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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

          Area Served   Pre-Adm. Exam Rooms 1-6 (Suite 330)   Floor/Bldg   3  Floor Med Plaza
                                                                           rd

           Zone Valve Location for this Area   Across from exam 8     ZVB Manufacturer        Medaes

         FL Hosp. Tag #          VA/O2-P-5PC-03-B-Z-W-04
          Location IAW NFPA 99   Pass               Labeled      Pass     Gauges     Pass      Leak Test   Pass
           Test Gauge   O2     51   VAC     25
           Pressure vs.
           ZVB Gauge           52           25

           Valve Size       ½”          1 ¼”
          Comments:


         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              Exam 1

         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
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