2023 JAMES J PETERS -VA BRONX ANNUAL INSPECTION.pdf

REPORT LAYOUT REVISED 11/17/21

JAMES J. PETERS DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER

130 W KINGSBRIDGE ROAD

BRONX, NY 10468

MEDICAL GAS ANNUAL TESTING REPORT

BOOKLET DESIGNED TO MEET NFPA 99-2018 CODES AND STANDARDS

TESTING DATE(S):

FEBRUARY 9TH, 15TH, 21ST - 25TH, 2023

REPORT CONTAINS

84 PAGES

Cardinal Medical Gas Services Inc.

397A Jericho Turnpike Floral Park, NY 11001

Office (516) 352-0011 Cell (516) 468-2806 Fax (516) 352-2202

FACILITY: JAMES J. PETERS VA MEDICAL CENTER

2023 ANNUAL MED GAS TESTING REPORT | 1

TABLE OF CONTENTS

DESCRIPTION SECTION

FACILITY AND DESCRIPTION OF TESTING ……………………….. 1

FACILITY INVENTORY ……………………….. 2

TYPICAL ABBREVIATIONS ……………………….. 3

NFPA TESTING CRITERIA ……………………….. 4

INVENTORY DEFINITIONS AND RANGES ……………………….. 5

VERIFIER CREDENTIALS ……………………….. 6

SOURCE SYSTEMS ……………………….. 7

PIPELINE ANALYSIS ……………………….. 8

OUTLETS ……………………….. 9

VALVES ……………………….. 10

AREA ALARMS ……………………….. 11

DEFICIENCIES / FINDINGS / RECOMMENDATIONS ……………………….. 12

2023 ANNUAL MED GAS TESTING REPORT | 2

FACILITY AND DESCRIPTION OF TESTING

CARDINAL MEDICAL GAS SERVICES INC. WAS CONTACTED BY:

DAVID NG – ENGINEERING DEPT

TO PERFORM THE FOLLOWING:

ANNUAL MEDICAL GAS TESTING OF ENTIRE FACILITY

TESTING PERFORMED AT THE FOLLOWING FACILITY:

JAMES J. PETERS DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER

130 W KINGSBRIDGE ROAD

BRONX, NY 10468

SYSTEMS WERE TESTED TO FOLLOW NFPA 99-2018

STANDARD FOR HEALTH CARE FACILITIES CODE- CHAPTER FIVE REQUIREMENTS

CATEGORY OF SYSTEM FOR TEST PURPOSES:

CATEGORY 1

DATE(S) OF TESTING:

FEBRUARY 9TH, 15TH, 21ST - 25TH, 2023

VERIFIER ON SITE:

MICHAEL ROCCAFORTE

REPORT CONTAINS:

84 PAGES

2023 ANNUAL MED GAS TESTING REPORT | 3

INVENTORY

INVENTORY DESCRIPTION OF ALL

ITEMS TESTED QUANTITY OF ALL ITEMS TESTED

SOURCE SYSTEMS

OXYGEN MANIFOLD 0

NITROUS OXIDE MANIFOLD 1

NITROGEN 0

MEDICAL AIR MANIFOLD 0

CARBON DIOXIDE MANIFOLD 0

OXYGEN BULK SYSTEM 1

MEDICAL AIR SYSTEM 2

VACUUM PUMP SYSTEM 3

WAGD PUMP SYSTEM 0

EMERGENCY OXYGEN FILL BOX 1

OTHER 0

VALVES

SOURCE 0

RISER 0

FLOOR 0

SERVICE 0

ZONE VALVE BOX 57

OTHER 0

OUTLETS

OXYGEN 437

MED AIR 312

VACUUM 559

NITROUS OXIDE 40

NITROGEN 0

CARBON DIOXIDE 0

WAGD 7

OTHER 0

OTHER 0

TOTAL OUTLETS 1315

MASTER ALARM PANELS 2

AREA ALARM PANELS 28

2023 ANNUAL MED GAS TESTING REPORT | 4

TYPICAL ABBREVIATIONS

ABBREVIATIONS ARE AVOIDED AS MUCH AS POSSIBLE, BUT WHERE SPACE IS LIMITED, USE ABBREVIATIONS CHART BELOW

ABBREVIATION TERM ABBREVIATION TERM

GAS TYPES (MEDICAL AND SUPPORT GASES USED IN FACILITIES) ALARM SERIES (SERIES OF ALARM PANEL FROM MANUFACTURER) O or OXY OXYGEN TA 1 TOTAL ALERT 1 PANEL FROM BEACON MEDAES A or AIR AIR TA 2 TOTAL ALERT 2 PANEL FROM BEACON MEDAES V or VAC VACUUM TA INF TOTAL ALERT INFINITY FROM MEACON MEDAES

N2O NITROUS OXIDE MEGA 1 MEGA 1 PANEL FROM BEACON / PURITAN BENNETT

N2 NITROGEN MEGA 2 MEGA 2 PANEL FROM BEACON / PURITAN BENNETT

W or WAGD WASTE GAS ANESTHESIA DISPOSAL MEGA 3 MEGA 3 PANEL FROM BEACON / PURITAN BENNETT C or CO2 CARBON DIOXIDE ANALOG TAN ANALOG PANEL FROM MEDAES/OHMEDA

HYPER O HYPERBARIC OXYGEN AM 2 SERIES 2 PANEL FROM AMICO

MANUFACTURERS (MANUFACTURERS OF PIPELINE & SOURCE SYSTEMS) AM 3 SERIES 3 LCD AREA PANEL FROM AMICO

BM BEACON MEDAES AM 4 SERIES 4 LCD MASTER ALARM FROM AMICO

PB PURITAN BENNETT by BEACON MEDAES DIG 1 DIGITAL 1 SERIES PANEL FROM ALLIED HEALTHCARE OHM OHMEDA - OHIO (OLD) by BEACON MEDAES DIG 2 DIGITAL 2 SERIES PANEL FROM ALLIED HEALTHCARE MED MEDAES by BEACON MEDAES IMPACT IMPACT SERIES PANEL FROM ALLIED HEALTHCARE HR HILL ROM by BEACON MEDAES excludes rail units TT B TRI TECH BLACK PANEL

AM AMICO CORPORATION TT W TRI TECH WHITE PANEL

CH CHEMETRON by ALLIED HEALTHCARE MODULAR MODULAR FROM CHEMETRON NCG NATIONAL COMP GAS by ALLIED HEALTHCARE MASTER ALARM SIGNALS (SIGNALS TYPICALLY USED IN MASTER ALARM PANELS) OX OXEQUIP by ALLIED HEALTHCARE LPH LINE PRESSURE HIGH

TT TRI TECH MEDICAL GAS CORP LPL LINE PRESSURE LOW

AM/OH AMVEX – OHIO MEDICAL CORP (NEW) RIU RESERVE IN USE (CHANGEOVER ALARM)

OHIO OHIO MEDICAL CORP (NEW) LLL LIQUID LEVEL LOW

OUTLET FITTINGS (CONNECTION STYLE TO PATIENT DEVICES) RLLL RESERVE LIQUID LEVEL LOW

C QC CHEMETRON QUICK CONNECT ERIU EMERGENCY RESERVE IN USE

M QC MEDAES / OHMEDA QUICK CONNECT RPL RESERVE PRESSURE LOW

DISS DIAMETER INDEX SAFETY SYSTEM HI DEW HIGH AIR DEWPOINT TEMPERATURE

SCH SCHRADER QUICK CONNECT HI CO HIGH CARBON MONOXIDE LEVEL

DYN DYNACON QUICK CONNECT HI TEMP HIGH DISCHARGE AIRTEMPERATURE

PB QC PURITAN BENNETT QUICK CONNECT LAG LAG PUMP / COMPRESSOR IN USE

OXEQ OXEQUIP QUICK CONNECT NO H2O FLOW NO WATER FLOWING SIGNAL

OUTLET SERIES (SERIES OF OUTLET FROM MANUFACTURER HI WATER SEP HIGH WATER LEVEL IN SEPARATOR(S)

B B SERIES HI WATER REC HIGH WATER LEVEL IN RECEIVER

138 / 248 OLD NCG / CHEMETRON MAL SYSTEM MALFUNCTION (MULTIPLE SIGNALS TO ONE SIGNAL)

400 400 SERIES C QC PIPELINE ANALYSIS (ANALYSIS PAGE INFORMATION BREAKDOWN)

460 460 SERIES DISS .45 .45 MICRON FILTER

500 500 SERIES C QC MG MILLIGRAMS OF PARTICULATES

560 560 SERIES DISS CO CARBON MONOXIDE

C 2 400 CONNECT 2 C QC & M QC CO2 CARBON DIOXIDE

C 2 500 CONNECT 2 C QC & M QC THC TOTAL HYDROCARBONS

DC / DIA CARE DIAMOND CARE SERIES HAL HALOGENATED HYDROCARBONS

DIA 1 DIAMOND 1 SERIES OIL OIL MIST IN AIR

DIA 2 DIAMOND 2 SERIES DP DEWPOINT TEMP ON NEW PIPE TEST

DIA 3 DIAMOND 3 SERIES DP AIR DEWPOINT TEMP IN EXIST AIR PIPELINE

INTEG INTEGRATED OUTLET - WITH FLOWMETER MISCELLANEOUS INFORMATION USED THROUGHOUT REPORT DUAL DUAL OUTLET W/ ONE BACKBOX RETRO or RET RETROFIT (APPLIES TO ALL MED GAS EQUPIMENT

OUTLET TYPES WORN WORN OUTLET FACEPLATE (MAY NOT LATCH PROPERLY OR LOOSE)

WALL RECESSED WALL OUTLET ST STATION OF OUTLET ( START FROM LEFT OF ROOM)

SURF WALL SURFACE MOUNTED WALL OUTLET EXIST EXISTING

CONSOLE CONSOLE OUTLET ALT ALTERNATION

HORIZON HORIZON WALL UNIT PLC PROGRAMMABLE LOGIC CONTROLLER

ART DECO OUTLETS WITHIN ART FRAME DEMAND DEMAND CHECK VALVE (GAS SPECIFIC – QUICK DISCONNECT)

NICU RAIL NICU RAIL UNIT QC QUICK CONNECT (MAY NOT BE GAS SPECIFIC)

PED PEDESTAL UNITS BLM BUTTON LATCH MISSING (GAS ID MISSING OR BROKEN)

BOOM MOVABLE BOOMS WITH OTHER EQUIP NIU NOT IN USE

MG BOOM BOOMS DEDICATED FOR MED GAS NA NOT APPLICABLE

CEIL CEILING COLUMNS NR NOT REQUIRED

2023 ANNUAL MED GAS TESTING REPORT | 5

NFPA TEST REQUIREMENTS AND CRITERIA

FOR ANNUAL TESTING NFPA 99 2018 HEALTH CARE FACILITIES CODE

5.1.14.2 Maintenance of Medical Gas, Vacuum, WAGD, and Medical Support Gas Systems.

5.1.14.2.1* General. Health care facilities with installed medical gas, vacuum, WAGD, or medical support gas systems, or combinations thereof, shall develop and document periodic maintenance programs for these systems and their subcomponents as appropriate to the equipment installed.

5.1.14.2.2 Maintenance Programs.

5.1.14.2.2.1 Inventories. Inventories of medical gas, vacuum, WAGD, and medical support gas systems shall include at least all source subsystems, control valves, alarms, manufactured assemblies containing patient gases, and outlets.

5.1.14.2.2.2* Inspection Schedules. Scheduled inspections for equipment and procedures shall be established through the risk assessment of the facility and developed with consideration of the original equipment manufacturer recommendations and other recommendations as required by the authority having jurisdiction.

5.1.14.2.2.3 Inspection Procedures. The facility shall be

permitted to use any inspection procedure(s) or testing methods established through its own risk assessment.

5.1.14.2.3 Inspection and Testing Operations.

5.1.14.2.3.1 General. The elements in 5.1.14.2.2.2 through

5.1.15 shall be inspected or tested as part of the maintenance program as follows:

(1)*Medical air source, as follows:

(a) Room temperature

(b) Shaft seal condition

(c) Filter condition

(d) Presence of hydrocarbons

(e) Room ventilation

(f) Water quality, if so equipped

(g) Intake location

(h) Carbon monoxide monitor calibration

(i) Air purity

(j) Dew point (2)*Medical vacuum source — exhaust location

(3) WAGD source — exhaust location (4)*Instrument air source — filter condition (5)*Manifold sources (including systems complying with 5.1.3.5.10, 5.1.3.5.11, 5.1.3.5.12, and 5.1.3.5.13), as follows:

(a) Ventilation

(b) Enclosure labeling

(6) Bulk cryogenic liquid source inspected in accordance with NFPA 55, Compressed Gases and Cryogenic Fluids Code

(7) Final line regulation for all positive pressure systems — delivery pressure (8)*Valves — labeling (9)*Alarms and warning systems—lamp and audio operation

5.1.14.2.3.1 General (continued)

(10) Alarms and warning systems, as follows:

(a) Master alarm signal operation

(b) Area alarm signal operation

(c) Local alarm signal operation (11)*Station outlets/inlets, as follows:

(a) Flow

(b) Labeling

(c) Latching/delatching

(d) Leaks

5.1.14.3 Medical Gas and Vacuum Systems Information

and Warning Signs.

5.1.14.3.1 The gas content of medical gas and vacuum piping

systems shall be labeled in accordance with 5.1.11.1.

5.1.14.3.2 Labels for shutoff valves shall be in accordance

with 5.1.11.2 and updated when modifications are made changing the areas served.

5.1.14.4 Medical Gas and Vacuum Systems Maintenance

and Record Keeping. See B.5.2.

5.1.14.4.1 Permanent records of all tests required by

5.1.12.3.1 through 5.1.12.3.14 shall be maintained in the organization’s files.

5.1.14.4.2 The supplier of the bulk cryogenic liquid system

shall, upon request, provide documentation of vaporizer(s) sizing criteria to the facility.

5.1.14.4.3 An annual review of bulk system capacity shall be

conducted to ensure the source system has sufficient capacity.

5.1.14.4.4 Central supply systems for nonflammable medical

gases shall conform to the following:

(1) They shall be inspected annually.

(2) They shall be maintained by a qualified representative of the equipment owner.

(3) A record of the annual inspection shall be available for review by the authority having jurisdiction.

5.1.14.4.5 A periodic testing procedure for nonflammable

medical gas and vacuum and related alarm systems shall be implemented.

5.1.14.4.8 Audible and visual indicators shall meet the

following requirements:

(1) They shall be periodically tested to determine that they are functioning properly.

(2) Records of the test shall be maintained until the next test is performed.

5.1.14.4.9 Medical–surgical vacuum station inlet terminal

performance, as required in 5.1.12.3.10.4, shall be tested as follows:

(1) On a regular preventive maintenance schedule as determined by the facility maintenance staff

(2) Based on flow of free air (Nl/min or SCFM) into a station inlet while simultaneously checking the vacuum level.

2023 ANNUAL MED GAS TESTING REPORT | 6

INVENTORY DEFINITION AND RANGES

FOR ANNUAL TESTING

MEDICAL GAS OUTLETS AND VACUUM INLETS ( CODE RANGES IN ITALICS )

COLUMN A: DEVICE NUMBER USED TO QUICKLY IDENTIFY PATIENT OUTLET AND FOR OVERALL OUTLET QUANTITY.

COLUMN B: DATE OF DEVICE TEST USED TO INDICATE THE ACTUAL DAY DEVICE WAS TESTED.

COLUMN C: BAR CODING COLUMN SHOULD FACILITY DECIDE TO INDIVIDUALLY BAR CODE EACH PIECE OF EQUIPMENT.

COLUMN D: ROOM NUMBER WHERE OUTLETS/INLETS ARE LOCATED.

COLUMN E: STATION NUMBER OF OUTLET. OUTLET STATIONS GENERALLY START AT LEFT SIDE OF ROOM AND GO IN A CLOCKWISE PATTERN.

CEILING COLUMNS AND CEILING OUTLETS WILL BE INDIVIDUALLY INDICATED.

COLUMN F: THE INDIVIDUAL GAS TESTED.

COLUMN G: THE PURITY OR PERCENTAGE OF GAS AT THE TIME OF TEST.

OXYGEN MUST BE 97-99 %, AIR AT 21 %, NITROUS OXIDE AT 99 %, CO2 AT 99 % AND NITROGEN AT 0% OXYGEN.

COLUMN H: THE PRESSURE OF THE GAS AT THE TIME OF TEST.

ALL PRESSURE GASES MUST BE 50-55 PSI EXCEPT FOR NITROGEN WHICH MUST BE 150-175 PSI

COLUMN I: THE FLOW OF EACH OUTLET AT THE TIME OF TEST.

CRITICAL CARE AREAS ONLY- OXYGEN AND AIR AT 6 SCFM FOR 3 SECONDS

GENERAL AREAS ONLY – ALL PATIENT GASES 3.5 SCFM FOR 5 SECONDS WITH LESS THAN 5 PSI DROP.

VACUUM – 3 SCFM WITH ADJACENT OUTLET NOT DROPPING BELOW 12 HG.

SUPPORT GASES (N2) – 5 SCFM WITH LESS THAN A 5 PSI DROP.

COLUMN J: THE CONDITION OF OUTLET AT THE TIME OF TEST INCLUDING THE GAS IDENTIFICATION LABEL, PROPER CONNECTION, PROPER

LATCHING WITHOUT LEAKS AND RELEASE MECHANISM FOR QC OUTLETS.

COLUMN K: STATUS OF OUTLET AT TIME OF TEST – PASS OR FAIL, WHETHER IT MEETS THE MINIMAL REQUIREMENTS FOR PRESSURE, FLOW, PURITY AND CONDITION OF OUTLET.

COLUMN L: IDENTIFIES THE BRAND OF OUTLET, TYPE OF FITTING USED TO CONNECT PATIENT SECONDARY EQUIPMENT, THE MANUFACTURER OUTLET SERIES AND THE TYPE OF OUTLET (WALL, CEILING, COLUMN, ETC) FOR SERVICE PURPOSES.

ZONE VALVE BOXES ( CODE RANGES IN ITALICS )

COLUMN A: DEVICE NUMBER USED TO QUICKLY IDENTIFY VALVE BOX AND QUANTITY.

COLUMN B: DATE OF DEVICE TEST USED TO INDICATE THE ACTUAL DAY DEVICE WAS TESTED.

COLUMN C: BAR CODING COLUMN SHOULD FACILITY DECIDE TO INDIVIDUALLY BAR CODE EACH PIECE OF EQUIPMENT.

COLUMN D: APPROXIMATE LOCATION OF ZONE VALVE BOX.

COLUMN E: ROOM NUMBERS / ROOM NAMES SERVED BY VALVE BOX.

COLUMN F: GASES INSIDE OF ZONE VALVE BOX.

COLUMN G: IDENTIFIES WHETHER THE LABELING OF THE AREA SERVED AND EACH GAS IS CORRECT.

ALL ROOM NUMBERS MUST BE AFFIXED TO THE PERMANENT FRAME AND NOT REMOVABLE COVERS.

COLUMN H: IDENTIFIES WHETHER GAUGES ARE IN PLACE AND IF GAUGE IS ACCURATE. (PRIOR TO ’87 GAUGES WERE NOT REQUIRED).

GAUGE READINGS TO BE WITHIN 5 PSI OF ACTUAL READING.

COLUMN I: IDENTIFIES WHETHER FRAME AND COVER ARE IN PLACE AND CONDITION OF EACH.

COLUMN J: STATUS OF VALVE BOX AT TIME OF TEST – PASS OR FAIL, WHETHER IT MEETS THE MINIMAL REQUIREMENTS FOR PROPER INSTALLATION, FUNCTION, LABELING, COVER AND FRAME INSTALLATION AND GAUGE ACCURACY.

AREA ALARM PANELS ( CODE RANGES IN ITALICS )

COLUMN A: DEVICE NUMBER USED TO QUICKLY IDENTIFY AREA ALARM PANEL AND QUANTITY.

COLUMN B: DATE OF DEVICE TEST USED TO INDICATE THE ACTUAL DAY DEVICE WAS TESTED.

COLUMN D: APPROXIMATE LOCATION OF AREA ALARM PANEL.

COLUMN E: ROOM NUMBERS / ROOM NAMES MONITORED BY AREA ALARM PANEL.

COLUMN F: GASES MONITORED BY AREA ALARM PANEL.

COLUMN G: HIGH AND LOW LINE PRESSURE SET POINTS FOR EACH GAS. LOW ONLY FOR VACUUM.

SET POINT TO BE 20 % ABOVE AND BELOW THE NORMAL OPERATING RANGE OF EACH GAS. 12 HG VACUUM COLUMN H: IDENTIFIES WHETHER THE LABELING OF THE AREA MONITORED AND EACH GAS IS CORRECT.

COLUMN I: IDENTIFIES WHETHER THE AUDIBLE AND VISUAL INDICATORS ACTIVATE AND CLEAR AS DESIGNED.

COLUMN J: IDENTIFIES THE BRAND AND SERIES OF EACH ALARM PANEL FOR SERVICE PURPOSES.

COLUMN K: STATUS OF ALARM PANEL AT TIME OF TEST – PASS OR FAIL, WHETHER IT MEETS THE MINIMAL REQUIREMENTS FOR PROPER

INSTALLATION, FUNCTION, LABELING AND PANEL INDICATORS (AUDIBLE/VISUAL).

2023 ANNUAL MED GAS TESTING REPORT | 7

VERIFIER CREDENTIALS

NFPA 99-2018 Health Care Facilities Code

5.1.12.3 System Verification for Category 1 and 2 Systems (Category 3 Oxygen and Nitrous Oxide Only)

5.1.12.3.1.3 Testing shall be conducted by a party technically competent and experienced in the field of medical gas and vacuum pipeline testing and meeting the requirements of ASSE 6030, Professional Qualifications Standard for Medical Gas Systems Verifiers.

5.1.12.3.1.4 Testing shall be performed by a party other than the installing contractor.

5.3.9.3 Final Testing of Category 3 Gas-Powered Device Supply Systems, Vacuum Systems, and Scavenging Systems.

5.3.9.3.1.2 The final tests required by 5.3.9.3.2 through 5.3.9.3.6 shall be performed by one or more of the following, who shall be experienced with the installation, operation, and testing of Category 3 gas-powered device supply systems, vacuum systems, and scavenging systems: (1) Installer (2) Representative of the system supplier (3) Representative of the system manufacturer (4) Medical gas systems verifier qualified under 5.3.6.23.3.1(A).

5.1.14.2.2.5 Qualifications. (Maintenance)

(A) Persons maintaining these systems shall be qualified to perform these operations demonstrated by any of the following:

(1) Training and certification through the health care facility by which such persons are employed to work with specific equipment as installed in that facility

(2) Credentialing to the requirements of ASSE 6040, Professional Qualification Standard for Medical Gas Maintenance Personnel

(3) Credentialing to the requirements of ASSE 6030, Professional Qualification Standard for Medical Gas Systems Verifiers

CARMINE L YEVOLI

ASSE 6030 MEDICAL GAS VERIFIER

LICENSE # 20-1673

THRU MGTI

EXPIRES 1/10/26

MICHAEL ROCCAFORTE

ASSE 6030 MEDICAL GAS VERIFIER

LICENSE # 22-2236

THRU MGTI

EXPIRES 4/27/25

GIAN FANELLI

ASSE 6020 MEDICAL GAS INSPECTOR

LICENSE # 20010101086

THRU BM

EXPIRES 11/13/26

ASSE 6035 BULK MED GAS VERIFIER

LICENSE # 20-1673

THRU MGTI

EXPIRES 12/31/25

CARMINE L YEVOLI

CREDENTIALED MEDICAL GAS VERIFIER

THRU MGPHO

RENEWS YEARLY

MICHAEL ROCCAFORTE

CREDENTIALED MEDICAL GAS VERIFIER

THRU MGPHO

RENEWS YEARLY

OSHA 30 HOUR COURSE

CERTIFICATE # 36-900344129

NO EXPIRATION

MICHAEL ROCCAFORTE

OSHA 30 HOUR COURSE

CERTIFICATE # 36-602073318

NO EXPIRATION

GIAN FANELLI

OSHA 30 HOUR COURSE

CERTIFICATE # 26-607409394

NO EXPIRATION

2023 ANNUAL MED GAS TESTING REPORT | 8

MASTER ALARM PANELS

5.1.9.2 Master Alarm Panels

5.1.9.2.4 Master alarm panels for medical gas and vacuum systems shall each include the following signals: (1) Alarm indication when, or just before, changeover occurs in a medical gas system that is supplied by a manifold or other alternating-type bulk system that has as a part of its normal operation a changeover from one portion of the operating supply to another (2) Alarm indication for a bulk cryogenic liquid system when the main supply reaches an average day’s supply, indicating low contents (3) Alarm indication when, or just before, the changeover to the reserve supply occurs in a medical gas system that consists of one or more units that continuously supply the piping system while another unit remains as the reserve supply and operates only in the case of an emergency (4) Alarm indication for cylinder reserve pressure low when the content of a cylinder reserve header is reduced below one average day’s supply (5) For bulk cryogenic liquid systems, an alarm when or at a predetermined set point before the reserve supply contents fall to one day’s average supply, indicating reserve low(6) Where a cryogenic liquid storage unit is used as a reserve for a bulk supply system, an alarm indication when the gas pressure available in the reserve unit is below that required for the medical gas system to function (7) Alarm indication when the pressure in the main line of each separate medical gas system increases 20 percent or decreases 20 percent from the normal operating pressure (8) Alarm indication when the medical–surgical vacuum pressure in the main line of each vacuum system drops to or below 300 mm (12 in.) gauge HgV (9) Alarm indication(s) from the local alarm panel(s) as described in 5.1.9.5.2 to indicate when one or more of the conditions being monitored at a site is in alarm (10) Medical air dew point high alarm from each compressor site to indicate when the line pressure dew point is greater than +2°C (+35°F) (11) WAGD low alarm when the WAGD vacuum level or flow Is below effective operating limits.

DEVICE # BAR CODE DATE OF TEST LOCATION OF PANEL 24 HR MONITORING PANEL BRAND PANEL SERIES

1 2/21/23 SWITCHBOARD YES AMICO ALERT 2

2 2/21/23 BOILER ROOM YES AMICO ALERT 2

DEVICE

BAR

CODE DESCRIPTION OF SIGNAL

LOCATION OF

ALARM SIGNAL

SWITCH

SIGNAL

ACTIVATION

SET POINT

SETTINGS

WILL VARY

FOR EACH DEVICE

TEST

TYPE

ACTUAL (A)

ELECTRICAL (E)

PANEL

INDICATORS

AUDIBLE AND VISUAL

SIGNAL TEST

STATUS AT

ALARM LOCATION STATUS

PASS/FAIL

#1 #2 #3 #1 #2 #3

3 OXYGEN MAIN VESSEL LIQUID LEVEL LOW BULK PAD 45 IN A OK OK - OK OK - PASS

4 OXYGEN RESERVE IN USE BULK PAD 80 PSI E OK OK - OK OK - PASS

5 OXYGEN RESERVE VESSEL LIQ LEVEL LOW BULK PAD 22 IN A OK OK - OK OK - PASS

6 OXYGEN RESERVE PRESSURE LOW BULK PAD 85 PSI E OK OK - OK OK - PASS

7 OXYGEN LINE PRESSURE HIGH CONTROL ROOM 60 PSI E OK OK - OK OK - PASS

8 OXYGEN LINE PRESSURE LOW CONTROL ROOM 40 PSI E OK OK - OK OK - PASS

9 MED AIR LINE PRESSURE HIGH MECHANICAL ROOM 60 PSI A OK OK - OK OK - PASS

10 MED AIR LINE PRESSURE LOW MECHANICAL ROOM 40 PSI A OK OK - OK OK - PASS

11 MED AIR HIGH DEWPOINT MECHANICAL O2 RESER ROOM 35 DEG F E OK OK - OK OK - PASS

12 MED AIR MALFUNCTION MECHANICAL ROOM VARIES E OK OK - OK OK - PASS

13 NITROUS OXIDE LINE PRESSURE HIGH MANIFOLD CAGE 60 PSI A OK OK - OK OK - PASS

14 NITROUS OXIDE LINE PRESSURE LOW MANIFOLD CAGE 40 PSI A OK OK - OK OK - PASS

15 NITROUS OXIDE RESERVE IN USE MANIFOLD CAGE 130 PSI A OK OK - OK OK - PASS

16 VAC LOW MECHANICAL ROOM 12 IN E OK OK - OK OK - PASS

17 VAC LAG MECHANICAL ROOM 16 IN A OK OK - OK OK - PASS

18 O2 HIGH PRESSURE CLC ROOF CLC 60 PSI E OK OK - OK OK - PASS

19 O2 LOW PRESSURE CLC ROOF CLC 40 PSI E OK OK - OK OK - PASS

20 VAC LAG CLC ROOF MECHANICAL ROOM 16 IN A OK OK - OK OK - PASS

21 VAC LOW CLC ROOF MECHANICAL ROOM 12 IN E OK OK - OK OK - PASS

22 MA HIGH PRESSURE CLC ROOF MECHANICAL ROOM 60 PSI E OK OK - OK OK - PASS

23 MA LOW PRESSURE CLC ROOF MECHANICAL ROOM 40 PSI E OK OK - OK OK - PASS

24 MA LAG CLC ROOF MECHANICAL ROOM 75 PSI E OK OK - OK OK - PASS

25 MA HIGH DEWPOINT CLC ROOF MECHANICAL ROOM 35 DEG F E OK OK - OK OK - PASS

26 MA HI CO CLC ROOF MECHANICAL ROOM 10 PPM E OK OK - OK OK - PASS

2023 ANNUAL MED GAS TESTING REPORT | 9

MANIFOLD SYSTEMS

DEVICE # DATE OF TEST BAR CODE MEDICAL/SUPPORT GAS

27 2/15/23 NITROUS OXIDE

LOCATION: MAIN BUILDING BASEMENT BUILDING: MAIN

MANUFACTURER: TRI TECH MAIN LINE RELIEF SETTING: 75

MODEL: CC012N01W INTERMED RELIEF SETTING: 400

SERIAL: 20220624-B CHANGEOVER SET POINT: 220

HEADER BAR SIZING: 4 X 4 EMERG BANK HEADER BAR SIZING: N/A

PIGTAILS: (COPPER / FLEX) FLEX EMERG BANK PIGTAILS: (COPPER / FLEX) -

MAIN LINE REGULATOR # 1 58 EMERG BANK IN USE SETTING: -

MAIN LINE REGULATOR # 2 58 EMERG BANK LOW SETTING: -

ITEM # DESCRIPTION

COMPLIANT

YES / NO

OR NOT APPLICABLE

STATUS

PASS /

FAIL

COMMENTS

1 MANIFOLD ENCLOSURE IS CLEARLY LABELED FOR GAS IN SERVICE YES PASS

2 ROOM FOR SYSTEM HAS A DOOR THAT CAN BE LOCKED: YES PASS

3 ELECTRICAL FIXTURES (SWITCHES /OUTLETS) BELOW CYLINDER HEIGHT ARE

PROTECTED: YES PASS

4 “NO SMOKING” AND MEDICAL GAS WARNING SIGNAGE PRESENT: YES PASS

5 ROOM IS FIRE RATED FOR ONE HOUR (MORE THAN 3000 CU. FT): YES PASS

6 ENCLOSURE IS VENTED OUTSIDE (MORE THAN 3000 CU. FT): YES PASS

7 SYSTEM HAS DUAL MAIN LINE REGULATORS: YES PASS

8 MAIN LINE PRESSURE RELIEF IS INSTALLED AFTER DUAL LINE REGULATORS: YES PASS

9 PRESSURE RELIEF LINE IS VENTED OUTSIDE, TURNED DOWN AND PROTECTED: YES PASS

10 CYLINDERS ARE SECURED PROPERLY (MANIFOLD, EMERG RESERVE AND STORAGE) YES PASS

11 EACH CYLINDER PIGTAIL HAS A CHECK VALVE: YES PASS

12 EACH PIGTAIL IS IN GOOD WORKING CONDITION: YES PASS

13 SOURCE VALVE INSTALLED: YES PASS

14 SOURCE VALVE PROPERLY LABELED (AREA CONTROLLING): YES PASS

15 MASTER ALARM PRESSURE SWITCH IN PROPER LOCATION: YES PASS

16 GAUGE LOCATED NEXT TO MASTER ALARM PRESSURE SWITCH: YES PASS

17 DEMAND CHECKS PRESENT ON ALL EQUIPMENT DOWNSTREAM OF SOURCE VALVE: YES PASS

18 MASTER ALARM SIGNALS ACTIVATE LOCAL ALARM AS DESIGNED: YES PASS

19 ALL GAUGES IN GOOD WORKING ORDER: YES PASS

20 CHECK VALVES INSTALLED BETWEEN EMERG BANK AND PRIMARY MANIFOLD ( IF

APPLICABLE) YES PASS

2023 ANNUAL MED GAS TESTING REPORT | 10

MEDICAL AIR SYSTEM

DEVICE # DATE OF TEST BAR CODE LOCATION OF SYSTEM

28 2/9/23 MAIN BUILDING BASEMENT

BUILDING: MAIN QUANTITY OF PUMPS 4 LEAD SWITCH SETTING: 80-110

MANUFACTURER: HILL-ROM HP EACH: 15 LAG SWITCH SETTING: -

MODEL: EAX-AGOO74 MAIN LINE REGULATOR # 1: 53 LAG # 2 SWITCH SETTING: 65-80

SERIAL: N/A MAIN LINE REGULATOR # 2: 54 DEW MONITOR BRAND: KANN

COMPRESSOR

TYPE: RECIPROCATING OIL- LESS MAIN LINE RELIEF SETTING: 75 DEWPOINT TEMP: -30.7 F

COMPRESSOR

BRAND: CHAMPION ALTERNATION (AUTO / MAN): AUTO DEWPOINT ALARM SET PT: 35 F

DRYER

TECHNOLOGY: DESICANT MIN RUN TIMER OR START/STOP: S/S CO MONITOR BRAND: A310

DRYER BRAND: D-H MIN RUN TIMER SETTING: N/A CO PPM: 0

DESSICANT MODE

(PURGE TYPE) CONTROLLED MED AIR PURITY: N/A CO ALARM SETTING: 10PPM

HOURS # 1 27,557 HOURS # 2 22,257 HOURS # 3 12,718 HOURS # 4 14,754

DEWPOINT MONITOR CALIBRATION TEST: NOT IN SCOPE OF PROJ. CARBON MONOXIDE CALIBRATION TEST: NOT IN SCOPE OF PROJ.

YES / NO

OR NOT APPLICABLE

STATUS

PASS /

FAIL

COMMENTS

1 AIR INTAKE IS IN AN ACCEPTABLE LOCATION AND IS TURNED AND SCREENED YES PASS

2 SOURCE VALVE PROPERLY LABELED (AREA CONTROLLING). YES PASS

3 MASTER ALARM PRESSURE SWITCH IN PROPER LOCATION YES PASS

4 GAUGE LOCATED NEXT TO MASTER ALARM PRESSURE SWITCH YES PASS

5 DEMAND CHECKS PRESENT ON ALL FITTINGS DOWNSTREAM OF SOURCE VALVES YES PASS

6 FLEXIBLE CONNECTORS INSTALLED TO MANUFACTURERS RECOMMENDATIONS YES PASS

7 RECEIVER TANK DRAIN INSTALLED YES PASS

8 ALARMS ON CONTROL PANEL MEET “LOCAL ALARM DEFINITION YES PASS

9 SUFFICIENT ROOM EXISTS AROUND EQUIPMENT FOR SERVICE AND REPAIRS. YES PASS

10 SYSTEM LABELED “MEDICAL AIR” YES PASS

11 WATER FLOW CONTROL SWITCHES OPERATE PROPERLY N/A N/A

12 CHECK VALVES BETWEEN PUMPS OPERATE PROPERLY YES PASS

13 COUPLINGS / BELTS OPERATE AS DESIGNED (NO DRY ROT OR SHAVINGS PRESENT) YES PASS

14 DRYERS OPERATE AS DESIGNED YES PASS

15 DUPLEX DRYERS PRESENT YES PASS

16 DUPLEX FILTERS ASSEMBLIES PRESENT YES PASS

17 TEST PORT PRESENT FOR SAMPLES YES PASS

18 SAFETY RELIEF VALVES PRESENT ON COMPRESSOR AND PIPELINE YES PASS

19 ALL GAUGES IN GOOD WORKING ORDER YES PASS

20 DUAL MAIN LINE REGULATORS EXIST AND IN GOOD WORKING ORDER YES PASS

21 DEWPOINT AND CO MONITORS OPERATE AS DESIGNED YES PASS

22 DESSICANT OR REFRIGERANT DRYER OPERATES AS DESIGNED YES PASS

23 DESSICANT DRYER PACKAGE HAS PURGE CONTROL OPTION AND IS IN USE YES PASS

2023 ANNUAL MED GAS TESTING REPORT | 11

MEDICAL AIR SYSTEM

29 2/23/23 CLC ROOF

BUILDING: CLC QUANTITY OF PUMPS 3 LEAD SWITCH SETTING: 110-120

MANUFACTURER: AMICO HP EACH: 5 LAG SWITCH SETTING: -

MODEL: A-SCD-T 120P-SS-N-100-46063-T MAIN LINE REGULATOR # 1: 51 LAG # 2 SWITCH SETTING: 108-118

SERIAL: 12272012848501 MAIN LINE REGULATOR # 2: 52 DEW MONITOR BRAND: -

COMPRESSOR

TYPE: SCROLL MAIN LINE RELIEF SETTING: 75 DEWPOINT TEMP: 19.9 F

COMPRESSOR

BRAND: AMICO ALTERNATION (AUTO / MAN): AUTO DEWPOINT ALARM SETTING: -

DRYER

TECHNOLOGY: DESICCANT MIN RUN TIMER OR START/STOP: YES CO MONITOR BRAND: -

DRYER BRAND: AMICO MIN RUN TIMER SETTING (IF

DESIGNED): S/S CO PPM: 15

DESSICANT MODE

(PURGE TYPE) CONTROLLED MED AIR PURITY: - CO ALARM SETTING: 10 PPM

HOURS # 1 2797 HOURS # 2 6122 HOURS # 3 6564

DEWPOINT MONITOR CALIBRATION TEST: NOT IN SCOPE OF PROJ. CARBON MONOXIDE CALIBRATION TEST: NOT IN SCOPE OF PROJ.

YES / NO

OR NOT APPLICABLE

STATUS

PASS /

FAIL

COMMENTS

1 AIR INTAKE IS IN AN ACCEPTABLE LOCATION AND IS TURNED AND SCREENED YES PASS

2 SOURCE VALVE PROPERLY LABELED (AREA CONTROLLING). YES PASS

3 MASTER ALARM PRESSURE SWITCH IN PROPER LOCATION YES PASS

4 GAUGE LOCATED NEXT TO MASTER ALARM PRESSURE SWITCH YES PASS

5 DEMAND CHECKS PRESENT ON ALL FITTINGS DOWNSTREAM OF SOURCE VALVES YES PASS

6 FLEXIBLE CONNECTORS INSTALLED TO MANUFACTURERS RECOMMENDATIONS YES PASS

7 RECEIVER TANK DRAIN INSTALLED YES PASS

8 ALARMS ON CONTROL PANEL MEET “LOCAL ALARM DEFINITION YES PASS

9 SUFFICIENT ROOM EXISTS AROUND EQUIPMENT FOR SERVICE AND REPAIRS. YES PASS

10 SYSTEM LABELED “MEDICAL AIR” YES PASS

11 WATER FLOW CONTROL SWITCHES OPERATE PROPERLY N/A N/A

12 CHECK VALVES BETWEEN PUMPS OPERATE PROPERLY YES PASS

13 COUPLINGS / BELTS OPERATE AS DESIGNED (NO DRY ROT OR SHAVINGS PRESENT) YES PASS

14 DRYERS OPERATE AS DESIGNED YES PASS

15 DUPLEX DRYERS PRESENT YES PASS

16 DUPLEX FILTERS ASSEMBLIES PRESENT YES PASS

17 TEST PORT PRESENT FOR SAMPLES YES PASS

18 SAFETY RELIEF VALVES PRESENT ON COMPRESSOR AND PIPELINE YES PASS

19 ALL GAUGES IN GOOD WORKING ORDER YES PASS

20 DUAL MAIN LINE REGULATORS EXIST AND IN GOOD WORKING ORDER YES PASS

21 DEWPOINT AND CO MONITORS OPERATE AS DESIGNED YES PASS

22 DESSICANT OR REFRIGERANT DRYER OPERATES AS DESIGNED YES PASS

23 DESSICANT DRYER PACKAGE HAS PURGE CONTROL OPTION AND IS IN USE YES PASS

2023 ANNUAL MED GAS TESTING REPORT | 12

MEDICAL VACUUM SYSTEM

30 2/23/22 MAIN BUILDING BASEMENT

BUILDING: MAIN QUANTITY OF PUMPS 4

MANUFACTURER: HILL-ROM HP EACH 10 HP

MODEL: EAX-AG0074 MIN RUN TIMERS: YES

SERIAL: N/A MIN RUN TIMER SETTING: 15 MIN

PUMP BRAND: HILL ROM LEAD SWITCH SETTING: 19-22

PUMP TECHNOLOGY: DRY CLAW LAG SWITCH SETTING: 16-20

ALTERNATION

(AUTO / MAN): AUTO LAG # 2 SWITCH SETTING: -

HOURS # 1 43,832 HOURS # 2 41,581 HOURS # 3 39,449 HOURS #4 39890

YES / NO

OR NOT APPLICABLE

STATUS

PASS /

FAIL

COMMENTS

1 VACUUM EXHAUST IS IN AN ACCEPTABLE LOCATION, TURNED DOWN AND SCREENED YES PASS

2 SOURCE VALVE PROPERLY LABELED (AREA CONTROLLING). YES PASS

3 MASTER ALARM PRESSURE SWITCH IN PROPER LOCATION YES PASS

4 GAUGE LOCATED NEXT TO MASTER ALARM PRESSURE SWITCH YES PASS

5 GAUGES ARE IN GOOD WORKING ORDER YES PASS

6 DEMAND CHECKS PRESENT ON ALL FITTINGS DOWNSTREAM OF SOURCE VALVES YES PASS

7 FLEXIBLE CONNECTORS INSTALLED TO MANUFACTURERS RECOMMENDATIONS YES PASS

8 RECEIVER TANK DRAIN INSTALLED YES PASS

9 ALARMS ON CONTROL PANEL MEET “LOCAL ALARM DEFINITION” YES PASS

10 CONTROL PANEL BULBS OPERATE PROPERLY YES PASS

11 SUFFICIENT ROOM EXISTS AROUND EQUIPMENT FOR SERVICE AND REPAIRS. YES PASS

12 SYSTEM LABELED “MEDICAL VACUUM” YES PASS

13 CHECK VALVES BETWEEN PUMPS OPERATE PROPERLY YES PASS

14 COUPLINGS / BELTS OPERATE AS DESIGNED ( DRY ROT - SHAVINGS PRESENT) YES PASS

15 SAFETY RELIEF VALVES PRESENT ON RECEIVER TANK OR PUMPS YES PASS

16 WATER FLOW CONTROL SWITCHES OPERATE PROPERLY N/A N/A

17 WATER SOLENOIDS OPERATE PROPERLY. YES PASS

18 WATER SOLENOIDS HAVE BYPASS PRESENT YES PASS

19 WATER PIPING FROM CAMEL RECEIVER COOL TO THE TOUCH YES PASS

20 WATER STRAINERS AND FLOW CONTROL DEVICES CLEAN YES PASS

2023 ANNUAL MED GAS TESTING REPORT | 13

MEDICAL VACUUM SYSTEM

31 2/23/23 CLC ROOF

BUILDING: CLC QUANTITY OF PUMPS 3

MANUFACTURER: AMICO HP EACH 5 HP

MODEL: VRVL-120-SS-N-051-46063-M MIN RUN TIMERS: YES

SERIAL: U124710488 MIN RUN TIMER SETTING: 10 MIN

PUMP BRAND: BUSCH LEAD SWITCH SETTING: 20-25

PUMP TECHNOLOGY: OIL ROTARY VEIN LAG SWITCH SETTING: -

ALTERNATION

(AUTO / MAN): AUTO LAG # 2 SWITCH SETTING: 18-23

HOURS # 1 4,609 HOURS # 2 10,819 HOURS # 3 20,310

YES / NO

OR NOT APPLICABLE

STATUS

PASS /

FAIL

COMMENTS

1 VACUUM EXHAUST IS IN AN ACCEPTABLE LOCATION, TURNED DOWN AND SCREENED YES YES

2 SOURCE VALVE PROPERLY LABELED (AREA CONTROLLING). YES YES

3 MASTER ALARM PRESSURE SWITCH IN PROPER LOCATION YES YES

4 GAUGE LOCATED NEXT TO MASTER ALARM PRESSURE SWITCH YES YES

5 GAUGES ARE IN GOOD WORKING ORDER YES YES

6 DEMAND CHECKS PRESENT ON ALL FITTINGS DOWNSTREAM OF SOURCE VALVES YES YES

7 FLEXIBLE CONNECTORS INSTALLED TO MANUFACTURERS RECOMMENDATIONS YES YES

8 RECEIVER TANK DRAIN INSTALLED YES YES

9 ALARMS ON CONTROL PANEL MEET “LOCAL ALARM DEFINITION” YES YES

10 CONTROL PANEL BULBS OPERATE PROPERLY YES YES

11 SUFFICIENT ROOM EXISTS AROUND EQUIPMENT FOR SERVICE AND REPAIRS. YES YES

12 SYSTEM LABELED “MEDICAL VACUUM” YES YES

13 CHECK VALVES BETWEEN PUMPS OPERATE PROPERLY YES YES

14 COUPLINGS / BELTS OPERATE AS DESIGNED (DRY ROT - SHAVINGS PRESENT) YES YES

15 SAFETY RELIEF VALVES PRESENT ON RECEIVER TANK OR PUMPS YES YES

16 WATER FLOW CONTROL SWITCHES OPERATE PROPERLY N/A N/A

17 WATER SOLENOIDS OPERATE PROPERLY. YES YES

18 WATER SOLENOIDS HAVE BYPASS PRESENT YES YES

19 WATER PIPING FROM CAMEL RECEIVER COOL TO THE TOUCH YES YES

20 WATER STRAINERS AND FLOW CONTROL DEVICES CLEAN YES YES

2023 ANNUAL MED GAS TESTING REPORT | 14

DENTAL VACUUM SYSTEM

32 2/23/23 CLC MECHANICAL ROOM

BUILDING: MAIN QUANTITY OF PUMPS 3

MANUFACTURER: AIR TECHNOLOGIES HP EACH N/A

MODEL: MOJAVE V15 PUMP MIN RUN TIMERS: CONTINUOUS CYCLE

SERIAL: MJ504-21040007,6,5 MIN RUN TIMER SETTING: CONTINUOUS CYCLE

PUMP BRAND: AIR TECHNIQUES LEAD SWITCH SETTING: N/A

PUMP TECHNOLOGY: DENTAL VAC LAG SWITCH SETTING: N/A

ALTERNATION

(AUTO / MAN): AUTO LAG # 2 SWITCH SETTING: N/A

HOURS # 1 3,335 HOURS # 2 5,965 HOURS # 3 3,771

YES / NO

OR NOT APPLICABLE

STATUS

PASS /

FAIL

COMMENTS

1 VACUUM EXHAUST IS IN AN ACCEPTABLE LOCATION, TURNED DOWN AND SCREENED YES PASS

2 SOURCE VALVE PROPERLY LABELED (AREA CONTROLLING). N/A N/A

3 MASTER ALARM PRESSURE SWITCH IN PROPER LOCATION N/A N/A

4 GAUGE LOCATED NEXT TO MASTER ALARM PRESSURE SWITCH N/A N/A

5 GAUGES ARE IN GOOD WORKING ORDER YES PASS

6 DEMAND CHECKS PRESENT ON ALL FITTINGS DOWNSTREAM OF SOURCE VALVES N/A N/A

7 FLEXIBLE CONNECTORS INSTALLED TO MANUFACTURERS RECOMMENDATIONS YES PASS

8 RECEIVER TANK DRAIN INSTALLED N/A N/A

9 ALARMS ON CONTROL PANEL MEET “LOCAL ALARM DEFINITION” N/A N/A

10 CONTROL PANEL BULBS OPERATE PROPERLY YES PASS

11 SUFFICIENT ROOM EXISTS AROUND EQUIPMENT FOR SERVICE AND REPAIRS. YES PASS

12 SYSTEM LABELED “MEDICAL VACUUM” N/A N/A

13 CHECK VALVES BETWEEN PUMPS OPERATE PROPERLY YES PASS

14 COUPLINGS / BELTS OPERATE AS DESIGNED (DRY ROT - SHAVINGS PRESENT) YES PASS

15 SAFETY RELIEF VALVES PRESENT ON RECEIVER TANK OR PUMPS N/A N/A

16 WATER FLOW CONTROL SWITCHES OPERATE PROPERLY N/A N/A

17 WATER SOLENOIDS OPERATE PROPERLY. N/A N/A

18 WATER SOLENOIDS HAVE BYPASS PRESENT N/A N/A

19 WATER PIPING FROM CAMEL RECEIVER COOL TO THE TOUCH N/A N/A

20 WATER STRAINERS AND FLOW CONTROL DEVICES CLEAN N/A N/A

2023 ANNUAL MED GAS TESTING REPORT | 15

OXYGEN BULK SYSTEM

33 2/9/23 REAR OF MAIN FACILITY

GAS SUPPLIER: PRAXAIR MAIN VESSEL SERIAL # 5153110

EMERGENCY # 18009421148 RESERVE VESSEL SERIAL # 5153110

MAIN SIDE: 334 CONTROL PANEL SERIAL # -

RESERVE SIDE: 135 RESERVE ACTIVATION POINT: 9”

SYSTEM DESIGN: 1 MAIN, 1 RESERVE LIQ LOW SET POINT 75 PSI

RESERVE LIQUID LOW SET POINT 75 PSI

RESERVE PRESSURE LOWSET POINT 40 PSI

ITEM# DESCRIPTION

YES / NO

OR NOT

APPLICABLE

STATUS

PASS /

FAIL

COMMENTS

1 SYSTEM HAS LOCKABLE GATES YES PASS

2 SYSTEM IS PROPERLY SECURED (FENCING) YES PASS

3 TWO MEANS OF ENTRY/EXIT ARE PRESENT (IF POSSIBLE) NO FAIL

4 ANY SLATS ON FENCING ARE MADE OF NON COMBUSTABLE MATERIALS YES PASS

5 SYSTEM HAS PROPERLY LIGHTING YES PASS

6 ALL ELECTRICAL DEVICES ARE PROPERLY SECURED YES PASS

7 NO SMOKING AND NO OPEN FLAME SIGNAGE PRESENT: YES PASS

8 NO PARKING ALLOWED AROUND SYSTEM: YES PASS

9 MINIMUM SEPARATION DISTANCES BETWEEN BULK LIQUID OXYGEN SYSTEMS &

EXPOSURE HAZARDS ACCEPTABLE: NO FAIL

10 NO OVERHEAD HAZARD PRESENT (TREES, BRANCHES, ETC) YES PASS

11 PROPER VENTILATION PRESENT AROUND SYSTEM: YES PASS

12 3 FEET OF CLEARANCE PRESENT AROUND SYSTEM COMPONENTS: YES PASS

13 VESSELS AND VAPORIZERS ARE ANCHORED PROPERLY AND IN GOOD CONDITION: YES PASS

14 CONCRETE FLOORING IS IN GOOD CONDITION YES PASS

15 LOCAL ALARMS PRESENT FOR ALL SIGNALS: YES PASS

16 IF HEAT PRESENT ON PIPING, FUNCTIONING AS DESIGNED N/A N/A

17 TWO MAIN RELIEF VALVES WITH RUPTURE DISCS ON 3 WAY VALVES PRESENT OF EACH

VESSEL YES PASS

18 EACH VESSEL IS CLEARLY IDENTIFIED BY GAS AND VENDOR: YES PASS

19 CHECK VALVES BETWEEN MAIN AND RESERVE VESSEL: YES PASS

20 CONTROL PANEL FOR REGULATORS HAS EASY ACCESS YES PASS

21 RESERVE VESSEL HAS AT LEAST ONE DAY SUPPLY IN EMERGENCY: YES PASS

22 ALL LIQUID AND PRESSURE GAUGES ARE CLEARLY MARKED YES PASS

2023 ANNUAL MED GAS TESTING REPORT | 16

EMERGENCY OXYGEN FILL BOX

34 2/9/23 O/S LOADING DOCK / REAR CLC BUILDING

BUILDING: CLC BUILDING FILL BOX OR RESERVE FILL BOX

BUILDING SERVED: MAIN AND CLC BUILDING INLET PIPE SIZE: 1 INCH

ITEM# DESCRIPTION

YES / NO

OR NOT

APPLICABLE

STATUS

PASS /

FAIL

COMMENTS

1 FILL BOX LOCATION IS ACCESSIBLE AT ALL TIMES: YES PASS

2 FILL BOX IS CURRENTLY LOCKED: YES PASS

3 GAUGES LOCATED INSIDE FILL BOX: YES PASS

4 CONDITION OF FILL BOX IS ACCEPTABLE ( NO RUST - BROKEN HINGES): YES PASS

5 EXPOSED PIPING IS CLEARLY LABELED: YES PASS

6 EXPOSED PIPING IS PROTECTED FROM DAMAGE: YES PASS

7 MAIN PIPELINE HAS REQUIRED CHECK VALVES: YES PASS

8 FILL BOX PIPELINE HAS REQUIRED CHECK VALVES: YES PASS

9 FILL BOX PIPELINE HAS OPTIONAL VALVE INSTALLED: YES PASS

10 IF YES, IS THE VALVE LABELED PROPERLY: YES PASS

11 PRESSURE SWITCH PIPED DOWNSTREAM OF ALL VALVES / CHECK VALVES: YES PASS

12 FILL BOX IS PROPERLY LABELED: YES PASS

13 IF ONE BOX INSTALLED - FILL BOX SERVES ENTIRE FACILITY: YES PASS

14 IF MULTIPLE FILL BOXES INSTALLED - EACH IS CLEARLY MARKED FOR BUILDING SERVED: N/A N/A

15 3 FEET OF CLEARANCE AROUND EOSC BOX YES PASS

16 EASY ACCESS TO EOSC BOX FROM STREET ACCESS YES PASS

2023 ANNUAL MED GAS TESTING REPORT | 17

PIPELINE ANALYSIS

5.1.12.3.7 Piping Particulate Test. For each positive pressure gas system, the cleanliness of the piping system shall be verified.

5.1.12.3.7.1 A minimum of 1000 L (35 ft3) of gas shall be filtered through a clean, white 0.45 micron filter at a minimum flow rate of 100 Nl/min (3.5 SCFM).

5.1.12.3.7.2 Twenty-five percent of the zones shall be tested at the outlet most remote from the source.

5.1.12.3.7.3 The filter shall accrue no more than 0.001 g (1 mg) of matter from any outlet tested.

5.1.12.3.7.4 If any outlet fails this test, the most remote outlet in every zone shall be tested.

5.1.12.3.8* Verifier Piping Purity Test. For each medical gas system, the purity of the piping system shall be verified in accordance with 5.1.12.3.8.

5.1.12.3.8.1 These tests shall be performed with oil-free, dry nitrogen NF or the system gas.

5.1.12.3.8.2 The outlet most remote from the source shall be tested for total non-methane hydrocarbons and compared to the source gas.

5.1.12.3.8.3 If the system gas is used as the source gas, it shall be tested at the source equipment.

5.1.12.3.8.4 The difference between the two tests shall in no case exceed 5 ppm of total non-methane hydrocarbons.

5.1.12.3.8.5 The difference between the two tests shall in no case exceed 5 ppm halogenated hydrocarbons.

5.1.12.3.8.6 The moisture concentration of the outlet test shall not exceed 500 ppm or an equivalent pressure dew point of 10°F at a gauge pressure of 50 PSI.

HYDROCARBON SAMPLES ARE ONLY REQUIRED WHEN NEW PIPING IS INSTALLED

SAMPLE INFORMATION

SAMPLE # SAMPLE

LOCATION

BUILDING

GAS SAMPLE DATE SAMPLE

ORIGIN TEST TYPE

1 7C – 03 MAIN OXY 2/22/23 OUTLET PARTICULATES

2 7C – 04 MAIN AIR 2/22/23 OUTLET PARTICULATES

3 DIALYSIS BED 10 MAIN OXY 2/22/23 OUTLET PARTICULATES

4 RECOVERY 1 MAIN OXY 2/24/23 OUTLET PARTICULATES

5 OR 7 MAIN N2O 2/24/23 OUTLET PARTICULATES

6 OR 4 MAIN OXY 2/24/23 OUTLET PARTICULATES

7 OR 8 MAIN N2O 2/24/23 OUTLET PARTICULATES

8 2D – 13 MAIN AIR 2/23/23 OUTLET PARTICULATES

9 CLC 1A – 06 CLC OXY 2/23/23 OUTLET PARTICLUATES

10 CLC 2A – 30D CLC OXY 2/23/23 OUTLET PARTICULATES

SAMPLE RESULTS - PARTICULATES

SAMPLE #

PARTICULATES

(MAX OF 1 MG)

DEW POINT

(MED AIR ONLY – MAX OF 35 F)

NOT REQUIRED OTHER GASES

CARBON MONOXIDE

(MAX OF 10 PPM)

CARBON

DIOXIDE

(MAX OF 500 PPM)

SAMPLE RESULTS

PASS / FAIL

1 < 1MG X 0 PPM 0 PPM PASS

2 < 1MG 20 F 0 PPM 370 PPM PASS

3 < 1MG X 0 PPM 0 PPM PASS

4 < 1MG X 0 PPM 0 PPM PASS

5 < 1MG X 0 PPM 0 PPM PASS

6 < 1MG X 0 PPM 0 PPM PASS

7 < 1MG X 0 PPM 0 PPM PASS

8 < 1MG 27F 0 PPM 370 PPM PASS

9 < 1MG X 0 PPM 0 PPM PASS

10 < 1MG X 0 PPM 0 PPM PASS

Oxygen Purity Content, Pressure For Each Gas, and Flows Are Detailed on Outlet Pages

2023 ANNUAL MED GAS TESTING REPORT | 18

OUTLETS

FLOOR: 8 UNIT: ICU

BLDG: MAIN

5.1.12.3.10 Operational Pressure Test. Operational pressure tests shall be performed at each station outlet/inlet or terminal where the user makes connections and disconnections.

5.1.12.3.10.1 Tests shall be performed with the gas of system designation or the operating vacuum.

5.1.12.3.10.2 All gas outlets with a gauge pressure of 50 psi, including, but not limited to, oxygen, nitrous oxide, medical air, and carbon dioxide, shall deliver 3.5 SCFM with a pressure drop of not more than 5 psi and static pressure of 50 psi to 55 psi.

5.1.12.3.10.3 Support gas outlets shall deliver 5.0 SCFM with a pressure drop of not more than 5 psi gauge and static pressure of 160 psi to 185 psi gauge.

5.1.12.3.10.4 Medical–surgical vacuum inlets shall draw 3 SCFM without reducing the vacuum pressure below 12 in. gauge HgV at any adjacent station inlet.

5.1.12.3.10.5 Oxygen and medical air outlets serving critical care areas shall allow a transient flow rate of 6 SCFM for 3 seconds.

5.1.12.3.11 Medical Gas Concentration Test. After purging each system with the gas of system designation, the following shall be performed: (1) Each pressure gas source and outlet shall be analyzed for concentration of gas, by volume. (2) Analysis shall be conducted with instruments designed to measure the specific gas dispensed. (3)*Allowable concentrations shall be as indicated in Table 5.1.12.3.11. See NFPA 99-2012 for exact information.

5.1.12.3.3 Cross-Connection Test. After the closing of walls and completion of the requirements of 5.1.12.2, it shall be determined that no cross-connection of piping systems exists by either of the methods detailed in 5.1.12.3.3.1 or 5.1.12.3.3.2.

5.1.11.3 Station Outlets and Inlets.

5.1.11.3.1 Station outlets and inlets shall be identified as to the name or chemical symbol for the specific medical gas or vacuum provided.

5.1.11.3.2 Where medical gas systems operate at pressures other than the standard gauge pressure of 50 psi to 55 psi or a gauge pressure of 160 psi to 185 psi for nitrogen, the station outlet identification shall include the nonstandard operating pressure in addition to the name of the gas.

SEE THE “INVENTORY DEFINITIONS” PAGE FOR DETAILED INFORMATION ABOUT COLUMNS A THROUGH L BELOW A B C D E F G H I J K L

DEVICE # DATE OF

TEST BAR CODE ROOM NUMBER STA # GAS

PURITY

% O2 (N2O)

PSI

HG

GAS

FLOW

OUTLET

FUNCTION

STATUS

PASS

FAIL

OUTLET INFORMATION

BRAND FITTING SERIES TYPE

1 2/21/23 ICU BED 1 1 O 99 51 OK OK PASS BM DISS RAIL SLIDE

2 2/21/23 A 21 52 OK OK PASS BM DISS RAIL SLIDE

3 2/21/23 O 99 51 OK OK PASS BM DISS RAIL SLIDE

4 2/21/23 V - 21 OK OK PASS BM DISS RAIL SLIDE

5 2/21/23 V - 21 OK OK PASS BM DISS RAIL SLIDE

6 2/21/23 V - 21 OK OK PASS BM DISS RAIL SLIDE

7 2/21/23 2 O 99 51 OK OK PASS BM DISS RAIL SLIDE

8 2/21/23 A 21 52 OK OK PASS BM DISS RAIL SLIDE

9 2/21/23 O 99 51 OK OK PASS BM DISS RAIL SLIDE

10 2/21/23 V - 21 OK OK PASS BM DISS RAIL SLIDE

11 2/21/23 V - 21 OK OK PASS BM DISS RAIL SLIDE

12 2/21/23 V - 21 OK OK PASS BM DISS RAIL SLIDE

13 2/21/23 ICU BED 2 1 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

14 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

15 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

16 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

17 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

18 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

19 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

20 2/21/23 2 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

21 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

22 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

23 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

24 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

25 2/21/23 ICU BED 3 1 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

26 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

27 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

28 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

29 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

30 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

31 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

32 2/21/23 2 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

2023 ANNUAL MED GAS TESTING REPORT | 19

5.1.12.3.10 Operational Pressure Test. Operational pressure tests shall be performed at each station outlet/inlet or terminal where the user makes connections and disconnections.

5.1.12.3.10.2 All gas outlets with a gauge pressure of 50 psi, including, but not limited to, oxygen, nitrous oxide, medical air, and carbon dioxide, shall deliver 3.5 SCFM with a pressure drop of not more than 5 psi and static pressure of 50 psi to 55 psi.

5.1.12.3.10.3 Support gas outlets shall deliver 5.0 SCFM with a pressure drop of not more than 5 psi gauge and static pressure of 160 psi to 185 psi gauge.

5.1.12.3.10.4 Medical–surgical vacuum inlets shall draw 3 SCFM without reducing the vacuum pressure below 12 in. gauge HgV at any adjacent station inlet.

5.1.12.3.10.5 Oxygen and medical air outlets serving critical care areas shall allow a transient flow rate of 6 SCFM for 3 seconds.

5.1.12.3.11 Medical Gas Concentration Test. After purging each system with the gas of system designation, the following shall be performed: (1) Each pressure gas source and outlet shall be analyzed for concentration of gas, by volume. (2) Analysis shall be conducted with instruments designed to measure the specific gas dispensed. (3)*Allowable concentrations shall be as indicated in Table 5.1.12.3.11. See NFPA 99-2012 for exact information.

5.1.12.3.3 Cross-Connection Test. After the closing of walls and completion of the requirements of 5.1.12.2, it shall be determined that no cross-connection of piping systems exists by either of the methods detailed in 5.1.12.3.3.1 or 5.1.12.3.3.2.

5.1.11.3 Station Outlets and Inlets.

5.1.11.3.1 Station outlets and inlets shall be identified as to the name or chemical symbol for the specific medical gas or vacuum provided.

5.1.11.3.2 Where medical gas systems operate at pressures other than the standard gauge pressure of 50 psi to 55 psi or a gauge pressure of 160 psi to 185 psi for nitrogen, the station outlet identification shall include the nonstandard operating pressure in addition to the name of the gas.

SEE THE “INVENTORY DEFINITIONS” PAGE FOR DETAILED INFORMATION ABOUT COLUMNS A THROUGH L BELOW A B C D E F G H I J K L

DEVICE # DATE OF

TEST BAR CODE ROOM NUMBER STA # GAS

PURITY

% O2 (N2O)

PSI

HG

FAIL

OUTLET INFORMATION

BRAND FITTING SERIES TYPE

33 2/21/23 ICU BED 3 2 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

34 2/21/23 (CONTINUED) A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

35 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

36 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

37 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

38 2/21/23 ICU BED 4 1 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

39 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

40 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

41 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

42 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

43 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

44 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

45 2/21/23 2 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

46 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

47 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

48 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

49 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

50 2/21/23 ICU BED 5 1 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

51 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

52 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

53 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

54 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

55 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

56 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

57 2/21/23 2 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

58 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

59 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

60 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

61 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

62 2/21/23 ICU BED 6 1 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

63 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

64 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

2023 ANNUAL MED GAS TESTING REPORT | 20

5.1.12.3.10 Operational Pressure Test. Operational pressure tests shall be performed at each station outlet/inlet or terminal where the user makes connections and disconnections.

5.1.12.3.10.2 All gas outlets with a gauge pressure of 50 psi, including, but not limited to, oxygen, nitrous oxide, medical air, and carbon dioxide, shall deliver 3.5 SCFM with a pressure drop of not more than 5 psi and static pressure of 50 psi to 55 psi.

5.1.12.3.10.3 Support gas outlets shall deliver 5.0 SCFM with a pressure drop of not more than 5 psi gauge and static pressure of 160 psi to 185 psi gauge.

5.1.12.3.10.4 Medical–surgical vacuum inlets shall draw 3 SCFM without reducing the vacuum pressure below 12 in. gauge HgV at any adjacent station inlet.

5.1.12.3.10.5 Oxygen and medical air outlets serving critical care areas shall allow a transient flow rate of 6 SCFM for 3 seconds.

5.1.12.3.11 Medical Gas Concentration Test. After purging each system with the gas of system designation, the following shall be performed: (1) Each pressure gas source and outlet shall be analyzed for concentration of gas, by volume. (2) Analysis shall be conducted with instruments designed to measure the specific gas dispensed. (3)*Allowable concentrations shall be as indicated in Table 5.1.12.3.11. See NFPA 99-2012 for exact information.

5.1.12.3.3 Cross-Connection Test. After the closing of walls and completion of the requirements of 5.1.12.2, it shall be determined that no cross-connection of piping systems exists by either of the methods detailed in 5.1.12.3.3.1 or 5.1.12.3.3.2.

5.1.11.3 Station Outlets and Inlets.

5.1.11.3.1 Station outlets and inlets shall be identified as to the name or chemical symbol for the specific medical gas or vacuum provided.

5.1.11.3.2 Where medical gas systems operate at pressures other than the standard gauge pressure of 50 psi to 55 psi or a gauge pressure of 160 psi to 185 psi for nitrogen, the station outlet identification shall include the nonstandard operating pressure in addition to the name of the gas.

SEE THE “INVENTORY DEFINITIONS” PAGE FOR DETAILED INFORMATION ABOUT COLUMNS A THROUGH L BELOW A B C D E F G H I J K L

DEVICE # DATE OF

TEST BAR CODE ROOM NUMBER STA # GAS

PURITY

% O2 (N2O)

PSI

HG

FAIL

OUTLET INFORMATION

BRAND FITTING SERIES TYPE

65 2/21/23 ICU BED 6 1 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

66 2/21/23 (CONTINUED) V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

67 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

68 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

69 2/21/23 2 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

70 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

71 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

72 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

73 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

74 2/21/23 ICU BED 7 1 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

75 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

76 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

77 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

78 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

79 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

80 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

81 2/21/23 2 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

82 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

83 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

84 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

85 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

86 2/21/23 ICU BED 8 1 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

87 2/21/23 A 21 52 OK OK PASS BM DISS DIA 3 CONSOLE

88 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

89 2/21/23 O 99 51 OK OK PASS BM DISS DIA 3 CONSOLE

90 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

91 2/21/23 V - 21 OK OK PASS BM DISS DIA 3 CONSOLE

92 2/21/23 V - 21 OK OK PASS BM DISS DIA 3…