Page 84 - 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

Contractor Facility Contact Darrell Huckaby
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Area Served RT Equipment Room 5168D Floor/Bldg 5 Floor

Zone Valve Location for this Area Next to Room 5168D ZVB Manufacturer Beacon

FL Hosp. Tag # OXY-000000311143 AIR-000000311142
Location IAW NFPA 99 Pass Labeled Pass Gauges Pass Leak Test Pass
Test Gauge O2 52 AIR 48
Pressure vs.
ZVB Gauge 53 46

Valve Size ½” ½”
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 RT RT

Area Alarm Panel Location for this Area NO ALARM FOR THIS AREA

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