HomeMy WebLinkAboutB14-0240_B14-0240 REV3 Med Gas Certification Phase 4_1416258660.pdf HASELDEN CONSTRUCTION,LLC TRANSMITTAL
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PROJECT: VAIL VALLEY MEDICAL CENTER-CATH LAB DATE: 11/14/2014
TO: HEERY INTERNATIONAL RE: 226000-005-Phase 4 Med Gas Certifications
555 17th Street 500
DENVER CO 80202
USA
ATTN: David Friedman JOB: 1408-05
WE ARE SENDING: SUBMITTED FOR: ACTION TAKEN:
Shop Drawings / Approval Approved as Submitted
Letter Your Use Approved as Noted
Prints As Requested Returned After Loan
Change Order Review and Comment Resubmit
Plans Submit
Samples Returned
Specifications Attached Separate Cover Returned for Corrections
Other: V Due Date: 11/15/2014
Other:
Line Item Package Code Rev. Qty Date Description Status
1 Submittal 226000-005 1 1 11/14/2014 Med Gas Certification for Phase 4
REMARKS:
CC:
Signed:
Joey Fritz
MEDICAL
it.
1370 Harlan Street
Lakewood. Colorado 80214
Phone 303-279-2491, 1-800-863-3247
70,_.
Fax 303-279-7132
www medairtesting corn
AIR TESTING A
\ SERVICES , INC . -■
NFPA 99 MEDICAL GAS SYSTEMS VERIFICATION
VERIFICATION LOCATION: VAIL VALLEY MEDICAL CENTER
181 W.MEADOW DR.
VAIL,CO 81657
JOB DESCRIPTION: PCU AREA
VERIFICATION DATE: November 9,2014
MECHANICAL CONTRACTOR: RK MECHANICAL
3800 ZANTHIA ST.
DENVER,CO 80238
THIS VERIFICATION CONSISTS OF THE FOLLOWING MEDICAL GAS EQUIPMENT QUANTITIES:
ZONE VALVES ALARM PANELS OUTLETS/INLETS
02 1 1 40
VAC 1 1 21
MA 0 0 0
N20 0 0 0
WAGD 0 0 0
N2 0 0 0
CO2 0 0 0
(PLEASE CONTACT MEDICAL AIR SYSTEMS,INC.REGARDING VACUUM&MEDICAL AIR DEMAND/SIZING)
VERIFICATION IS PER NFPA 99, 1999 EDITION. THE FINDINGS ARE ATTACHED
REMARKS: **ANY MODIFICATIONS OR ALTERATIONS TO THE MEDICAL GAS SYSTEMS SHALL REQUIRE RE-VERIFICATION.**
THIS DOCUMENT CONSISTS OF 13 PAGES.
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 2
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
MEDICAL AIR TESTING&SERVICES,INC.HAS INSPECTED THIS SYSTEM FOR ADHERENCE TO THE NFPA 99,MEDICAL GAS AND VACUUM
SYSTEMS,1999 EDITION.
THE FOLLOWING IS A LIST OF DEFICIENCIES, AREAS OF CONCERN AND/OR NOTABLE ISSUES THAT YOUR FACILITY NEEDS TO AT LEAST BE
MADE AWARE OF WHICH MAY HAVE BEEN FORMALLY PERMITTABLE AT THE TIME OF DESIGN, HOWEVER DO NOT MEET THE STANDARDS
REQUIRED BY THE NFPA 99. IF THESE CIRCUMSTANCES EXIST,PLEASE NOTE THAT PER NFPA 99,1999 EDITION(4-1.4)"AN EXISTING SYSTEM
THAT IS NOT IN STRICT COMPLIANCE WITH THE PROVISIONS OF THIS STANDARD SHALL BE PERMUTED TO BE CONTINUED IN USE AS LONG AS
THE AUTHORITY HAVING JURISDICTION HAS DETERMINED THAT SUCH USE DOES NOT CONSTITUTE A DISTINCT HAZARD TO LIFE." ALSO NOTE
THAT ALL NON-TESTED ITEMS WERE INACCESSIBLE AT THE TIME OF THIS EVALUATION. ALL NOTATIONS ARE MADE IN REFERENCE TO THE
NFPA 99.
NFPA 99.1999 DEFFICIENCIES:
(PLEASE REVIEW THE NEXT 2 PAGES FOR REMAINDER OF POTENTIAL NFPA 99 DEFFICIENCIES LIST)
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 3
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
(PLEASE REVIEW THE NEXT PAGE FOR REMAINDER OF POTENTIAL NFPA 99 DEFFICIENCIES LIST)
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 4
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
THIS REPORT WAS APPROVED BY:
THANK YOU FOR YOUR SUPPORT OF OUR SERVICES. IN CASE OF EMERGENCY OR FOR FURTHER ASSISTANCE,CONTACT MEDICAL AIR TESTING
&SERVICES,INC.VIA PHONE AT(800)863-3247 OR(303)279-2491. YOU MAY ALSO REACH US VIA E-MAIL AT info@medicalairsystems.com.
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 5
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
TESTING CRITERIA FOR VERIFICATION OF MEDICAL GAS SYSTEMS
IT IS THE INTENT OF THE MEDICAL GAS VERIFICATION TO TEST THE GENERAL OPERATING CONDITION OF ALL MEDICAL GAS SYSTEM
COMPONENTS. THIS REPORT LISTS THEIR CONDITION AND ADDRESSES POTENTIAL HAZARDS. THE VERIFICATIONS ARE DESIGNED TO
PROVIDE A"SYSTEM VERIFICATION" AS OUTLINED BY NPFA 99,4-3.4.1.3 (1999), WHICH VERIFIES THE INSTALLATION AND PERFORMANCE
STANDARDS TO WHICH THE SYSTEM(S)WAS CONSTRUCTED AND IS ONLY REQUIRED WHEN THE SYSTEM IS NEW, OR AN EXISTING SYSTEM
HAS BEEN BREACHED AND/OR SYSTEM COMPONENTS HAVE BEEN REPLACED.
PLEASE BE ADVISED THAT THIS DOCUMENT IS ONLY A REPORT OF OUR FINDINGS AND THAT WE ARE NOT CONSIDERED TO BE THE
AUTHORITY HAVING JURISDICTION. THE COMMENTS NOTED IN THE PREVIOUS PAGES OF OUR DOCUMENT REFER TO ANY NOTABLE
CONCERNS AND/OR DEFICIENCIES THAT WERE DISCOVERED AT THE TIME OF OUR VERIFICATION.
ALL MEDICAL GAS SYSTEMS WILL BE TESTED TO THE MINIMUM STANDARDS SET FORTH BY NFPA 99, 1999 EDITION UNLESS OTHERWISE
NOTIFIED BY THE AUTHORITY HAVING JURISDICTION FOR THE FACILITY. IF THERE IS ANY QUESTION AS TO WHETHER THE FACILITY QUALIFIES
AS A LEVEL 1,2,OR 3 HEALTHCARE FACILITY,THE AUTHORITY HAVING JURISDICTION IS ALSO RESPONSIBLE FOR DETERMINING THE FACILITY'S
STATUS. THE MEDICAL GAS SYSTEMS WILL THEREFORE BE TESTED TO THOSE REQUIREMENTS.
ALL CRITICAL CARE AREAS WILL BE ASSUMED TO INCLUDE THOSE DEFINED BY NFPA 99, 1999 EDITION AND THEREFORE TESTED FOR THE
REQUIRED CRITERIA UNLESS OTHERWISE NOTIFIED BY THE AUTHORITY HAVING JURISDICTION FOR THE FACILITY.
WE UNDERSTAND THAT SOME EXISTING SYSTEMS WERE INSTALLED AND TESTED TO PREVIOUS STANDARDS AND MAY NOT MEET PRESENT
CODE REQUIREMENTS. NFPA 99,4-1.4(1999)ADDRESSES THESE SITUATIONS AND REFERS THEIR CONTINUANCE TO THE AUTHORITY HAVING
JURISDICTION TO DETERMINE WHETHER THEY CONSTITUTE A DISTINCT HAZARD TO LIFE OR ARE NOT USEABLE.
MEDICAL GAS ZONES (E.R., P.A.C.U., PATIENT ROOMS, ETC.) ARE LISTED IN ORDER BY FLOOR AND IN SOME CASES BY BUILDING. UPON
ENTERING A ROOM,OUTLETS/INLETS ARE LISTED STARTING WITH THE FIRST TO THE LEFT,PROCEEDING CLOCKWISE AROUND THE ROOM. IT
IS ALWAYS OUR INTENT TO TEST ALL OUTLETS IN THE SYSTEM,HOWEVER IT IS RECOGNIZED THAT IT MAY NOT BE POSSIBLE TO TEST EVERY
SINGLE ONE. SOME OUTLETS/INLETS MAY BE INACCESSIBLE OR IN USE. OUTLETS/INLETS THAT WERE NOT TESTED ARE LISTED BUT HAVE NO
PERFORMANCE DATA. POTENTIAL PROBLEMS ARE NOTED ON THE COMMENT SECTION AND ARE DESCRIBED IN MORE DETAIL ON THE
SUMMARY PAGES.
IT IS NOT PRACTICAL TO LIST EACH SPECIFIC PROBLEM FOUND(UNDECTABLE LEAKAGE, BENT FACE PLATE, DEFECTIVE OUTLET/INLET, ETC.).
THE INTENT IS TO PROVIDE GUIDANCE FOR HOSPITAL PERSONNEL TO BE ABLE TO QUICKLY LOCATE SPECIFIC PROBLEM AREAS IN ORDER TO
REPAIR AND RETEST THE SPECIFIC PROBLEM'S)NOTED.
**ALL CHAPTER AND PARAGRAPH REFERENCES IN THIS DOCUMENT ARE TAKEN FROM NPFA 99,STANDARD ON GAS AND
VACUUM SYSTEMS, 1999 EDITION.**
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 6
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
TESTING QUALITY ASSURANCE
MEDICAL AIR TESTING&SERVICES'TECHNICAL SERVICE STAFF IS EXPERIENCED AND CONSISTS OF FACTORY TRAINED PERSONNEL WHO HAVE
ALSO OBTAINED THE FOLLOWING INDUSTRY REQUIRED CREDENTIALS:
- ASME IX BRAZER
- ASSE 6010 MEDICAL GAS SYSTEMS INSTALLER
- ASSE 6020 MEDICAL GAS SYSTEMS INSPECTOR
- ASSE 6030 MEDICAL GAS SYSTEMS VERIFIER
- ASSE 6040 MEDICAL GAS SYSTEMS MAINTENANCE PERSONNEL
- ASSE 6050 MEDICAL GAS SYSTEMS INSTRUCTOR
- CMGV-MGPHO CREDENTIALED MEDICAL GAS SYSTEMS VERIFIER
ANY OR ALL OF THE FOLLOWING EQUIPMENT HAVE BEEN USED IN THE TESTING AND ANYLYSIS OF THE MEDICAL GAS SYSTEMS:
- NST MODEL G2000,MEDICAL GAS ANALYZER,S/N: 059
- FOXBORO MODEL MIB,PORTABLE AMBIENT AIR ANALYZER,S/N: 274405
- AINSWORTH MODEL A-200 DS AA,SERIES BALANCE,READABILITY OF.01MG
- 25 MM MEMBRANE PTFE FILTERS
- NYAD MODEL MA-160B,TRACE DEW POINT MONITOR,S/N: 1993
- MINIOX 1,OXYGEN ANALYZER
- MIRAN SAPPHIRE I-R ANALYZER MODEL 205BML1A3N,S/N: 205B-79520-408
- BACHARACH N20 ANALYZER MODEL 19-3314,S/N: 9475
- BACHARACH CO2 ANALYZER MODEL,S/N:
- MERIAM 0-30"HG VACUUM GAUGE MODEL 31111500,S/N: 505562
- MERIAM 0-100 PSI PRESSURE GAUGE MODEL 31110100,S/N: 505561
- MERIAM 0-300 PSI PRESSURE GAUGE MODEL 3111200,S/N: 505560
- DWYER 0-10 SCFM FLOW METER MODEL RMB-57-SSV
THE TESTING EQUIPMENT LISTED ABOVE USED FOR ANNUAL MEDICAL GAS EVALUATIONS AND FOR MEDICAL GAS SYSTEM VERIFICATIONS
HAS ITSELF BEEN TESTED AND CALIBRATED TO MEET THE NECESSARY REQUIREMENTS AND THEREFORE ACCURATELY REPRESENTS THE
RESULTING DATA INFORMATION IN THE FOLLOWING SECTIONS OF THE DOCUMENT.
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 7
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
VERIFICATION TESTING PROCEDURES PER NFPA 99,1999-4-3.4.1.3
ZONE VALVE BOX ASSEMBLIES:
1)VERIFY PROPER LOCATION/CONDITION
2)VERIFY PROPER LABELING
3)VERIFY THAT THERE IS NO LEAKAGE IN ASSEMBLY
4)PERFORM VALVE TEST
AREA ALARM PANELS:
1)VERIFY PROPER LOCATION/CONDITION
2)VERIFY EMERGENCY ELECTRICAL POWER
3)VERIFY"POWER ON"INDICATION
4)VERIFY FUNCTIONAL PERFORMANCE OF VISUAL AND AUDIBLE SIGNALS
5)VERIFY PROPER LABELING
6)VERIFY CURRENT PRESSURE/VACUUM INDICATIONS FOR EACH GAS MONITORED
7)VERIFY CURRENT HIGH/LOW SET POINTS FOR EACH GAS MONITORED
8)VERIFY CURRENT PRESSURE/VACUUM INDICATIONS FOR EACH GAS WITH CALIBRATED GAUGES
9)CALIBRATE PRESSURE/VACUUM ALARM SENSORS PER MANUFACTURER'S RECOMMENDATIONS
MASTER ALARM PANELS:
1)VERIFY PROPER LOCATION/CONDITION
2)VERIFY EMERGENCY ELECTRICAL POWER
3)VERIFY"POWER ON"INDICATION
4)VERIFY FUNCTIONAL PERFORMANCE OF VISUAL AND AUDIBLE SIGNALS
5)VERIFY PROPER LABELING
6)VERIFY PROPER OPERATION OF ALL REQUIRED ALARM SIGNALS
7)VERIFY ALL SET POINTS FOR EACH GAS MONITORED
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 8
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
OUTLET/INLET STATIONS:
1)VERIFY PROPER OPERATION AND CONDITION
2)VERIFY PROPER LABELING
3)VERIFY PROPER OPERATION OF VALVES AND THAT THERE IS NO LEAKAGE
4)VERIFY PROPER OPERATION AND CONDITION OF LATCHING MECHANISM
5)VERIFY PROPER OPERATIONAL PRESSURES
6)VERIFY PROPER STATIC PRESSURES
7)PERFORM STANDING PRESSURE TESTS
8)PERFORM CROSS-CONNECTION TESTS
9)PERFORM VALVE TESTS
10)PERFORM PIPING PURGE TESTS
11)PERFORM PIPING PARTICULATE TESTS
12)PERFORM PIPING PURITY TESTS
13)PERFORM MEDICAL GAS CONCENTRATION TESTS ON ALL POSITIVE-PRESSURE GASES
14)PERFORM MEDICAL AIR PURITY TESTS(FOR SYSTEM START-UP ONLY)
15)PERFORM MEDICAL AIR QUALITY TESTS
16)PERFORM FLOW RATE AND TRANSIENT FLOW RATE TESTS
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 9
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
ZONE VALVE BOX FOR: PCU 201-213
ASSEMBLY LOCATION: OUTSIDE 213
SEE PAGE#8 FOR EXPLANATION OF TESTING PROCEDURES
TEST TEST ZVB ZVB PRESS/VAC ZVB
# PROC. GAS AREA SERVED LABELED LOCATED INDICATOR VISIBLE&
PROPERLY PROPERLY PRESENT OPERABLE
1 1-4 02 PCU 201-213 YES YES YES YES
2 1-4 VAC PCU 201-213 YES YES YES YES
3
4
5
6
7
TEST#'S COMMENTS DATE REPAIRED REPAIRED BY
NOTES: PRE-EXISTING
AREA ALARM PANEL LOCATION: NURSES DESK
MANUFACTURER: CHEMETRON MODEL: DIGITAL I
SEE PAGE#8 FOR EXPLANATION OF TESTING PROCEDURES
TEST TEST GAS INDICATED INDICATED INDICATED ALARM ALARM SENSORS VISUAL AUDIBLE
# PROC. PRESSURE LOW ALARM HIGH ALARM LABELED LOCATED LOCATED SIGNAL SIGNAL
PROPERLY PROPERLY PROPERLY
1 1-9 02 54 PSIG 43 PSIG 64 PSIG YES YES YES YES YES
2 1-9 VAC 19 "HG 12 "HG - "HG YES YES YES YES YES
3
4
5
6
7
TEST#'S COMMENTS DATE REPAIRED REPAIRED BY
NOTES: PRE-EXISTING
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 10
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
OUTLET/INLET ZONE: PCU 201-213
MANUFACTURER: CHEMETRON MODEL: 400/500 Q.C.
ISEE PAGE#9 FOR EXPLANATION OF TESTING PROCEDURES I_
PRESS/VAC
TEST TEST ROOM GAS STATIC TRANSIENT/ PROPER CORRECT LEAK
# PROC. NAME/NUMBER GAS TESTED PRESS/VAC FLOW RATE FLOW @ 3.5 LATCH INDICIA PRESENT
SCFM
1 1-16 203 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
2 1-16 203 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
3 1-16 203 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
4 1-16 203 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
5 1-16 203 VAC VAC 19 "HG 5.0 SCFM 18"HG YES YES NO
6 1-16 203 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
7 1-16 204 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
8 1-16 204 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
9 1-16 204 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
10 1-16 204 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
11 1-16 204 VAC VAC 19 "HG 5.0 SCFM 18"HG YES YES NO
12 1-16 204 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
13 1-16 205 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
14 1-16 205 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
15 1-16 205 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
16 1-16 205 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
17 1-16 205 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
18 1-16 205 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
19 1-16206 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
20 1-16 V 206 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
21 1-16 206 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
22 1-16 207 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
23 1-16 207 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
24 1-16 207 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
25 1-16 207 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
26 1-16 207 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
27 1-16 207 VAC VAC 19 "HG 5.0 SCFM 18"HG YES YES NO
28 1-16 208 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
29 1-16 208 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
30 1-16 208 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
TEST#'S COMMENTS DATE REPAIRED REPAIRED BY
NOTES: ROOMS 201,202 UNDER CONSTRUCTION
ROOMS 203-208,211-213 PRE-EXISTING
ROOMS 209,210 NEW INSTALL
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 11
MEDICAL AIR TESTING SERVICES, INC: MEDICAL GAS SYSTEMS VERIFICATION
OUTLET/INLET ZONE: PCU 201-213
MANUFACTURER: CHEMETRON MODEL: 400/500 Q.C.
SEE PAGE#9 FOR EXPLANATION OF TESTING PROCEDURES
PRESS/VAC
TEST TEST ROOM GAS STATIC TRANSIENT/ PROPER CORRECT LEAK
# PROC. NAME/NUMBER GAS TESTED PRESS/VAC FLOW RATE FLOW @ 3.5 LATCH INDICIA PRESENT
SCFM
31 1-16 208 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
32 1-16 208 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
33 1-16 208 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
34 1-16 209 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
35 1-16 209 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
36 1-16 209 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
37 1-16 209 VAC VAC 19 "HG 5.0 SCFM 18"HG YES YES NO
38 1-16 209 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
39 1-16 210 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
40 1-16 210 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
41 1-16 210 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
42 1-16 210 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
43 1-16 210 VAC VAC 19"HG 5.0 SCFM 18 "HG YES YES NO
44 1-16 211 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
45 1-16 211 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
46 1-16 211 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
47 1-16 211 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
48 1-16 211 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
49 1-16 211 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
50 1-16 212 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
51 1-16 212 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
52 1-16 212 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
53 1-16 212 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
54 1-16 212 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
55 1-16 212 VAC VAC 19 "HG 5.0 SCFM 18"HG YES YES NO
56 1-16 213 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
57 1-16 213 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
58 1-16 213 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
59 1-16 213 02 02 54 PSIG 3.5 SCFM 52 PSIG YES YES NO
60 1-16 213 VAC VAC 19 "HG 5.0 SCFM 18 "HG YES YES NO
TEST#'S COMMENTS DATE REPAIRED REPAIRED BY
NOTES:
11/09/14 INSPECTED BY: JOHN VONFEDLT#27131 12