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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   Conference Room                       Floor/Bldg   4  Floor Med Plaza
                                                                           th

           Zone Valve Location for this Area   Outside conference room   ZVB Manufacturer     Medaes

         FL Hosp. Tag #          O2/VA-P-5PN-04-B-Z-W-14       MA-P-5PC-04-B-Z-W-14
          Location IAW NFPA 99   Pass               Labeled      Pass     Gauges     Pass      Leak Test   Pass
           Test Gauge   O2    52    AIR    49   VAC     25
           Pressure vs.
           ZVB Gauge          50           50           25
           Valve Size      1/2          1/2         3/4
          Comments:


         Gas/Pipeline Purity  Oxygen         Med Air           Comments
         Hydrocarbons                 <1 PPM            <1 PPM
         Dew Point                       -46                23
         Carbon Monoxide              <1 PPM            <1 PPM
         Carbon Dioxide               <1 PPM           370 PPM
         Gas Concentration          99.9%O2          21.0 (%O2)

         Particulates                     <1                <1
         Odor/Discoloration             None              None
         Test Location        Conference room   Conference room

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












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