Page 66 - 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 12-5-17 Page 1 of 2
Contractor n/a Facility Contact Darrell Huckaby

X-ray Rms 1-2, 6-7, (3 offices not labeled),
Area Served Radiologist Office, Pain Med. Rm. 4 Floor/Bldg 3 Floor Med Plaza
rd

Zone Valve Location for this Area Hallway behind nurse’s station ZVB Manufacturer Ohio
FL Hosp. Tag # VA-P-5PC-03-B-Z-W-11
Location IAW NFPA 99 Pass Labeled Fail Gauges Pass Leak Test Pass
Test Gauge O2 52 VAC 24
Pressure vs.
ZVB Gauge 54 24

Valve Size ½” ¾”
Comments: X-ray 3&4, CT Scan need to be removed from label.

Zone Valve Location for this Area Across from old CT Scan Rm (now an office) ZVB Manufacturer Ohmeda
FL Hosp. Tag # N2-P-5PC-03-B-Z-W-12

Location IAW NFPA 99 Pass Labeled Fail Gauges Fail Leak Test Pass
Test Gauge N2
Pressure vs. 169
ZVB Gauge 205
Valve Size
Comments: N2 in Pain Med Rm #4, but ZVB is not labeled for room served.

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 Pain Med 4

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