975 Kirman Pre action 5 yr 7-20.pdf

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H212--Fire Protection Testing, Inspection, and Maintenance/Repair
Solicitation number
36C26126Q0018
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This document is a Report of Internal Condition of Sprinkler Piping for a Five-Year Internal Obstruction Inspection performed at the Department of Veteran Affairs Hospital located at 975 Kirman Ave., Reno, Nevada. The inspection was conducted on 07-20-2020 for a small approximately 2,000 square foot computer and electrical room area with a pre-action sprinkler system. The inspection results were positive, with no micro-biologically induced corrosion or non-biological obstructions found during the examination. The service fitter, Rich Bowman, opened a grooved coupling at the top of the riser and removed a sprinkler head from inside the electrical/riser room, noting that the Fire Department Connection (FDC) was previously inspected during the five-year inspection and the pre-action system is tied into the floor's sprinkler system.

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Text version

Report of Internal Condition of Sprinkler Piping for the Five-Year Internal Obstruction Inspection Owner: Department of Veteran Affairs Hospital

Owner’s Address:

Property Being Evaluated: Small +/- 2,000 square Feet computer/ electrical rooms

Property Address: 975 Kirman Ave., Reno, Nv. 89502

Date of Work: All responses refer to the current work ( inspection, testing, and maintenance) performed on this date.

TYPE OF SYSTEM: WET DRY PRE-ACTION DELUGE OTHER:

A. Inspections

1. Fifth Year Inspection Items

a. Alarm valves, Dry valves, or Pre-action valves and their associated strainers, filters, and restricted orifices passed internal inspection?

Yes No N/A

b. Check valves internally inspected and all parts operate properly, move freely, and are in good condition?

Yes No N/A

B. Inspections

1. Fifth Year Tests

a. Gauges checked by calibrated gauge or replaced?

Yes No

b. Pressure reducing valves passed full flow test? Yes No N/A

c. Extra-high temperature sprinklers pulled for sample testing or replaced?

Yes No N/A

2. Pipe Examination Data

a. Number of cross mains examined: (one minimum, remove flushing connection at the end) Qty: One

b. Number of branch lines examined: (one minimum) Qty: One

c. Other Points Examined (Describe):

N/A

3. Results of the Pipe Examination

a. The interior of the sprinkler piping appears in satisfactory condition:

Yes No

b. If NO above, was a MIC sample pulled for UL

Lab analysis?

Yes N/A

c. Was the piping clear of NON-Biological obstructions?

Yes No

d. Was a FIVE YEAR inspection sticker attached to the main riser?

Yes No

Comments

If the interior of the sprinkler pipe displayed sign’s of micro-biologically induced corrosion, then please describe the type of indicators

( slime or tubercles):

NONE FOUND

Please describe any other types of non-biological obstructions found during the internal inspection (scale, mud, rocks, pipe coupons, etc):

NONE FOUND

All other comments or recommendations:

A grooved coupling was opened at top of riser and a sprinkler head was removed from inside the electrical/ riser room. The FDC was previously inspected during the 5 year inspection, and this pre action is tied into this floors sprinkler system.

Signature’s

Service Fitter (Print): Rich Bowman Date: 7-20-20

Fitter’s Signature:

Owner Or Representative: Date:

Owner Or Representative’s Signature:

07-20-2020

File details come from the government source that posted it. Updated .