Page 3 - Select Specialty
P. 3
Medical Gas System Component Inventory
Facility Select Specialty Hospital-Orlando Inspector Anthony Voight
City/State Edgewater, FL Date 12-12-17 Page 1 of 1
(Source & Master Alarms)
Medical Air System# Year of
Location Manufacturer & Model # System Size, HP & Voltage Manufacturer Serial#
Beacon
Basement LPS-7D80-DAY-003 7.5 HP, Duplex Stack Scroll 65448
Medical Vacuum System# Year of
Location Manufacturer & Model # System Size, HP & Voltage Manufacturer Serial#
Beacon/Busch
Basement LVS-5D-H A120-DA 5HP, Duplex Stack Vertical Tank 6-09-2006 146474-1
Master Alarm Panel # Number of Signals Year of
Location Manufacturer & Model # Monitored Manufacturer Serial#
Amico Alert
Nurses Station GP-L-1LR-01-MA-001 12
Amico Alert
Admin Desk GP-L-1LR-01-MA-002 12
(Area Alarms)
Area Alarm Panel Location Manufacturer & Model # Gas & Vacuum Monitored
8601-8604 & 8605-8621 Amico Alert GP-L-1LR-01-6G-003 O2, AIR, VAC
(Inlet/Outlets)
st
Outlet Type/Series Legend- 1 Digit=Manufacturer; A=Amico, B=Beacon/Medaes/Ohmeda/Ohio, C=Chemetron/Allied/NCG/Oxequip,
O=Ohio/Squire, G= Gentec, H=Hill-Rom, T= Tri-tech
2 Digit=Type; W=Wall, C=Console, G= Gas Block, H= Hose Drop/Ceiling
nd
3 Digit=Connection; O=Ohmeda, C=Chemetron, D=DISS, P=Puritan Bennett, X=Oxequip
rd
th
4 Digit=Series; B=Series B, 1= Diamond 1, 3= Diamond 3/Gemini, 4=Series 400, 5=Series 500, H= Horizon Gas Block, I=Integris Gas Block
D=Diamond Care
th
5 Digit= Manufactured Assembly; B= Boom/Pendant, C= Ceiling Column, F= Floor Pedestal, H= Headwall, I= ICU Column, P= Patient Console
Medical Gas Outlet/Inlet Wall/Ceiling/
Location/Zone Manufacturer & Model O A V N2O N2 WAG CO2 Column/Headwall
8601-8604 CWC5 8 8 8
8605-8621 HWCD 27 27 27
Total Outlet Count:
Oxygen 35
Medical Air 35
Vacuum 35
Total: 105
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“Medical Gas Pipeline Equipment Service, Sales & Verifications”