Page 14 - Womens Pavilion

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

Facility Florida Hospital Orlando Inspector Steve Gourley
City/State Orlando, Fl. Date 12-5-17 Page 1 of 2
Contractor n/a Facility Contact Darrell Huckaby

Area Served Mammo 1 Floor/Bldg Ground Floor Womens

Zone Valve Location for this Area In hallway near consultation 5 ZVB Manufacturer Beacon

FL Hosp. Tag # O2 #000000171995, AIR #000000171993, VAC #000000171994
Location IAW NFPA 99 Pass Labeled Fail Gauges Pass Leak Test Pass
Test Gauge O2 53 AIR 49 VAC 22
Pressure vs.
ZVB Gauge 53 52 22

Valve Size ½” ½” 1”
Comments: *

Gas/Pipeline Purity Oxygen Med Air Comments
Hydrocarbons <1 PPM <1 PPM
Dew Point -44F 5F
Carbon Monoxide <1 PPM <1 PPM
Carbon Dioxide 0 PPM 120 PPM
Gas Concentration 99%O2 21.8(%O2)
Particulates <1 <1

Odor/Discoloration none none
Test Location Mammo 1 Mammo 1

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

Corporate Office ∙ 4518 Clements Rd. Lakeland Florida 33811 Phone: 863-646-7555 ∙ Fax 863-646-2999
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©Daniel Voight 2009