2017 Annual Fire Pump.pdf

SinplGr1nn.3 VA MS#100-SP.WET.DRV.2nd OTt Annull ntp.138019324 4-3.2017 3323 EIdrdg* Pkwy St, 120

HCLISt0flIX 77041 miL—

FULL FLOW

FIRE PUMP PERFORMANCE TEST

Task Number 38008824 Date of Test: 4/17/17

Customer Name: Michael e Debakey VA Med Cemter Location Inspected: Bldg 114 pump house Street 2002 Holcomb St Inspectors Name: George Smiley

City: Houston State: tx Zip: 77030 Also present Able Salazar Attn: John Debi bar

Phone: 281-725-7847 Fax: Pump Designation: pump house Page 1 of 2

Shaft Manufacturer Approved Shop or Serial No. Model Number x 'Horizontal SSP X 'Yes

I USA-01-11-2141 TB15F I Vertical Pump Information INo

Gallons/Minute Rated PSI I Net Rated RPM I City Supply Size Conn. Tank Supply Tank Height

PM 1 106 PSI N/A I PSI 3550 I RPM I NO Yes I N/A I Inch YES I Yes 25 I Feet Manufacturer Approved Shop or Serial No. Model Number

Horse Power Rated RPM

WEG

X Yes

04AG0101008738 404/5TS Driver No 125 I H.P. 3560 I RPM

________________ Information Elec. Motor? I Rated Volts Oper. Volts Rated Amps Amps @150 Phase Cycles Service Factor

X Yes 460 A.C. 478 I A.C. 137 Amps 100 lAmps 3 IPhase 60 Hz 1.15 Manufacturer Approved Start Pressure: 65 1 psi Stop Jockey Pump

X Yes X Manual X Manual On N/A PSI Controller METRON I

INo X PSI Drop N/A Auto Off N/A PSI

Information Shop or Serial No. Model Number Auto Waterfiow

DE-889211 M435-125-460C

Revolutions Per Discharge Suction Net Pressures

Streams GPM % Volts Amps

Minute Pressures Pressures Size Pitot 1 Pitot 2 Pitot 3 Pitot 4 Pitot 5 Pitot 6 3574 RPM 140 Psi 8 Psi 132 Psi Churn 0 0 0 0 0 0 0 Churn 476 64 3560 RPM 111 Psi 6 Psi 105 Psi 20 20 1516 101.1 475 96 3557 RPM 90 Psi 4 Psi 86 Psi 20 20 18 2224 148.3 474 97 3556 RPM Psi Psi Psi

RPM Psi Psi Psi RPM Psi PSI Psi 0 RPM Psi Psi psi 0

Fire Pump Performance Test 4—Discharge Pressure

—U—Suction

Pressure

—a—Boost i~

Pressure

—4-- 90

Pressure 80 —t— 86

61)

40 ---------" ---- - -- -

20 -- ---- —U—S —U-6 - -

0 -

0 1516 2224

Gallons Per Minute

Additional Comments: N/A Did Pump Pass?I yes I

Signature of owner or owners representative: Date: 17-Apr-17

ME

SimplexGrinnell

8323 Eldridge Pkwy Ste 120

Houston, TX 77041

VA Med#100-SP-WET-DRY-2nd .QTR. Annual lnsp.#38019324 4-3-2017

Fire Pump NFPA 20 Checklist

Customer Name: VA IVIED CENTER Pump Designation: PUMP HOUSE Task Number: 38019324

Serial Number: TRI c1

I Is nameplate installed and Legible? YES

2 Is the circulation relief valve installed and working properly? YES

3 Is suction piping the correct size? YES

4 Is fire pump suction valve correct type? YES

5 Is jockey pump suction valve correct type? N/A

6 Is a vortex plate installed in suction piping inside storage tank? N/A

Is fire pump discharge check valve and discharge control valve installed correctly? YES

8 Is jockey pump discharge check valve and discharge control valve installed correctly?

N/A jockey Are pressure sensing lines for fire pump and/or pump installed correctly? YES

10 Is shutoff valve present in sensing lines? NO

11 Are sensing lines correct type and size? YES

Are unions and/or check valves installed in12 sensing lines? YES

13 Are test valves installed in sensing lines? YES

14 Is coupling guard in place and in good condition? YES

15 Is Fire Pump base filled with concrete? YES

16 Is suction gauge present and working properly? YES

17 Is discharge gauge present and working properly? YES

- 140

Is pump room temperature maintained at or above degrees fahrenheit? YES

19 Is a water measuring device installed? YES

20 Are packing gland drip cups piped to a drain? YES

21 Are controllers UL listed and FM approved? YES