36C24820Q0471-015.pdf

REPORT TO: VA Hospital BUILDING: Fire Pump Room

ADDRESS: 1601 SW Archer Rd INSPECTOR: Mark Mosley

CITY/STATE/ZIP: Gainesville, FL 32608 DATE: 4-1-2019

NOTE: This pump test shall be conducted without flowing water and allowing automatic starting of the pump to occur. Mark all answers below with: Yes, No, or N/A.

Heat in pump room YES Operate the fire pump YES

Operating louvers in pump room appear Check packing gland tightness

(slight leak at no flow)

Record suction pressure from gauge (PSI) 72

Record discharge pressure from gauge (PSI) 133

No leaks in piping or hoses YES Adjust gland nuts if necessary YES

Suction line pressure is normal YES Check for unusual noise or vibration YES

System line pressure is normal YES Check packing boxes, bearings, or pump

Suction reservoir is full YES casing for overheating

Controller pilot light (power on) is illuminated YES Record pump starting pressure 88

Transfer switch is normal; power light is Observe time for motor to accelerate to full speed

Isolating switch for standby power is closed YES For reduced voltage or reduced current N/A

Reverse phase alarm light is not illuminated YES For pumps equipped with automatic stop

Normal phase rotation light is illuminated N/A feature, record running time

Oil level in vertical motor sight glass is normal N/A

Controller selector switch is in auto position YES

DISCREPANCIES OR COMMENTS:

Jockey Start: 100 Stop: 116

See Annual Report for all Discrepancies.

Pump suction, discharge & bypass valves open operational illuminated

ANNUAL TEST AND INSPECTION REPORT FOR ELECTRICAL PUMP

N/A

YES

10 MIN

W. W. Gay Fire & Integrated Systems, Inc.

Phone: (904) 387-7973 Fax: (904) 394-7261

Jacksonville, Florida 32204

522 Stockton Street

YES

YES

YESYES