discoloration None
Test Location Consult Room 3

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