HomeMy WebLinkAboutMiscellaneous Miscellaneous 2009-3-25 (2)
From: 03/25/2009 15:33 #041 P.001/002
CroWl ltJ!J1- ()() 1~
I ~CW; iJ, u,f\<tzM,t-tVf ~/vi,
LLC
(503) 466-2222
fax: ,(503) 466-2211
21195 NW Evergreen Parkway, Suite 204
Hllsboro, OR'97124
fiIx
To:
Oty of Springfield
From:' Lanell Robinson
Attn:
Phone: 541-726-3753
Fax: 541-726-3676
RE: Brazing qualification
'Pages: 2
Date: 3/25/09
CC:
Attached is a copy of the brazing certificate for our Medical Gas in~aller Kenny Flaig as
requested by the plumbing inspector. Please call if, you need further information. Thank you
}
I
From:
03/25/2009' 15:33 #041 P.002/002
.' ~~.
~crjO".1'lItm"li.cr:,.'f\f","
Cert # 12017384
Kenny R. Flaig
f Expir~
ASSE 6010 Installer N.F.P.A.99-2oo5 i O8Il,tiOlO
.:\.'tME IX Brazer (17/0912009
-- '._,..-0.' -..-.-.-..--- --';-
"
.
06/01i2009 15:54 FAX 4257412500
NITROI INC
141001
I
i
i
I
I
i
I
I
.
. .
. .'
..,
::.::illitrox lne ",
Colvt :Jt;l&t -C'tyJ S>
. Medical Gases . Medical Gas Line Verifications . Analgesia Equipment
**'" DENTAL GAS LINE VERIFICATION **'"
28 MAY 2009
CONTRACTOR: PMSI
DATE AND TIME OF TESTING: 26 MARCH 2009 / 1400 HRS
, FACILITY: Dt, JOHN LARSON"
1290 - W. CENTENNIAL 8L vb.
, SPRINGFIELD OR.
SCOPE OF WORK: MEDICAL GASES, DENTAL AIR AND VACUUM SYSTEM
ADDED TO (EXISTING MEDICAL GAS SYSTEMS)
I. GENERAL FINDINGS:
A. MEDICAL GASES ARE IN COMPLIANCE WITH NFPA 99 (200200.). LEVEL #3
DENTAL 'NOT FOR ANESTHESIA'
B. NO CROSSED LINES WERE FOUND IN MEDICAL GASES, DENTAL AIR
AND VACUUM IN TESTED AREAS ON THE DAY OF TESTING.
C. MEDICAL GASES MEET MINIMUM CONCENTRATIONS.
D. MEDICAL GASES AND DENTAL AIR ARE AT NORMAL PRESSURE.
" E. DENTAL VACUUM IS AT NORMAL LEVEL.
F. MEDICAL GAS AND DENTAL SYSTEM COMPONENTS IN AREA TESTED
ARE IN COMPLiANCE WIlli NFPA 99 (200200.). LEVEL #3, DENTAL .. (See
Note) and .. (Cominent)
G. STATIC LINE PRESSURETEST DONE PER NFPA 99 (2002ed): PASS
NOTE: EXISTING EQUIPMENT AND SYSTEMS.
NFPA 99 #5.3.1.4 - AN EXISTING SYSTEM THAT IS NOT:IN STRICf
COMPLIANCE WITH THE PROVISIONS OF TIDS STANDARD
SHALL BE PERMIlTED TO BE CONTINUED IN USE AS.LONG AS
THE AUTHORITY HAVING JURISDICTION HAS DETERMINED
" THAT SUCH USE DOES NOT CONSTITUTE A DISTINCt HAZARD
TO LIFE.
LARSEN-03,26.09
~g 1 of 3
:ow
2706 164th Street S.W,. lynnwood, WA 98087
(42S) 741-8807 . 1-800-736-7047 . Fax: (425) 741-2500
06/01/2009 15:54 FAX 4257412500
NITROX INC
IilI002
.
.'
. .
:~':'~"itrox IIIe
. Medical Gases . Medical Gas Line Verifications . Analgesia Eq/Jipmenr
n. MEDICAL GASES:
A. OXYGEN:
1. STATIC LINE PRESSURE: 54 PSIG,
2. DYNAMIC OUnET FREE FLOW: >3.5 SCFM
3. 'OXYGEN' CONCENTRATION AT OUTLET: >99.0 %.
I
I
I
I
I
m.
B. NITROUS OXIDE:
1. STATIC LINE PRESSURE: 51 PSIG.
2, DYNAMIC OUTLET FREE fLOW; >3.5 SCFM
. 3. 'NITROUS OXIDE' CONCENTRATION AT OUTLET: >99.0%
DENTAL AIR:
A. DENTAL AIR LINE STATIC PRESSURE: 100 PSIG.
B. CONCENTRATION OF OXYGEN IN AIR LINE: 20.8 %
IV.
DENTAL VACUUM:.
A. STATIC VACUUM LINE LEVEL: IO"HgV.
V. PARTICULATE LINE TEST: PASS.
, . VI. ODOR: NONE
VII. OUTLET: DEMAND.'DISS' ,
A. REMOVED OLD QUICK CONNEGT OUTLETS.
, .
VIII. ZONE VALVES: NONE - (NOT REQUIRED)
lX. MANIFOLD / ALARM BRAND: 'PORTER' (2 X~) · EXISTING
X. 'DENTAL EQUIPMENT:. EXISTING
A. DENTAL AIR AND DENTAL VACUUM
XI. BRAZIER: KENNY FLAIG - NITC #12017384'
XIII. WIlNESS: Dr. LARSEN
LARSEN-03.26,09
Pg 2 of 3
OOpy
'2706 164~h Street's.W., Lynnwood', WA 98087
(425) 741-8807 . 1-800-736-7047 . Fax: (425) 741-2500
I
i
!
1
!
I
i
I
I
,
06/01/2009 15: 54 FAX', 4257 412500
NITROX INC
~003
. ".
::'::r.. .. .
"" :il..if:I"OXI~
'"
,"
. Medical Gases . Medical Gas Line Verificarions . Analgesia Equipment
XIV. COMMENTS:
A. · EXISTING SYSTEMS
XV. RECOMMENDED CORRECTIONS:
A. NONE
XVI. CORRECTIONS:
A.. NONE
, TESTED BY: BERT GEIGER, V-TECH
REVIEWED BY: B. EVAN Me ALLISTER, CRTI, CMGV.
LARSEN-03.26.09
Pg 3 of 3
~QPlf
2706 164th Stre~t'S.W.. lynnwood, WA 98087
(425) 741.8807 . 1.800-736.7047 . Fax: (425) 741-2500