Attachment 8 - 668-16-110_Feasibility Study_Fixture Inventory and Tracking .pdf
PDF 2 MB Posted
- Solicitation number
- 36C26024R0038
About this file
This notice requests Standard Form 330 Architect-Engineer Qualifications packages for a design contract to modify existing hot and cold potable water distribution systems in Buildings 1 and 12 at the Mann-Grandstaff VA Medical Center in Spokane, Washington. The contract is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. The design period of performance is 315 calendar days from notice of award. The anticipated construction value is between $1,000,000 and $2,000,000. Submissions are due by April 15, 2024 and shall not exceed 20 pages. The selection will evaluate professional qualifications, specialized experience, capacity, past performance, and knowledge of the project locality. Discussions will be held with the top three firms based on written responses. The highest rated firm after discussions will receive a request for fee proposal.
View the file
Other files
Show all 36
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Clients Name: ___VA Hospital - Spokane, WA________________________________
Project #: ___2021-019_______
WH1-1
WH1-2
Sink No
Sink Yes
Shower
Sink Yes
Sink No
Pipes
Sink Yes
Sink Yes
Sink Yes
CW Main
CW Main
Sinks Yes
Showers No
CW Pipe
Sinks No
No
Sinks No
No
No
Mop Sink No
Sinks Yes
Sink No
Sink Yes
Pipes
Pipes
Pipes
Pipes
B008 142 F, Set Point 143 F, C: 62 F
145 F, Set Point 144 F, C: 62 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___Basement___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Mechanical
Morg Storage
Morg
Shower Room
Bio Med Shop
Mechanical
Mechanical
B011 H: 109 F (134 F), C: 69 F
B007 H: 100 F, C: 60 F
B016 H: 125 F, C: Not Functioning (N.F.)
B018 H: N.F., C: 68 F
B002 H: 130 F, C: 75 F
A002 Out of Order
B003 H: 139 F, C: 60 F
B004 No Access
Plumb Storage
Dietetic Servic
C008A C: 70 F
C001 C: 61 F
D008G H: 97 F, C: 66 F
D008C M: 97 F, H: 98 F (P), C: 64 F
M&O Shop
Break Rm/Comp Lab
Mechanical
Mechanical
C005D C: 66 F
C002 H: 130 F, C: 62 F (Near Hall)
C003A M: 96 F, H: 105 F, C: 63 F
H: 122 F, C: 62 F
Locker Rm/Restroom
Housekeeping
Dishwashing
H: 129 F, C: 64 F (Rinse near Hall)
H: 135 F, C: 76 F (South West)
H: 125 F, C: 62 F (Center)
A007 H: 111 F, C: 65 F (Hand Sink)Kitchen
A010 No good way to measure.
A006A M: 103 F, H: 119 F, C: 66 F
A007A H: 124 F, C: 74 F
C004A M: 104 F, H: 125 F, C: 61 F
Small Breakroom
Locker/Restroom
Janitorial Closet
Restroom/Kitchen
H: 131 F, HR: 124 F, C: 62 F
End of N Wing H: 127 F, HR: 123 F, C: 65 F
End of S Wing H: 128 F, HR: 115 F, C: 73 F
Mid of S Wing H: 122 F, HR: 115 F, C: 63 F
Corridor
Corridor
Corridor/Plumb Stor
Corridor
Center/B002
= No Mixing Valve Page: _1__ of _1__
Sink Yes
Sink Yes
Wash Sink No
Sink Yes
Sink ?
Sink Above Deck
Sink No
Sink No
Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Above Deck
Sink Yes
Sink Yes
Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink No
Sink No
Sink No
Sink Yes
Sink Yes
Sink YesB102 M: 110 F *
B106 M: 100 F, H: ?, C: ? *
M: 100 F, H: ?, C: ? *
B117 H: 140 F, C: 60 F
B119 H: 142 F, C: 60 F
D127 M: 114 F, H: 134 F, C: 64 F
A127C H: 135 F, C: 70 F
D128 M: 97 F, H: 136 F, C: 62 F
D129 M: 135 F, H: 135 F, C: 84 F
Exam Room
Exam Room
Exam Room
Director Office
D131 M: 130 F, H: 133 F, C: 69 F
D130 M: 81 F, H: 123 F, C: 64 F
D133 M: 113 F, H: 125 F, C: 66 F
D132 M: 126 F, H: 129 F, C: 83 F
Exam Room
Exam Room
SDS Care Coordinator
Exam Room
D135 M: 109 F, H: 112 F, C: 67 F
D134 M: 101 F, H: 110 F, C: 66 F
D107 M: 131 F, H: 131 F, C: 67 F
D105 H: 94 F, C: 64 F
Office
Conference Room
Exam Room
Exam Room
D108 M: 104 F, H: 131 F, C: 62 F
D106 M: 99 F, H: 135 F, C: 66 F
D110 M: 88 F, H: 110 F, C: 64 F
D109 M: 95 F, H: 137 F, C: 61 F
Womens Locker Rm
Office/Exam Rm
Mens Locker Rm
Exam Room
D113 M: 124 F, H: 127 F, C: 76 F
D111 M: 97 F, H: 134 F, C: 63 F
M: 122 F, H: 130 F, C: 70 F
D124 M: 114 F, H: 132 F, C: 66 FER Check-In
Office
Physician Office
D119 H: 139 F, C: 61 F
D123 M: 115 F, H: 133 F, C: 79 F
D117 H: 139 F, C: 61 F
D118 H: 139 F, C: 61 F
Soiled Utility Rm
Exam/Treatment Rm
Blood Draw Rm
Patient Restroom
Office
Procedure Rm 2
Procedure Rm 1
D115 77 F was only temp
D114 M: 92 F, H: 98 F, C: 67 F
C145D H: 140 F, C: 62 F
M: 77 F, H: 132 F, C: 63 F
C145A M: 110 F, H & C: No Adjustment (NA)
C145B M: 101 F, H & C: NA
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___1st_Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Specimen Restroom
Specimen Restroom
Small Breakroom
Restroom
Mens Restroom
Womens Restroom
* No access to separate Hot and Cold, enclosed pipes.
** Appears no Hot at all. = No Mixing Valve Page: ____ of _3__ andrewp Text Box
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink No?
Sink No
Sink No
Sink No
Sink No
Spray Rinse No
Hand Sink No
Sanitizer No
Spray Rinse No
Sink Yes?
Mop Sink No
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above Deck
Utility Sink No
Sink Above Deck
Utility Sink No
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above Deck
Sink Above DeckE136 M: 91 F, H: 116 F, C: 61 F
E135 M: 94 F, H: 117 F, C: 61 F
E134 M: 97 F, H: 129 F, C: 61 F
Exam Room
Exam Room
Exam Room
E132 M: 90 F, H: 121 F, C: 63 F
E133 M: 90 F, H: 113 F, C: 62 F
E129 M: 88 F, H: 120 F, C: 63 F
E130 M: 86 F, H: 130 F, C: 63 F
Patient Restroom
Exam Room
Exam Room
Exam Room
E121 H: 112 F, C: 63 F
M: 82 F, H: 107 F, C: 63 F
H: 126 F, C: 61 F
E128 M: 88 F, H: 109 F, C: 66 FExam Room
Soiled Utility
E120 M: 80 F, H: 115 F, C: 65 F
E126 M: 96 F, H: 116 F, C: 66 F
A107C H: 119 F, C: 71 F
E118 M: 95 F, H: 114 F, C: 67 F
Office/Breakroom
Exam Room
Wound Care
Minor Operatory
H: 117 F, C: 58 F
H: 128 F, C: 58 F
H: 129 F, C: 58 F
A102F M: 101 F, H & C: ? *
A102E H: 110 F, C: 61 F (C delayed)
H: 119 F, Hot Only
B107A H: 58 F, C: 58 F **Pre-Rinse Room
IV Room
Storage Closet
C112B H: 134 F, C: 60 F
B109A H: 128 F, C: 58 F
M: 82 F, H: 130 F, C: 63 F
C112A H: 133 F, C: 61 F *
H: 124 F, C: 58 F
M: 120 F, H: ?, C: 61 F *
M: 108 F, H: 126 F, C: 77 F
C109 M: 92 F, H: 128 F, C: 65 F
M: 124 F *
C113 M: 110 F, H: 127 F, C: 75 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___1st_Floor___
Room #
Mixing
Valve Notes
Out of Order
D104 M: 104 F *
B102 M: 108 F
D103
Usage
Fixture
Type
Womens Restroom
Mens Restroom
Womens Restroom
Mens Restroom
Family Restroom
Office
Office
Cafeteria Kitchen
* No access to separate Hot and Cold, enclosed pipes.
** Appears no Hot at all. = No Mixing Valve Page: ____ of _3__ andrewp
Sink Above Deck
Sink No
Mop Sink No
Sink Above Deck
Sink Above Deck
Utility Sink No
Sink Above Deck
Sink No
Sink No
Sink No
E140 Conference/Break Rm H: 127 F, C: 60 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___1st_Floor___
Room # Usage
Fixture
Type
Mixing
Valve Notes
E139 Locker Room M: 92 F, H: 115 F, C: 61 F
E113 Housekeeping H: 120 F, C: 60 F
E110 Staff Restroom M: Lever Adjust, H: 122 F, C: 65 F
E119 Exam Room M: 106 F, H: 117 F, C: 66 F
H: 122 F, C: 61 F
E122 Exam Room M: 80 F, H: 112 F, C: 65 F
By Main Entrance Coffee Shop H: 135 F, C: 59 F
H: 135 F, C: 59 F
H: 135 F, C: 58 F
* No access to separate Hot and Cold, enclosed pipes.
** Appears no Hot at all. = No Mixing Valve Page: ____ of _3__ andrewp
Mop Sink No
Sink Yes
Sink Above Deck
Mop Sink No
Sink Yes
Shower Controls
Sink ?
Sink Yes
Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Above Deck
Sink Above Deck
Sink Yes
Sink Yes
Sink Yes
Sink Above Deck
Sink Yes
Sink Yes
Utility Sink No
Sink No
Utility Sink No
Sink Yes
Shower Controls
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Above Deck
Sink Yes
Sink Above Deck
Sink Above Deck
Sink Above DeckA240A H: Not Working, C: 72 F ****
B248 H: 134 F, C: 74 F ****
A240B H: Not Working, C: 73 F ****
B253 H: 138 F, C: 85 F ****
B250 M: 106 F, H: 133 F, C: 69 F
B257 M: ?, H: 137 F, C: 74 F ****
B255 M: ?, H: 140 F, C: 78 F ****
B262H M: 101 F, H: 122 F, C: 59 F
B262 M: 88 F, H: 123 F, C: 59 F
Exam Room
Infusion Clinic
Exam Room
Exam Room
B262J M: 83 F, H: 125 F, C: 61 F
H: 128 F, C: Not Working
A200A H: 98F, C: 61 F
H: 139 F, C: 65 F
Lab Room
Patient Bathroom
A200D M: 102 F, H: 102 F, C: 69 F
H: 97 F, C: 61 F
C209 M: 105 F, H: 105 F, C: No Cold Supply
A200E M: 106 F, H: 129 F, C: 66 F
Restroom
Staff Restroom
Microbiology
C208H M: 107 F, H: 128 F, C: 73 F
C211 M: 75 F, H: 75 F, C: 72 F
C208J M: 129 F, H: 129 F, C: No Cold
C208G M: 104 F, H: 129 F, C: 68 F
Restroom
Xray Procedure 3
Xray Procedure 4
CT Room
C215 M: 135 F, H: 135 F, C: No Cold Supply
C208F M: 126 F, H: 126 F, C: NCS, very slow
C219 M: 105 F, H: 125 F, C: 70 F
C217 M: 104 F, H: 129 F, C: 68 F
Exam Room
Exam Room
Bathroom
Restroom
B260 H: 124 F, C: 60 F
C221 M: 116 F, H: 129 F, C: 70 F
E227 H: 115 F, C: 60 F ***
C222A M: 105 F, H: 129 F, C: 68 F
Staff Restroom
Exam Room
Women's Restroom
Housekeeping
Men's Locker
Breakroom
Office
E222 M: 91 F, H: 133 F, C: 62 F
H: 86 F, C: 60 F
A234 M: 110 F, H: 110 F, C: ? **
E202 H: No Access, C: 69 F
A202 H: 139 F, C: 58 F
A232 M: 101 F, H: 101 F, C: 76 F *
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___2nd Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Housekeeping
Men's Restroom
Cardiology Office
Breakroom
Nursing ADPAC
Echo Procedure
Echo Procedure
* Not a good Cold reading.
** No access for Cold.
*** Pipes covered, no access.
**** Temp adjust lever.
***** Has Cold supply, but only mix to both
H and C on faucet.
= No Mixing Valve
Page: ____ of _2__ andrewp
Sink Above Deck
Sink Yes
Sink Yes
Shower Controls
Sink No
Sink Yes
Sink Yes
Utility Sink No
Mop Sink No
Hand Sink Yes
Utility Sink No
Utility Sink No
Utility Sink No
Spray Rinse No
Spray Rinse No
Sink Yes
Sink Yes
E229 M: 128 F, H: 128 F, C: ? *****
H: No Hot, C: 78 F
H: 123 F, C: 66 F
E231A M: 105 F, H: 120 F, C: 65 F *****
H: 124 F, C: 65 F
H: 129 F, C: 65 F
H: ?, C: 63 F (H no handle)
E231 M: 95 F, H: 121 F, C: 63 F
H: 124 F, C: 67 F
M: 113 F, H: 133 F, C: 65 F
E235 M: 101 F, H: 121 F, C: 69 F
E228A H: ?, C: 63 F (H no flow)
A237 H: 132 F, C: 67 F
A237A M: 111 F, H: 130 F, C: 71 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___2nd Floor___
Room #
Mixing
Valve Notes
E219 M: 90 F, H: 131 F, C: 67 F
Fixture disassembled.
A238 H: Not Working, C: 63 F
A236
Usage
Fixture
Type
Office
Cardiac Stress Test
Women's Locker
Nuclear Medicine
Hot Lab
Tool Sterilization
Workroom
Sterilization Room
Workroom
Workroom
* Not a good Cold reading.
** No access for Cold.
*** Pipes covered, no access.
**** Temp adjust lever.
***** Has Cold supply, but only mix to both
H and C on faucet.
= No Mixing Valve
Page: ____ of _2__ andrewp
Sink Yes
Sink Yes
Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Above Deck
Mop Sink No
Sink No
Sink Yes
Sink Yes
Sink Yes
C308 M: 108 F, H: 120 F, C: 73 F *
C312 M: 112 F, H: 125 F, C: 76 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___3rd Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Procedure Rm
Procedure Rm
Procedure Rm
Procedure Rm
Procedure Rm
Procedure Rm
Procedure Rm
Procedure Rm
C322 M: 105 F, H: 123 F, C: 62 F
C325 M: 106 F, H: 121 F, C: 72 F
C318 H: 132 F, C: 58 F
C320 M: 105 F, H: 130 F, C: 60 F
C315 M: 104 F, H: 126 F, C: 62 F
C313 M: 105 F, H: 126 F, C: 62 F
C321 M: 105 F, H: 127 F, C: 66 F
C319 M: 102 F, H: 124 F, C: 62 F
Neurology Rm
Procedure Rm
A301 H: 135 F, C: 63 F
A300 M: 108 F, H: 133 F, C: 63 F
C307 M: 78 F, H: 87 F, C: 68 F
C303 H: 102 F, C: 63 F
Men's Restroom
Housekeeping
Women's Restroom
Nutrition Clinic
C324 M: 104 F, H: 135 F, C: 65 F
C327 M&H: Hot Water Off, C: 66 F
Exam/Treatment Rm
Cardiology
* Difficult to get good reading. = No Mixing Valve Page: _1__ of _1__
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Sink Yes
Shower Controls
Sink Above Deck
Sink Yes
Shower Controls
Sink Yes
Sink Yes
Shower Controls
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Above Deck
Shower Controls
Sink No
Sink Above Deck
Shower Controls
Sink Above Deck
Sink Above Deck
Shower Controls H: 95 F, C: 64 F
Mid S Wing M: ?, H: 125 F, C: 60 F *
B449 M: ?, H: 138 F, C: 71 F *
B452 M: 102 F, H: 105 F, C: 60 F
B452A H: 86 F, C: 59 F
B453A H: 124 F, C: 63 F
H: 138 F, C: 62 F
Inaccessable
B453 M: ?, H: 132 F, C: 76 F *Office
Bathroom
B455A H: 91 F, C: 65 F
B454 M: 136 F, H: 136 F, C: 71 F *
B456A H: 105 F, C: 65 F
B455 M: 133 F, H: 133 F, C: 65 F *
Bathroom
CPAP Clinic
Patient Bathroom
Home O2
B447 M: 89 F, H: 97 F, C: 70 F
Inaccessable
C404A H: 119 F, C: 68 F
B448 M: 96 F, H: 97 F, C: 65 F
Bathroom
Restroom
PFT Clinic
N Wing - Elevators H: 126 F, C: 69 F
C404 M: 132 F, H: 132 F, C: 67 F
C406 M: 108 F, H: 130 F, C: 72 F
C406A H: 126 F, C: 73 F
Patient Room
Bathroom
Corridor
Patient Room
C411A H: 109 F, C: 65 F
Mid N Wing M: 131 F, H: 131 F, C: 75 F
C410A H: 132 F, C: 76 F
C411 M: 118 F, H: 119 F, C: 65 F
Bathroom
Patient Room
Bathroom
Corridor
C413A H: 127 F, C: 66 F
C410 M: 110 F, H: 112 F, C: 75 F
C412A H: 129 F, C: 74 F
C413 M: 105 F, H: 130 F, C: 63 F
Bathroom
Patient Room
Patient Room
Bathroom
Corridor
Patient Room
Bathroom
Patient Room
End N Wing M: 127 F, H: 127 F, C: 72 F
C412 M: 102 F, H: 123 F, C: 74 F
C415 M: 106 F, H: 133 F, C: 69 F
C415A H: 117 F, C: 70 F
C414 M: 102 F, H: 134 F, C: 61 F
C414A H: 116 F, C: 62 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___4th Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Patient Room
Bathroom
CPAP Clinic A
Bathroom
Corridor
CPAP Clinic C
* Temperature adjust lever.
** Pinkish-orange colored water, first couple seconds.
= No Mixing Valve Page: ____ of _2__ andrewp
Sink Above Deck
Shower Controls
Sink Above Deck
Wash Sink No
Sink Yes
Tub Yes
Sink Yes
Sink Yes
Sink Yes
Mop Sink No
Sink Yes
Sink Yes
Shower Controls
Sink Yes
Sink No
Sink NoA401 Unoperable
H: 128 F, C: 70 F
A420 M: 100 F, H: 131 F, C: 66 F
A426A M: 102 F, H: 134 F, C: 72 F
A420A M: 105 F, H: 123 F, C: 66 F
A430 M: 106 F, H: 133 F, C: 63 F
A428 H: 131 F, C: 73 F
A400H H: 120 F, C: 68 F
H: 97 F, C: 75 F
A436 M: 108 F, H: 134 F, C: 64 F
A440 M: 109 F, H: 130 F, C: 64 F
A433 M: 72 F, H: 72, C: 68 F
Out of Order
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___4th Floor___
Room #
Mixing
Valve Notes
N End of S Wing M: ?, H: 139 F, C: 68 F *
A431 H: 140 F, C: 78 F
B448 M: ?, H: 140 F, C: 75 F */**
B448A
Usage
Fixture
Type
Respiratory Therapy
Bathroom
Corridor
Soiled Utility
Hydrotherapy Rm
Staff Restroom
Staff Breakroom
Nutrition
Housekeeping
Restroom
Patient Bathroom
MSA Check-In
Staff Restroom
Office
* Temperature adjust lever.
** Pinkish-orange colored water, first couple seconds.
= No Mixing Valve Page: ____ of _2__ andrewp
Sink Yes
Sink Yes
Shower Controls
Sink Yes
Sink Yes
Sink Yes
Sink ?
Sink Yes
Sink Yes
Mop Sink No
Sink Yes
Sink Yes Bed Pan Washer No
Sink Above Deck
Bed Pan Washer No
Sink Yes
Sink Yes
Tub ?
Sink No
Sink Above Deck
Sink Yes
Shower Controls
Sink Above Deck
Sink Yes
Shower Controls
Sink Yes
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Patient Bedroom
Patient/Storage
Patient Room
N Wing (C5-C1) M: 111 F, H: 125 F, C: 77 F
C514 M: 110 F, H: 125 F, C: 67 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___5th Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Corridor
Patient Room
Corridor
Publice Restroom
Locker Restroom
Soiled Utility
Breakroom
A501 M: 123 F, H: ? F, C: 62 F *
A500H M: 103 F, H: ? F, C: 61 F *
H: 100 F, C: 67 F
Mid N Wing M: 105 F, H: 105 F, C: 64 F *
A526 M: 107 F, H: 119 F, C: 61 F
A531 H: 130 F, C: 63 F
A503 Can't see for Mix, no water flow.
A500E M: 104 F, H: 125 F, C: 60 F
Nutrition Room
Housekeeping Closet
H: 137 F, C: 58 F
A530A M: 106 F, H: 127 F, C: 62 F
A530C M: 106 F, H: 118 F, C: 69 F
A530B M: 108 F, H: 119 F, C: 63 F
ICU Bed Room
ICU Bed Room
ICU Bed Room
A535 M: 105 F, H: ?, C: 61 F *
Out of Order.
H: 137 F, C: 57 F
A530 M: 104 F, H: 134 F, C: 58 FICU
Hydrotherapy
B543 M: 110 F, H: 131 F, C: 67 F
H: 119 F, C: 69 F
A537 H: 136 F, C: 61 F
Mid S Wing M: 102 F, H: 131 F, C: 67 F
Soiled Utility
Corridor
Patient Bedroom
H: 115 F, C: 68 F
B547 M: 110 F, H: 122 F, C: 64 F
End of S Wing M: 101 F, H: 132 F, C: 71 F
B545 M: 104 F, H: 117 F, C: 63 F
Corridor
Patient Room
Staff Restroom
M: 105 F, H: 132 F, C: 60 F
H: 109 F, C: 66 F
B546 M: 117 F, H: 128 F, C: 63 F
H: 104 F, C: 69 F
Patient Bedroom
Patient Bedroom
C517 M: 105 F, H: 120 F, C: 63 F
C518 M: 100 F, H: 122 F, C: 76 F
H: 114 F, C: 61 F
C513 M: 105 F, H: 126 F, C: 61 F
H: 132 F, C: 67 F
B544
* Had difficulty getting a good reading on Hot, could be long line.
= No Mixing Valve Page: ____ of _2__ andrewp
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Sink Yes
Shower Controls
Usage
Fixture
Type
Restroom
Patient Room
Patient Room
Restroom
Patient Room
Patient Room
Patient Room
Patient Room
Patient Room
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___5th Floor___
Room #
Mixing
Valve Notes
H: 122 F, C: 79 F
B541 M: 111 F, H: 129 F, C: 63 F
C517A H: 120 F, C: 73 F
C516 M: 104 F, H: 122 F, C: 67 F
B539 M: 105 F, H: 123 F, C: 63 F
H: 116 F, C: 63 F
B541A H: 126 F, C: 67 F
A530D M: ?, H: 75 F, C: 71 F *
B542 M: 88 F, H: 127 F, C: 63 F
H: 112 F, C: 70 F
B540 M: 92 F, H: 134 F, C: 62 F
H: 117 F, C: 64 F
C515 M: 100 F, H: 120 F, C: 64 F
H: 101 F, C: 66 F
* Had difficulty getting a good reading on Hot, could be long line.
= No Mixing Valve Page: ____ of _2__ andrewp
Mop Sink No
Sink Yes
Sink Yes
Sink Yes
Sink No
Wash Sink No
Sink Yes
Hand Wash No?
Sink Yes
Sink Yes
Sink No
Wash Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Above Deck
Sink Yes
Sink No
Sink No
Wash Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes Auto Hand Wash Yes
Sink Yes
Sink Yes
Sink Yes
Wash Sink No
C624 M: 128 F, H: 131 F, C: 66 F
H: 133 F, C: 60 F
C620 M: 128 F, H: 125 F, C: 76 F
C622 M: 72 F, H: 110 F, C: 72 F *
C616 M: 120 F, H: 125 F, C: 74 F
Mid N Wing M: 105 F
C612 M: 121 F, H: 123 F, C: 73 F
C614 M: 130 F, H: 129 F, C: 74 F
Exam Room
Exam Room
Exam Room
Corridor
H: 140 F, C: 66 F
C610 M: 118 F, H: 120 F, C: 74 F
H: 138 F, C: 69 F
C608 H: 140 F, C: 67 FSoiled
Patient Check-In
A630 M: 93 F, H: 122 F, C: 67 F
C605 M: 114 F, H: 133 F, C: 73 F
A632 M: 106 F, H: 132 F, C: 66 F
A632A M: 98 F, H: 111 F, C: 69 F
Break Room
Restroom
Restroom
PAT Anesthesia Exam
B654 M: 66 F, H: ? Not getting H, C: 66 F
B650 M: 100 F, H: 112 F, C: 70 F
B655 M: 119 F, H: 123 F, C: 69 F
B656 M: 136 F, H: 135 F, C: 71 F
Procedure Room
Staff Restroom
Procedure Room
Procedure Room
B647 M: 113 F, H: 135 F, C: 65 F
B649 M: 129 F, H: 135 F, C: 71 F
B645 H: 139 F, C: 65 F
H: 138 F, C: 65 F
Soiled Room
Procedure Room
Procedure Room
B646 M: 68 F, H: Not On, C: 65 F
B648 M: 115 F, H: 119 F, C: 71 F
B643 M: 105 F, H: 130 F, C: 65 F
H: 139 F
Procedure Room
Procedure Room
PACU 2
Restroom
Soiled
Pre-Op
A638 H: 140 F, C: 62 F
H: 139 F, C: 59 F
A637 M: 108 F, H: 124 F, C: 72 F
A637C M: 125 F, H: 133 F, C: 75 F
A633 H: 138 F, C: 76 F
A636 M: 109 F, H: 134 F, C: 66 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___6th Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Housekeeping
PACU 1
Exam Room
Exam Room
Exam Room
* Mixing Valve hooked up in reverse.
** Difficulty getting a good reading on Hot.
= No Mixing Valve Page: ____ of _2__ andrewp
Sink Yes
Wash Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink No
H: 136 F, C: 59 F
C617A M: 104 F, H: 107 F, C: 68 F **
C615 H: 130 F, C: 65 F
C619 M: 113 F, H: 130 F, C: 65 F
C617 M: 127 F, H: 127 F, C: 71 F **
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___6th Floor___
Room #
Mixing
Valve Notes
C623 M: 120 F, H: 125 F, C: 67 F
C621 M: 115 F, H: 126 F, C: 65 F
C625 M: 116 F, H: 131 F, C: 63 F
Usage
Fixture
Type
Exam Room
Exam Room
Exam Room
Exam Room
Exam Room
Restroom
Restroom
* Mixing Valve hooked up in reverse.
** Difficulty getting a good reading on Hot.
= No Mixing Valve Page: ____ of _2__ andrewp
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Mop Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink No
Sink Yes
C722 H: 138 F, C: 59 F
C721 M: 105 F, H: 131 F, C: 71 F
B733A M: 107 F, H: 126 F, C: 59 F
B755 M: 83 F, H: 85 F, C: 70 F
Staff Breakroom
Staff Restroom
Office
Office
B737 M: 104 F, H: 113 F, C: 60 F
M: 104 F, H: 125 F, C: 60 F
C717 M: 106 F, H: 122 F, C: 67 F
A731 H: 137 F, C: 73 F
Men's Restroom
Staff Restroom
Office
Office
Staff Restroom
Housekeeping
C708 M: 105 F, H: 133 F, C: 76 F
C713 M: 96 F, H: 101 F, C: 66 F
M: 104 F, H: 130 F, C: 76 F
A706 M: 105 F, H: 134 F, C: 76 F
A702 M: 102 F, H: 126 F, C: 71 F
A704 M: 105 F, H: 127 F, C: 75 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___7th Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Men's Restroom
Women's Restroom
= No Mixing Valve Page: _1__ of _1__
Sink Yes Drinking Fountain No
Shower No
Sink Yes
Shower No
Sink Yes
Shower No
Sink No
Mop Sink No
Sink No
Mop Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink No Drinking Fountain No
B818 M: 112 F, H: 138 F, C: 59 F
End of S Wing C: 59 F
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___8th Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Breakroom
Corridor
Janitor Closet
Locker Room (M)
Locker Room (W)
Bio Med
H: 137 F, C: 61 F
B806 M: 103 F, H: 125 F, C: 63 F
B810 H: 137 F, C: Removed Handle
B808 M: 102 F, H: 132 F, C: 61 F
H: 140 F, C: 65 F
B800A H: 138 F, C: 64 F
H: 134 F, C: 64 F
B803 H: 140 F, C: 67 F
Wash Closet
M: 93 F *
M: 121 F *
A806 H: 123 F, C: 63 F
A809 M: 101 F *
Janitor Closet
Surgery Wash
Mid N Wing No Pressure.
M: 105 F, C: 77 F *
A805 H: 130 F, C: 64 FSurgery/Storage Rm
Corridor
* No good way to measure Hot. Cold is same.
Sink No9th Floor H: 134 F, C: 66 F *
Domestic Water Fixture
Tracking Sheet
Building #: ___1______ Name: ___Hospital_______________ Floor #: ___9th Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Mechanical
* Cold had reached as high as 90 F when running.
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink No
Sink Yes
Sink Above Deck
Wash Sink No
Sink No
Shower Controls
Sink No
Shower Controls
Sink Yes
Sink Yes
Sink Yes
Tub/Shower Controls
Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink No
Sink Yes
Womens Restroom
Exam/Treatment
156 M: 106 F, H: 126 F, C: 72 F
156A M: 106 F, H: 119 F, C: 71 F
Domestic Water Fixture
Tracking Sheet
Building #: ___12_____ Name: ___CLC_________________ Floor #: ___1st_Floor___
Room #
Mixing
Valve NotesUsage
Fixture
Type
Patient Room
Restroom
Patient Room
Patient Room
Restroom
Patient Room
Restroom
Patient Room
160A M: 110 F, H: 135 F, C: 60 F
155 M: 108 F, H: 125 F, C: 72 F
157 M: 104 F, H: 121 F, C: 72 F
160 M: 105 F, H: 125 F, C: 60 F
151 M: 100 F, H: 121 F, C: 63 F
151A M: 108 F, H: 126 F, C: 60 F
154A M: 112 F, H: 122 F, C: 71 F
154 M: 103 F, H: 120 F, C: 68 F
Patient Room
Restroom
163A M: 105 F, H: 123 F, C: 60 F
164 M: 91 F, H: 121 F, C: 58 F
150 M: 101 F, H: 132 F, C: 58 F
163 M: 111 F, H: 124 F, C: 60 F
Office
Breakroom
Restroom
Patient Room
119 M: 107 F, H: 116 F, C: 59 F
167 M: 100 F, H: 122 F, C: 63 F
164A M: 100 F, H: 121 F, C: 59 F
168 C: 60 F, H & M: ?, Cold Only *
Restroom
Staff Office
Hair Cut Closet
Staff Restroom
H: 117 F, C: 69 F
109D H: 125 F, C: 66 F
106 H: 125 F, C: 69 F
109C H: 127 F, C: 69 F
Janitorial
Female Locker/Rest.
Male Locker/Rest.
115B M: 104 F, H: 121 F, C: 60 F
115D M: 106 F, H: 123 F, C: 59 F
H: 120 F, C: 67 F
114 M: 107 F, H: 122 F, C: 59 FStaff Lounge
Breakroom/Office
Restroom
M: 86 F, H: 100 F (Point of Use), C: 61 F
117 M: 108 F, H: 129 F, C: 59 F
H: 107 F (M), C: 59 F
116 H: 64 F, C: 59 F **Community Center
Mens Restroom
M: 103 F, H: 132 F, C: 59 F
M: 106 F, H: 130 F, C: 59 F
122 H: 134 F, C: 60 F
M: 107 F, H: 127 F, C: 59 F
118 M: 103 F, H: 119 F, C: 61 F
* Difficult to tell, foot pedal controls.
** Point of use Hot Water Tank, not on unplugged.
*** Assuming built in mixer. = No Mixing Valve
Page: ____ of _3__ andrewp
Wash Sink No
Sink No
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Mop Sink No?
Mop Sink No
Shower Controls
Shower Controls
Shower Controls
Sink Yes
Tub ?
Tub ?
Wash Sink ?
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Tub/Shower Controls
Sink Yes
Sink Yes
Sink Yes
Tub/Shower Controls
Sink Yes
Sink Yes
Tub/Shower Controls
Sink Yes
Sink Yes
Usage
Fixture
Type
Soiled Utility
Patient Room
Restroom
Medication Room
Nourishment Kitchen
Housekeeping Closet
Housekeeping
Shower/Bath Room
Patient Room
Restroom
Domestic Water Fixture
Tracking Sheet
Building #: ___12_____ Name: ___CLC_________________ Floor #: ___1st_Floor___
Room #
Mixing
Valve Notes
126 M: 106 F, H: 130 F, C: 59 F
M: 107 F, H: 131 F, C: 59 F
124 C: 59 F, Cold Only
No Water, Foot Controls.
127 H: 111 F, C: 60 F
111 H: 130 F, C: 60 F
125 M: 103 F, H: 119 F, C: 60 F
147 M: 109 F, H: 123 F, C: 60 F
H: 122 F, C: 66 F
M: 109 F, H: 125 F, C: 64 F
146 H: 119 F, C: 66 F
H: 97 F, C: 65 F
H: 116 F, C: 92 F ***
139 M: 104 F, H: 124 F, C: 66 F
H: 104 F, C: 79 F ***
H: 107 F, C: 77 F ***
136A M: 108 F, H: 123 F, C: 68 F
135 M: 107 F, H: 119 F, C: 69 F
138A M: 115 F, H: 127 F, C: 65 F
137 M: 110 F, H: 121 F, C: 65 FPatient Room
Restroom
Patient Room
133A M: 101 F, H: 123 F, C: 63 F
H: 115 F, C: 63 F
134A M: 113 F, H: 116 F, C: 63 F
133 M: 108 F, H: 121 F, C: 69 F
Restroom
Patient Room
Bath Room
129A M: 105 F, H: 123 F, C: 65 F
H: 113 F, C: 66 F
132 M: 91 F, H: 122 F, C: 64 F
129 M: 96 F, H: 122 F, C: 63 F
Patient Room
Therapy Room
Bath Room
H: 115 F, C: 65 F
158 M: 110 F, H: 124 F, C: 67 F
162 M: 105 F, H: 125 F, C: 65 F
M: 106 F, H: 129 F, C: 66 F
Patient Room
Patient Room
M: 111 F, H: 125 F, C: 67 F
* Difficult to tell, foot pedal controls.
** Point of use Hot Water Tank, not on unplugged.
*** Assuming built in mixer. = No Mixing Valve
Page: ____ of _3__ andrewp
Sink Yes
Sink Yes
Tub/Shower Controls
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Sink Yes
Tub/Shower Controls H: 109 F, C: 71 F
144 Patient Room M: 111 F, H: 124 F, C: 73 F
142 Patient Room M: 111 F, H: 123 F, C: 77 F
142A Restroom M: 103 F, H: 123 F, C: 73 F
141 Patient Room M: 118 F, H: 121 F, C: 72 F
145 Patient Room M: 108 F, H: 124 F, C: 72 F
144A Restroom M: 106 F, H: 128 F, C: 71 F
138 Patient Room M: 101 F, H: 122 F, C: 71 F
140 Patient Room M: 105 F, H: 125 F, C: 73 F
140A Restroom M: 106 F, H: 125 F, C: 71 F
H: 121 F, C: 71 F
134 Patient Room M: 92 F, H: 125 F, C: 71 F
136 Patient Room M: 109 F, H: 125 F, C: 71 F
M: 110 F, H: 126 F, C: 70 F
Domestic Water Fixture
Tracking Sheet
Building #: ___12_____ Name: ___CLC_________________ Floor #: ___1st_Floor___
Room # Usage
Fixture
Type
Mixing
Valve Notes
153 Patient Room M: 105 F, H: 124 F, C: 70 F
* Difficult to tell, foot pedal controls.
** Point of use Hot Water Tank, not on unplugged.
*** Assuming built in mixer. = No Mixing Valve
Page: ____ of _3__ andrewp
VA Project Number 668-14-107 VA Project Number 668-14-107 VA Project Number 668-14-107 Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Building 1 - Main Hospital - Basement Building 1 - Main Hospital - Basement Building 1 - Main Hospital - Basement
Plumbing Fixture Schedule Data from Plumbing Fixture Frequency of
Use Survey Form Notes (related to Task 1 and Subtasks 1A, 1B and 1C) Dead Leg Log
Notes (related to Task 2 and Subtasks 2A, 2B and 2C) Critical Control Point
Hot Water (check box that applies)
Cold Water (check box that applies)
Area Order
Bldg. No. / Area No.
Building Number / Building Name Area Name
Room Numbe r
Room Name
Stack Number
Fixture Number
Fixture Type
Faucet Type
Add Mixing Valve
Used MORE than once each day
Used LESS than once each day
Used MORE than once each day
Used LESS than once each day
Dead Leg # [DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date
Location in Room Accessible (Y/N)
Length of Pipe
Type Inspection Date
Drawing Number
Length Location
Uninsulated Use of Critical Control Section to be determned
1-1 Building 1 - Main Hospital - Basement - Area 1 DL-01-B-01-01-36'H&C-11/24/15 C005 Above Ceiling Y 36' 5 ####### P-113
1/1 1/Main/1 A007 Kitchen 2 1-25 SS K Yes X X DL-01-B-01-02-36'H-11/24/15 C005D Above Ceiling Y 36' 5 ####### P-113 1/1 1/Main/1 A007 Kitchen 2 1-24 SS K Yes X X DL-01-B-01-03-57'H&C-11/24/15 C005 Above Ceiling Y 57' 1 ####### P-113 1/1 1/Main/1 A010 Housekeeping 1 1-23 SS K Yes X X DL-01-B-01-04-75'H&C-11/24/15 Near Ceiling Y 75' 5 ####### P-113 1/1 1/Main/1 CB-C1 Hall 1 1-22 DF X DL-01-B-01-05-37'H&C-11/24/15 ####### Could not find on drawing 1/1 1/Main/1 C002 Dishwashing 4 1-18 SS K Yes X X DL-01-B-01-06-29'C-02/05/16 C005 Above Ceiling Y 29' 3 2/5/2016 P-113 1/1 1/Main/1 C002 Dishwashing 4 1-19 SS K Yes X X DL-01-B-01-07-27'H&C-02/05/16 A007 Above Ceiling Y 27' 5 2/5/2016 P-113 1/1 1/Main/1 C002 Dishwashing 4 1-20 SS K Yes X X DL-01-B-01-08-25'H&C-02/05/16 Above Ceiling Y 25' 1 2/5/2016 P-113 1/1 1/Main/1 C002 Dishwashing 4 1-21 HB X DL-01-B-01-09-29'HWR-02/05/16 C002 Above Ceiling Y 29' 1 2/5/2016 P-113 1/1 1/Main/1 C003A Mens 23 1-4 LAV WB X X Wall Mounted Ball Valve for sanitizer mixing DL-01-B-01-10-30'H&C-02/05/16 C002 Above Ceiling Y 30' 5 2/5/2016 P-113 1/1 1/Main/1 C003A Mens 23 1-5 LAV WB X X DL-01-B-01-15-24'H&C-03/30/16 A007 Above Ceiling Y 24' 1 3/30/2016 P-113 1/1 1/Main/1 C003A Mens 23 1-6 LAV K X X 1/1 1/Main/1 C003A Mens 23 1-7 LAV K X X 1/1 1/Main/1 C003A Mens 22 1-8 UR X 1/1 1/Main/1 C003A Mens 22 1-9 UR X 1/1 1/Main/1 C003A Mens 22 1-10 WC X 1/1 1/Main/1 C003A Mens 22 1-11 WC X 1/1 1/Main/1 C003A Mens 22 1-12 WC X 1/1 1/Main/1 C003A Mens 22 1-13 SH K Yes 1/1 1/Main/1 C003A Mens 22 1-14 SH K Yes Inoperable, repair required 1/1 1/Main/1 C003A Mens 22 1-15 SH K Yes 1/1 1/Main/1 C004A Womens 7 1-1 LAV WB X X 1/1 1/Main/1 C004A Womens 7 1-2 LAV K X X 1/1 1/Main/1 C004A Womens 7 1-3 WC X 1/1 1/Main/1 D008C Library 25 1-16 LAV WB X X 1/1 1/Main/1 D008G Maintenance 25 1-17 SS K X X Integral Eyewash
1L ICE MACH.
1M RINSE STA.
1N DISHWASH
1P RINSE STA.
1Q SPRAY NOZZ.
1/1 1/MAIN/1 OUTSIDE 4 1-26 HB
1/1 1/MAIN/1 D008A 23 1-27 HB
1-2 Building 1 - Main Hospital - Basement - Area 2
DL-01-B-02-01-36'C-11/24/15 B010 Above Ceiling Y 36' 3 ####### P-114 1/2 1/Main/2 A002 Breakroom 28 1-27 LAV WB X X DL-01-B-02-02-12'C-11/24/15 Y 12' ####### P-114 Looks like this is just a cut off copper pipe and bibb 1/2 1/Main/2 A006A RR 46 1-28 LAV WB X X DL-01-B-02-03-30'C-11/24/15 A007 Above Ceiling Y 30' 1 ####### P-114 1/2 1/Main/2 A006A RR 46 1-29 WC X DL-01-B-02-04-15'C-11/24/15 Above Ceiling Y 15' 3 ####### P-114 1/2 1/Main/2 A007E Kitchen 28 1-26 HB Yes X +72"AFF DL-01-B-02-05-10'C-02/05/16 1/2 1/Main/2 B003 Maintenance 42 1-31 SS K Yes X X DL-01-B-02-06-60'C-02/05/16 B012 Above Ceiling Y 60' 5 2/5/2016 P-114 1/2 1/Main/2 B003 Maintenance 42 1-32 HB K X X +60"AFF DL-01-B-02-07-25'H&C-02/05/16 B014 Above Ceiling Y 25' 1 2/5/2016 P-114 1/2 1/Main/2 B003 Maintenance 42 1-33 HB K X Steamwand DL-01-B-02-08-13'H&C-02/05/16 Above Ceiling Y 13' 4 2/5/2016 P-114 1/2 1/Main/2 B007 IT/Data Services 39 1-34 LAV K X X DL-01-B-02-09-20'H-02/05/16 Above Ceiling Y 20' 4 2/5/2016 P-114 1/2 1/Main/2 B011 Shower 38 1-37 SH K X X 1/2 1/Main/2 B016 Pathology 37 1-35 SS K Yes X X 1/2 1/Main/2 B018 Pathology 38 1-36 LAV FP X X 1/2 1/Main/2 CB-A1 Hall 43 1-30 DF X 1/2 1/Main/2 B010 Exterior 33 1-43 HB X 2/10/2016
1-3 Building 1 - Main Hospital - Basement - Area 3 DL-01-B-03-01-54'C-11/24/15 A007 Above Ceiling N 54' 5 ####### P-115
1/3 1/Main/3 A007 Kitchen 2 1-38 LAV WB Yes X X DL-01-B-03-02-27'C-11/24/15 Y 27' ####### P-115 Perhaps hot into A007A 1/3 1/Main/3 A007 Kitchen 2 1-39 DF X Integral fill station DL-01-B-03-03-98'C-03/21/16 Unfinished Mech Rm at Ceiling Y 98' 3 3/21/2016 P-115
A007 Kitchen 1-40 SS K Yes X X A007 Kitchen 1-41 SS K Yes X X A007A Storage 1-42 SS K Yes X X A007 Exterior 50 1-43 HB - X Adjacent to elevator tower – East Side A007 Exterior 1-44 HB - Adjacent to elevator tower – West Side A007 Exterior 1-45 HB - East Façade adjacent to mech. louvers
1A COFFEE STA.
1B SPRAY NOZZ.
1C ST. COOKER
1D ST. COOKER
1E ST. POT
1F HOLD STA.
1G ST. OVEN
1H ST. OVEN
1J ST. OVEN
1K PREP. STA.
1/3 1/Main/3 Exterior 1-46
Dead Leg Summary
Faucet Type Abbreviations Plumbing Fixture Legend Type Description Quantity
FP - Foot Pedal K - Knob L - Lever S - Sensor WB - Wrist Blade Other - Specify in comments.
DF - Drinking Fountain DHWT - Domestic Hot Water Tank DW - Dishwasher EWC - Electric Water Cooler EWS - Eye Wash Station FCT - Faucet HB - Hose Bibb ICE - Ice Machine LAV - Lavatory LT - Laundry Tray NFWH - Non-Freeze Wall Hydrant SH - Shower SK - Sink SP TUB - Special Tub SS - Service Sink TUB - Bathtub TUB/SH - Bathtub/Shower UR - Urinal WC - Water Closet WM - Washing Machine
1 Pipe lengths greater than 10 feet terminating at a cap. 6
2 Pipe lengths greater than 10 feet terminating at a closed valve. 0
3 Pipe lengths greater than 10 feet terminating at a fitting. 4
Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.
Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.
Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Building 1 - Main Hospital - Floor 1 (Areas 1, 2 and 3) Building 1 - Main Hospital - Floor 1 (Areas 1, 2 and 3) Building 1 - Main Hospital - Floor 1 (Areas 1, 2 and 3)
Plumbing Fixture Schedule Data from Plumbing Fixture Frequency of
Use Survey Form Notes (related to Task 1 and Subtasks 1A, 1B and 1C) Dead Leg Log
Notes (related to Task 2 and Subtasks 2A, 2B and 2C) Critical Control Point
Hot Water (check box that applies)
Cold Water (check box that applies)
Area Order
Bldg. No. / Area No.
Building Number / Building Name
Numb er
Room Name
Stack Number
Fixture Number
Fixture Type
Faucet Type
Add Mixing Valve
Used MORE than once each day
Used LESS than once each day
Used MORE than once each day
Used LESS than once each day
Dead Leg # [DL-Bldg-Floor-Area-#-Length(ft, H or C)-Insp Date] Location in Room Accessible
(Y/N) Length of Pipe Type
Inspectio n
Date
Drawing Number
Length Location
Uninsulated Use of Critical Control Section to be determned
13 1-4 Building 1 - Main Hospital - Floor 1 North - Area 1 DL-01-01-01-01-30'H&C-02/29/16 C113 Above Ceiling Y 30' 5 2/29/2016 P-116
DL-01-02-01-02-14'C-02/29/16 C109 Above Ceiling Y 14' 1 2/29/2016 P-116 1 /1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 7 1-1 WC X DL-01-02-01-03-12'H-02/29/16 C109 Above Ceiling Y 12' 1 2/29/2016 P-116 1/1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 7 1-2 UR X DL-01-02-01-04-11'C-02/29/16 D123 Above Ceiling Y 11' 1 2/29/2016 P-116 1/1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 7 1-3 UR X 1/1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 23 1-4 LAV S X X 1/1 1/Main/1 D103 MENS (PUBLIC RESTROOM) 23 1-5 LAV S X X 1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 23 1-6 LAV S X X 1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 23 1-7 LAV S X X 1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 22 1-8 WC X 1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 22 1-9 WC X 1/1 1/Main/1 D104 WOMENS (PUBLIC RESTROOM) 22 1-10 WC X 1/1 1/Main/1 C1-D6 CORRIDOR 22 1-11 DF X 1/1 1/Main/1 D124 GENERAL USE 22 1-12 SK S X X 1/1 1/Main/1 D123 ICU 22 1-13 SK S X X 1/1 1/Main/1 D123 ICU 22 1-14 SK S X X 1/1 1/Main/1 D119 LAB 22 1-15 SK WB Yes X X (survey form) SS SINK W/DRAINBOARD 1/1 1/Main/1 D119 LAB 25 1-16 SK - (survey form) GRINDERPUMP 1/1 1/Main/1 D117 EXAM 25 1-17 SK FP Yes X X 1/1 1/Main/1 D115 RR 4 1-18 WC X 1/1 1/Main/1 D115 RR 4 1-19 LAV OTHER X X (survey form) VANDALPROOF PUSHBUTTON SPIGOT W/TIMER
1/1 1/Main/1 C144 HOUSEKEEPING 4 1-20 SS K X X 1/1 1/Main/1 D114 EXAM 4 1-21 SK S X X 1/1 1/Main/1 D113 EXAM 1 1-22 SK S X X 1/1 1/Main/1 D111 EXAM 1 1-23 SK S X X 1/1 1/Main/1 D109 EXAM 2 1-24 SK S X X 1/1 1/Main/1 D107 EXAM 48 1-25 SK S X X 1/1 1/Main/1 D105 BREAKROOM 28 1-26 SK WB Yes X X 1/1 1/Main/1 D135 EXAM 28 1-27 SK S X X 1/1 1/Main/1 D134 EXAM 46 1-28 SK S X X 1/1 1/Main/1 D133 EXAM 46 1-29 SK S X X 1/1 1/Main/1 D132 EXAM 42 1-30 SK S X X 1/1 1/Main/1 D131 EXAM 42 1-31 SK S X X 1/1 1/Main/1 D129 EXAM 42 1-32 SK S X X 1/1 1/Main/1 D127 EXAM 42 1-33 SK S X X 1/1 1/Main/1 D128 EXAM 39 1-34 SK S X X 1/1 1/Main/1 D130 EXAM 37 1-35 SK S X X 1/1 1/Main/1 D106 EXAM 38 1-36 SK S X X 1/1 1/Main/1 D108 MENS 38 1-37 UR X 1/1 1/Main/1 D108 MENS 2 1-38 WC X 1/1 1/Main/1 D108 MENS 2 1-39 LAV S X X 1/1 1/Main/1 D110 WOMENS 2 1-40 WC X 1/1 1/Main/1 D110 WOMENS 46 1-41 LAV S X X 1/1 1/Main/1 D118 EXAM 46 1-42 SK FP Yes X X 1/1 1/Main/1 A141 VACANT 3 1-43 - - (survey form) CAPPED HW/CW 1/1 1/Main/1 C145C RR 7 1-44 LAV S X X 1/1 1/Main/1 C145C RR 7 1-45 WC X 1/1 1/Main/1 C145B RR 7 1-46 LAV S X X 1/1 1/Main/1 C145B RR 7 1-47 WC X 1/1 1/Main/1 C145E LAB 7 1-48 SK S X X 1/1 1/Main/1 C145E LAB 7 1-49 SK WB Yes X X (survey form) ADDITIONAL INLINE WALL MOUNTED FLUSHVALVE
1/1 1/Main/1 C112B OFFICE 1-50 SK WB Yes X X 1/1 1/Main/1 C112A OFFICE 1-51 SK L Yes X X 1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-52 LAV S X X 1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-53 LAV S X X 1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-54 UR X 1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-55 UR X 1/1 1/Main/1 C113 MENS (PUBLIC RESTROOM) 15 1-56 WC X 1/1 1/Main/1 C109 WOMENS (PUBLIC RESTROOM) 15 1-57 WC X 1/1 1/Main/1 C109 WOMENS (PUBLIC RESTROOM) 15 1-58 LAV S X X 1/1 1/Main/1 C109 WOMENS (PUBLIC RESTROOM) 15 1-59 LAV S X X 1/1 1/Main/1 EXTERIOR EXTERIOR 7 1-60 NFWH X (survey form) OUTSIDE ROOM C145E BACKFLOW 1/1 1/Main/1 EXTERIOR EXTERIOR 7 1-61 NFWH X (survey form) OUTSIDE ROOM C145E 1/1 1/Main/1 EXTERIOR EXTERIOR 4 1-62 NFWH X (survey form) OUTSIDE ROOM D123 1/1 1/Main/1 EXTERIOR EXTERIOR 1-63 NFWH X (survey form) OUTSIDE ROOM D103/ESPRESSO 1/1 1/Main/1 C106B LAB 7 1A ICE MA. (survey form) SEE EQUIPMENT SCHEDULE SHEET P-116 1/1 1/Main/1 LOBBY LOBBY 1B 3-COMP SK Yes SEE EQUIPMENT SCHEDULE SHEET P-116 1/1 1/Main/1 LOBBY LOBBY 1C SK Yes SEE EQUIPMENT SCHEDULE SHEET P-116 1/1 1/Main/1 LOBBY LOBBY 1D ICE SEE EQUIPMENT SCHEDULE SHEET P-116 1/1 1/Main/1 LOBBY LOBBY 1E COFFEE SEE EQUIPMENT SCHEDULE SHEET P-116 1/1 1/Main/1 LOBBY LOBBY 1F ESPRESSO SEE EQUIPMENT SCHEDULE SHEET P-116
14 1-5 Building 1 - Main Hospital - Floor 1 Center - Area 2 DL-01-01-02-01-28'H-02/29/16 B109A Above Ceiling Y 28' 5 2/29/2016 P-117
1/2 1/Main/2 A127D RR 31 1-1 LAV L Yes X X DL-01-01-02-02-27'C-02/29/16 B109A Above Ceiling Y 27' 5 2/29/2016 P-117 1/2 1/Main/2 A127D RR 31 1-2 WC X 1/2 1/Main/2 B117 HALL 31 1-3 LAV WB Yes X X 1/2 1/Main/2 B119 RR 31 1-4 LAV L Yes X X 1/2 1/Main/2 B119 RR 31 1-5 WC X 1/2 1/Main/2 B119 RR 31 1-6 WC X 1/2 1/Main/2 C1-B1 CORRIDOR 1-7 DF X 1/2 1/Main/2 B102 WOMENS 35 1-8 LAV S X X (survey form) GANGSTYLE FIBERGLASS SINK 1/2 1/Main/2 B102 WOMENS 35 1-9 WC X 1/2 1/Main/2 B103 WOMENS 35 1-10 WC X 1/2 1/Main/2 B106 MENS 35 1-11 LAV S X X (survey form) GANGSTYLE FIBERGLASS SINK 1/2 1/Main/2 B106 MENS 35 1-12 WC X 1/2 1/Main/2 B106 MENS 35 1-13 UR X 1/2 1/Main/2 B106 MENS 35 1-14 UR X 1/2 1/Main/2 B109A KITCHEN 1-15 SK WB, EW Yes X X 1/2 1/Main/2 B109A KITCHEN 1-16 HB K Yes X (survey form) WALL MOUNTED BALL VALVE FOR SANITIZER MIXING
1/2 1/Main/2 B107 SERVING 1G COFFEE (survey form) SEE EQUIPMENT SHEET P-118 1/2 1/Main/2 B107 SERVING 1H COFFEE SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B107 SERVING 1J ICE TEA SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B107 SERVING 1K FOUNTAIN SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B107 SERVING 1L ST. TRAY SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B107A KITCHEN 1M RINSE STA. Yes SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B107A KITCHEN 1N DISHWASHER SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B109A KITCHEN 1P ST. OVEN SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B109A KITCHEN 1Q ST. OVEN SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B109A KITCHEN 1R ICE MA. SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B109A KITCHEN 1S RINSE STA. Yes SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B109A KITCHEN 1T RINSE STA. Yes SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B109A KITCHEN 1U VEG. PREP SEE EQUIPMENT SCHEDULE SHEET P-118 1/2 1/Main/2 B109A KITCHEN 1V VEG. PREP SEE EQUIPMENT SCHEDULE SHEET P-118
15 1-6 Building 1 - Main Hospital - Floor 1 South - Area 3
1/3 1/Main/3 C1-E1 LOBBY 1-1 DF X 1/3 1/Main/3 A102F CHEMO LAB 1-2 SK S X X 1/3 1/Main/3 A102E CHEMO LAB 1-3 EW,SH X X (survey form) EMERGENCY USE ONLY 1/3 1/Main/3 A102E CHEMO LAB 1-4 SS K Yes X X 1/3 1/Main/3 E107 WORKROOM 1-5 SK WB X X 1/3 1/Main/3 E138 HOUSEKEEPING 1-6 SS K X X 1/3 1/Main/3 E110 RR 1-7 WC X 1/3 1/Main/3 E110 RR 35 1-8 LAV S X X 1/3 1/Main/3 E119 LAB 35 1-9 SP TUB FP Yes X X (survey form) LARGE SS UTILITY 1/3 1/Main/3 E119 LAB 35 1-10 SK S X X 1/3 1/Main/3 E117 BREAKROOM 35 1-11 LAV WB X X 1/3 1/Main/3 E139 RR 35 1-12 WC X 1/3 1/Main/3 E139 RR 35 1-13 LAV S X X 1/3 1/Main/3 E140 BREAKROOM 35 1-14 SK WB Yes X X 1/3 1/Main/3 E135 EXAM 1-15 SK S X X 1/3 1/Main/3 E133 EXAM 1-16 SK S X X 1/3 1/Main/3 E129 RR 1-17 WC X 1/3 1/Main/3 E129 RR 1-18 LAV S X X 1/3 1/Main/3 E121 WORKROOM 1-19 SS WB Yes X X 1/3 1/Main/3 E121 WORKROOM 1-20 SK S X X 1/3 1/Main/3 E136 EXAM 1-21 SK S X X 1/3 1/Main/3 E134 EXAM 1-22 SK S X X 1/3 1/Main/3 E130 EXAM 1-23 SK S X X 1/3 1/Main/3 E130 EXAM 1-24 SK S X X 1/3 1/Main/3 E128 EXAM 1-25 SK S X X 1/3 1/Main/3 E126 EXAM 1-26 SP TUB FP Yes X X (survey form) LARGE SS UTILITY 1/3 1/Main/3 E126 EXAM 1-27 SK S X X 1/3 1/Main/3 E122 EXAM 1-28 SK S X X 1/3 1/Main/3 E120 EXAM 1-29 SK S X X 1/3 1/Main/3 E118 EXAM 1-30 SK NEED SURVEY INFO 1/3 1/Main/3 E113 HOUSEKEEPING 1-6 SS K Yes X X
Dead Leg Summary
Faucet Type Abbreviations Plumbing Fixture Legend Type Description Quantity
FP Foot Pedal K Knob L Lever S Sensor WB Wrist Blade Other Specify in comments.
DF - Drinking Fountain DHWT - Domestic Hot Water Tank DW - Dishwasher EWC - Electric Water Cooler EWS - Eye Wash Station FCT - Faucet HB - Hose Bibb ICE - Ice Machine LAV - Lavatory LT - Laundry Tray NFWH - Non-Freeze Wall Hydrant SH - Shower SK - Sink SP TUB - Special Tub SS - Service Sink TUB - Bathtub TUB/SH - Bathtub/Shower UR - Urinal WC - Water Closet WM - Washing Machine
1 Pipe lengths greater than 10 feet terminating at a cap. 3
2 Pipe lengths greater than 10 feet terminating at a closed valve. 0
3 Pipe lengths greater than 10 feet terminating at a fitting. 0
Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.
Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.
Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Building 1 - Main Hospital - Floor 2 (Areas 1 and 2) Building 1 - Main Hospital - Floor 2 (Areas 1 and 2) Building 1 - Main Hospital - Floor 2 (Areas 1 and 2)
Plumbing Fixture Schedule Data from Plumbing Fixture Frequency of
Use Survey Form Notes (related to Task 1 and Subtasks 1A, 1B and 1C) Dead Leg Log
Notes (related to Task 2 and Subtasks 2A, 2B and 2C) Critical Control Point
Hot Water (check box that applies)
Cold Water (check box that applies)
Area Order
Bldg. No. / Area No.
Building Number / r
Room Name
Stack Number
Fixture Numbe r
Fixture Type
Faucet Type
Add Mixing Valve
Used MORE than once each day
Used LESS than once each day
Used MORE than once each day
Used LESS than once each day
Dead Leg # [DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date
Location in Room Accessible (Y/N)
Length of Pipe
Type Inspection Date
Drawing Number
Length Location
Uninsulated Use of Critical Control Section to be determned
16 1-7 Building 1 - Main Hospital - Floor 2 North - Area 1 DL-01-02-01-01-25'H&C-02/05/16 C221 Above Ceiling Y 25' 4 2/5/2016 P-119
1/MAIN/1 C208H PROCEDURE 20 1-1 SK WB X X DL-01-02-01-02-20'H-02/05/16 C206 Above Ceiling Y 20' 1 2/5/2016 P-119 1/MAIN/1 C208G PROCEDURE 20 1-2 SK WB X X DL-01-02-01-03-34'H&C-02/05/16 C208H/G Above Ceiling Y 34' 5 2/5/2016 P-119
1/MAIN/1 C208J RR 20 1-3 LAV S X X
1/MAIN/1 C208J RR 20 1-4 WC X
1/MAIN/1 C208F RR 20 1-5 LAV S X X
1/MAIN/1 C208F RR 20 1-6 WC X
1/MAIN/1 C208D XRAY 20 1-7 SK WB X X
1/MAIN/1 C222A STORAGE 22 1-8 SK WB X X
1/MAIN/1 C221 CONSULT 22 1-9 SK WB X X
1/MAIN/1 C219 CONSULT 22 1-10 SK WB X X
1/MAIN/1 C217 CONSULT 22 1-11 SK WB X X
1/MAIN/1 C215 RR 20 1-12 LAV S X X
1/MAIN/1 C215 RR 20 1-13 WC X
1/MAIN/1 C211 CT SCAN 20 1-14 SK WB X X
1/MAIN/1 C209 RR 22 1-15 WC X
1/MAIN/1 C209 RR 1-16 LAV S X X
1/MAIN/1 C207A VACANT 1-17 SK L X X
1/MAIN/1 C2-C1 CORRIDOR 1-18 DF X
17 1-8 Building 1 - Main Hospital - Floor 2 South - Area 2 DL-01-02-02-01-35'C-02/05/16 A200D Above Ceiling Y 35' 3 2/5/2016 P-120
1/MAIN/2 A232 MENS PUBLIC RESTROOMS 27 1-1 LAV S X X DL-01-02-02-02-30'C-02/05/16 A200A Above Ceiling Y 30' 5 2/5/2016 P-120 1/MAIN/2 A232 MENS PUBLIC RESTROOMS 27 1-2 UR X DL-01-02-02-03-13'H&HWR-02/05/16 A200A Above Ceiling Y 13' 1 2/5/2016 P-120 1/MAIN/2 A232 MENS PUBLIC RESTROOMS 27 1-3 WC X DL-01-02-02-05-11'H&C-02/05/16 A237 Above Ceiling Y 11' 1 2/5/2016 P-120 1/MAIN/2 A234 WOMENS PUBLIC RESTROOMS 27 1-4 LAV S X X DL-01-02-02-06-19'C-02/05/16 A236 Above Ceiling Y 19' 1 2/5/2016 P-120 1/MAIN/2 A234 WOMENS PUBLIC RESTROOMS 27 1-5 WC X DL-01-02-02-07-42'C-02/05/16 A238 Above Ceiling Y 42' 5 2/5/2016 P-120 1/MAIN/2 A234 WOMENS PUBLIC RESTROOMS 27 1-6 WC X DL-01-02-02-08-25'H-02/05/16 B247 Above Ceiling Y 25' 1 2/5/2016 P-120 1/MAIN/2 A236 LAB 27 1-7 SK S X X DL-01-02-02-09-23'C-02/05/16 B247 Above Ceiling Y 23' 1 2/5/2016 P-120 1/MAIN/2 A238 LAB 30 1-8 SK S X X (survey form) EXTERNAL MIXER DL-01-02-02-10-13'C-02/05/16 B250 Above Ceiling Y 13' 1 2/5/2016 P-120 1/MAIN/2 A240A EXAM 30 1-9 SK S X X (survey form) EXTERNAL MIXER DL-01-02-02-11-54'H&C-02/05/16 B250 Above Ceiling Y 54' 5 2/5/2016 P-120 1/MAIN/2 A240B EXAM 30 1-10 SK S X X (survey form) EXTERNAL MIXER DL-01-02-02-12-28'H&C-02/05/16 B255 Above Ceiling Y 28' 5 2/5/2016 P-120 1/MAIN/2 B248 IT/DATA 32 1-11 SK S X X (survey form) EXTERNAL MIXER DL-01-02-02-13-46'HWR-02/05/16 B257 Above Ceiling Y 46' 1 2/5/2016 P-120 1/MAIN/2 B250 BREAKROOM 30 1-12 SK L X X (survey form) HAND SPRAYER DL-01-02-02-14-21'H&C-02/05/16 A200 Above Ceiling Y 21' 1 2/5/2016 P-120 1/MAIN/2 B260 RR 35 1-13 LAV S Yes X X (survey form) EXTERNAL MIXER
1/MAIN/2 B260 RR 35 1-14 WC X
1/MAIN/2 B256 LAB 39 1-15 SK L X X
1/MAIN/2 B262H LAB 39 1-16 SK FP X X
1/MAIN/2 B262J RR 39 1-17 LAV S X X
1/MAIN/2 B262J RR 39 1-18 SHOWER K X X
1/MAIN/2 B262J RR 39 1-19 WC X
1/MAIN/2 B257 EXAM 30 1-20 SK S X X (survey form) EXTERNAL MIXER 1/MAIN/2 B255 EXAM 30 1-21 SK S X X (survey form) EXTERNAL MIXER 1/MAIN/2 B253 EXAM 30 1-22 SK S X X (survey form) EXTERNAL MIXER 1/MAIN/2 A237 NUCLEAR MEDICINE 48 1-23 SK FP Yes X X 1/MAIN/2 A202 HOUSEKEEPING 1-24 SS K Yes X X
1/MAIN/2 A200E RR 1 1-25 WC X
1/MAIN/2 A200E RR 1 1-26 LAV WB X X
1/MAIN/2 A200E RR 1 1-27 UR X
1/MAIN/2 A200D LAB 2 1-28 SK FP Yes X X
1/MAIN/2 A200D LAB 49 1-29 SK K X X
1/MAIN/2 A200A LAB 50 1-30 SK K Yes X X 1/MAIN/2 A200A LAB 1-31 SS K Yes X X (survey form) EXPOSED COPPER PIPING 1/MAIN/2 A200A LAB 50 1-32 EW X X (survey form) INTEGRAL OVHD SHWR
1/MAIN/2 A237A LAB 48 1-33 SK WB X X
1/MAIN/2 B250 BREAKROOM 30 1-34 ICE
Building 1 - Main Hospital - Floor 2 West - Area 3 1/MAIN/3 E202 HOUSEKEEPING SS K Yes X X
1/MAIN/3 E219 WOMENS LOCKER LAV K X X
1/MAIN/3 E219 WOMENS LOCKER SH K X X
1/MAIN/3 E235 TOOL STERILIZATION SS K X X
1/MAIN/3 E228A WORKROOM SS WB Yes X X 1/MAIN/3 E228A WORKROOM SS K Yes X X
1/MAIN/3 E231 STERILIZATION ROOM SK WB X X
1/MAIN/3 E231 STERILIZATION ROOM SS WB Yes X X 1/MAIN/3 E231 STERILIZATION ROOM SS WB Yes X X 1/MAIN/3 E231 STERILIZATION ROOM SS WB Yes X X 1/MAIN/3 E231 STERILIZATION ROOM RINSE STA. Yes X X 1/MAIN/3 E231 STERILIZATION ROOM RINSE STA. Yes X X
1/MAIN/3 E229 WORKROOM SS WB X X
1/MAIN/3 E231A WORKROOM SS WB X X
1/MAIN/3 E222 MENS LOCKER LAV K X X
1/MAIN/3 E222 MENS LOCKER SH K X X
1/MAIN/3 E227 BREAKROOM SS WB X X
Dead Leg Summary
Faucet Type Abbreviations Plumbing Fixture Legend Type Description Quantity
FP - Foot Pedal K - Knob L - Lever S - Sensor WB - Wrist Blade Other - Specify in comments.
DF - Drinking Fountain DHWT - Domestic Hot Water Tank DW - Dishwasher EWC - Electric Water Cooler EWS - Eye Wash Station FCT - Faucet HB - Hose Bibb ICE - Ice Machine LAV - Lavatory LT - Laundry Tray NFWH - Non-Freeze Wall Hydrant SH - Shower SK - Sink SP TUB - Special Tub SS - Service Sink TUB - Bathtub TUB/SH - Bathtub/Shower UR - Urinal WC - Water Closet WM - Washing Machine
1 Pipe lengths greater than 10 feet terminating at a cap. 9
2 Pipe lengths greater than 10 feet terminating at a closed valve. 0
3 Pipe lengths greater than 10 feet terminating at a fitting. 1
Pipe lengths greater than 10 feet terminating at an infrequently used plumbing fixture. An infrequently used plumbing fixture is a fixture where the hot water line or cold water line is run less than once each day.
Pipe lengths greater than 25 feet terminating at a frequently used plumbing fixture. A frequently used plumbing fixture is a fixture where both the hot water line and cold water line are run at least once each day.
Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Spokane Legionella Water System Diagrams Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Plumbing Fixture, Dead Leg and Critical Control Point Inventory Building 1 - Main Hospital - Floor 3 (Areas 1 and 2) Building 1 - Main Hospital - Floor 3 (Areas 1 and 2) Building 1 - Main Hospital - Floor 3 (Areas 1 and 2)
Plumbing Fixture Schedule Data from Plumbing Fixture Frequency of
Use Survey Form Notes (related to Task 1 and Subtasks 1A, 1B and 1C) Dead Leg Log
Notes (related to Task 2 and Subtasks 2A, 2B and 2C) Critical Control Point
Hot Water (check box that applies)
Cold Water (check box that applies)
Area Order
Bldg. No. / Area No.
Building Number / r
Room Name
Stack Number
Fixture Number
Fixture Type
Faucet Type
Add Mixing Valve
Used MORE than once each day
Used LESS than once each day
Used MORE than once each day
Used LESS than once each day
Dead Leg # [DL-Bldg-Floor-Area-#-Length (ft, H or C)-Insp Date
Location in Room Accessible (Y/N)
Length of Pipe
Type Inspection Date
Drawing Number
Length Location
Uninsulated Use of Critical Control Section to be determned
18 1-9 Building 1 - Main Hospital - Floor 3 North - Area 1 DL-01-03-01-01-28'H&C-02/10/16 C325 Above Ceiling Y 28' 5 2/10/2016 P-121
1 1/MAIN/1 C308…
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .