Page 18 - Womens Pavilion

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

Facility Florida Hosp. Orlando – Women’s Center Inspector Anthony Voight
City/State Orlando, FL Date 11-29-17 Page 1 of 2

Contactor n/a Facility Contact Darrell Huckaby
rd
Area Served Anesthesia Work Room Floor/Bldg 3 Floor

Zone Valve Location for this Area Corridor wall, outside of OR area ZVB Manufacturer Beacon

FL Hosp. Tag # None
Location IAW NFPA 99 Pass Labeled Pass Gauges Pass Leak Test Pass
Test Gauge O2 52 AIR 48 VAC 21
Pressure vs.
ZVB Gauge 50 50 21

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 None None
Odor/Discoloration None None

Test Location Anest. Wk. Rm Anest. Wk. Rm

No Area Alarm Panel

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