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HomeMy WebLinkAbout3247 CAMINO DE LOS COCHES; 210; AS060095; Permit10/29/2020 AS060095 Permit Data City of Carlsbad Sprinkler Permit Permit No: AS060095 Job Address: 3247 CAMINO DE LOS 1FZlO COCHES Status: ISSUED Permit Type: SPRINK Parcel No: Lot#: 0 Reference No.: Applied 5/16/2006 Approved: 5/18/2006 Issued: 5/18/2006 PC #: Inspector: Project Title: MUDGETT/NEFF DENTAL#210 T.I. FIRE SPRINKLER PLAN CHECK & INSPECTONS Applicant: Owner: VANGUARD FIRE PROTECTION 1604 LA MIRADA DR #105 SAN MARCOS CA 760-736-3060 Fees($) Add'I Fees ($) Total($) Balance($) 120 0 120 0 1/1 LOS COCHES DENTISTRY CARLSBAD, CALIFORNIA 08/30/06 CertiFied Medical Testing 5594358827 DENTAL OXYGEN SYSTEM (SOURCE EQUIPMENT) LEVEL III SYSTEMS p.3 The information presented below, evaluates the existing design and configuration of the Dental Gas Systems "Source Equipment" relative to the latest recognized Edition of theNFPA99, (designated in "Bold Text") as well as the Code Edition which initialized the Referenced Standard Requirement, (designated in "Italicized" text). THIS DATA IS PRESENTED .FOR INFORMATION PURPOSES ONLY. No information provided herein shall imply that the existing equipment fails to meet minimum standards. Ref. NFPA 99, 1999, Par. 1-2. "Construction and equipment requirements shall be applied only to new construction and new equipment, except as modified in individual chapters. Only the altered, renovated, or modernized portion of an existing system or individual component shall be required to meet installation and equipment requirements stated in this standard.'' MANUFACTURER: MODEL: NO.OFCYLS: LINE PRESSURE: STORE CAPACITY: PORTER VANGUARD 2 50 PSIG. 251 CF 1. THE MANIFOLD MUST BE CONNECTED TO 2 BANKS OF CYLINDERS THAT AL TERNA TEL Y SUPPLY THE PIPING SYSTEM. (NFPA 565, 1951, Sect. 2.lb) (NFPA 99, 1999, PAR. 4-3.l.1.7a) 2_ EACH BANK MUST HA VE A PRESSURE REGULA TOR AND CYUNDERS CONNECTED TO A COMMON HEADER. (NFPA 565, 1951, Sect. 2-Jb) (NFPA 99, 1999, Par. 4-3.1.1.7a) 3. EACH BANK MUST CONTAIN A MINIMUM OF 2 CYLINDERS OR AT LEAST AND AVERAGE DAYS SUPPLY. (NFPA 565, 1951, Sect. 2.lb) (NF'PA 99, 1999, Par. 4-3.1.1.7b) 4. THE SECONDARY BANK MUST AUTOMATICALLY OPERA TE TO SUPPLY THE SYSTEM WHEN THE PRIMARY SUPPLY IS DEPLEATED. (NFPA 565, 1951, Sect. 2-lb) (NFPA 99, 1999, Par. 4-3.1.1.7a) 5. THE RESERVE IN USE PRESSURE SWITCH MUST BE CONNECTED TO THE MASTER ALARM PANEL. (NFPA 565, 1951, Sect. 2.lb) (NFPA 99, 1999, Par. 4-3.t.t.7a) 6. EACH PIGTAIL MUST HAVE CHECK VALVE. (NFPA 565, 1951, Sect. 2-1.C.2) (NFPA 99, 1999, Par. 4-3.1.1.Sb) 7. THE CYLINDERS MUST BE APPROPRIATELY RESTRAINED. (NFPA 99, 1987, Sect. 4-3.1.2.lc) (NFPA 99, 1999, Par. 4-3.1.1.Sa) 8. ALL ELECTRIC FIXTURES MUST BE AT LEAST 5 FEET ABOVE FLOORLAVEL. (NFPA 56. 1951, Sect. 2-1.D.4) (NFP A 99, 1999, Par. 4-3.1.l.2a4) 9. THE STORAGE ENCLOSURE, DOOR, AND DOORFRAME MUST BE "ONE HOUR FIRE RA TED". (NFP A 565, 1951 ~ Sect. 2-1 .D. 1) (NFPA 99, 1999, Par. 4-3.1.1.2a2) 10. THE STORAGE AREA MUST BE FREE OF COMBUSTIBLE MATERIALS. (NFPA 99, 1987, Sect_ 4-3.1 _2_ 1 _H) (NFPA 99, 1999, Par_ 4-3.1.1.2a5) 11. NO STORAGE OF FLAMMABLE GASES IS ALLOWED IN AN OXIDIZER LOCATION. (NFPA 565, 1951, Sect. 2- 1.D.3) (NFPA 99, 1999, Par. 4-3.1.l.2allb) 12. THE AMBIENT TEMPERATURE IN THE STORAGE AREA MUST NOT EXCEED 130 DEGREES F. (NFPA 56F, 1973 Sect. 2262) (NFPA 99, 1999, Par. 4-3.1.1.laltg) 13. NO SOURCES OF HEAT OTHER THAN STEAM OR HOT WATER ARE PERMISSIBLE IN THE AREA OF THE SYSTEM ENCLOSURE. (NFPA 56F, 1973, Sect. 2264) (NFPA 99, 1999, Par. 4-3.l.1.2allg) Rug 3~ 06 11:37a CertiFied Medical Testing 5594358827 p.4 14. (A) IF SYSTEM IS MORE THAN THE MANIFOLD'S PRESSURE RELlhFS 1T SHALL BE VENTED TO THE OUTSIDE OR MECHANICALLY VENTED TO INCLUDE THE PRESSURE RELIEF VAL VE VENTED TO THE OUTSIDE. (NFPA 56F, 1973, Sect. 225) (NFPA 99, 1999, Par. 4-3.1.l.2b4} (B) THE STORAGE AREA MUST BE PROVIDED WITH 72 SQ. IN. OF TOTAJ. FRRF. AREA. (NFPA 56F. 1973. Sect. 231) (NFPA 99, 1999, Par. 4-3.1.1.2b4) (C) IF THE DOOR OPENS ONTO AN EXIT ACCESS CORRIDOR THEN THE VENTS MUST HA VE FIRE DAMPERS OF APPROPRIATE RATING. (NFPA 99, 1990, Sect. 4-3.1.2.3) (NFPA 99, 1999, Par. 4-3.1.1.2b4) 15. NO SOFT SOLDERED JOINTS ARE PERMISSIBLE ON THE PIPING SYSTEM. {NFPA 565, 1951, Sect. 4-lb) (NFPA 99, 1999,Par. 4-3.1.2.7) 16. FINAL LINE REGULATORS SHALL BE DUPLEXED. (NFPA 99, 1990, Sect. 4-3.1.8.7) (NFPA 99, 1999, Par. 4- 3.1.t.8g) 17. A MANUALLY OPERA TED SHUTOFF VAL VE SHALL BE INSTALLED UPSTREAM OF EACH PRESSURE REGULATOR, AND A SHUTOFF VALVE OR A CHECK VALVE SHALL BE INSTALLED DOWNSTREAM. (NFPA 99, 1999 4-3.1.1.8D) 18. ALL GAUGES MUST BE LABELED "USE NO OIL,,_ (NFPA 565, 1934, Sect. 14B) (NFPA 99, 1999, Par. 4-5.l.2.9B) 19. A PRESSURE RELIEF VALVE MUST BE PROVIDED DOWNSTREAM OF THE LINE REGULATOR. (NFPA 565, 1951, Sect. 2-1.C.5) (NFPA 99, 1999, Par. 4-3.l.1.8e) 20. THE PRESSURE RELIEF VAL VE MUST BE RA TED AT 50% ABOVE NORMAL LINE PRESSURE. (NFP A 565, 1951, Sect. 2-1.C.4) (NFPA 99, 1999, Par. 4-3.1.1.8e) 21. A SHUTOFF VAL VE MUST BE LOCATED DOWNSTREAM OF ALL MANIFOLD EQUIPMENT AND IMMEDIATELY WITHTN THE STORAGE AREA. (NFPA 99. 1990. Sect. 4-4.1.2.2B)(NFPA 99,.1999, Par. 4-3.1.2.3a) 22. THE usOURCE" SHUTOFF VAL VE MUST BE LABELED ''SOURCE VAL Vff' FOR THE (SOURCE NAME). (NFPA 99, 1990, Sect. 4-4.1.2.2B) (NFPA 99, 1999, Par. 4-3.1.2.Ja) 23. A SHUTOFF VAL VE MUST BE PROVIDED IN THE MAIN LINE ACCESSIBLE FROM WITHIN THE BUILDING SERVED AND OUTSIDE OF THE SOURCE ROOM, AND IT MUST BE ACCESSIBLE 24 HOURS A DAY. (NFPA 99, 1990, Sect. '1-'1.1.2.2B) (NFPA 99, 1999., Par_ 4-3_L2-3b) 24. A PRESSURE GAUGE MUST BE LOCATED DOWNSTREAM OF THE MAIN LINE SHUTOFF VALVE AND ABLE TO BE VIEWED FROM A STANDING POSITION. (NFPA 56F, 1977, Sect. 341) (NFPA 99, 1999, Par. 4-3.1.2.2el) 25. A PRESSURE SWITCH FOR THE MAIN LINE MUST BE LOCATED DOWNSTREAM OF THE MAIN LINE SHUTOFF VALVE. (NFPA 56F, 1977, Sect. 325) (NFPA 99, 1999, Par. 4-3.1.2.2e2) 26. A PRESSURE SWITCH FOR THE MAIN LINE MUST BE LOCATED DOWNSTREAM OF THE MAIN LINE SHUTOFF VALVE. (NFPA 56F, 1977, Sect. 325) (NFPA 99, 1999, Par. 4-3.1.2.2e2) Design or configuration varhrnces from the referenced stand~rd are represented hy "Highlight". LEAKAGE NOTE: 0 COMMENTS: Alig 31• 06 11:37a LOS COCHES DENTISTRY CARLSBAD, CALIFORNIA 08/30/06 CertiTied Medical Testing 5594358827 DENTAL NITROUS OXIDE SYSTEM (SOURCE EQUIPMENT) LEVEL III SYSTEMS p.5 The information presented below, evaluates the existing design and configuration of the Dental Gas Systems "Source Equipment" re]ative to the latest recognized Edition of the NFPA99, (designated in "Bold Text") as well as the Code Edition which initialized the Referenced Standard Requirement, (designated in "Italicized'' text). THIS DATA IS PRESENTED FOR INFORMATION PURPOSES ONLY. No information provided herein shall imply that the existing equipment fails to meet minimum standards. Ref. NFPA 99, 1999, Par. 1-2. ''Construction and equipment requirements shall be applied only to new construction and new equipment., except as modified in individua] chapters. Only the altered, renovated, or modernized portion of an existing system or individual component shall be required. to meet instauation and equipment requirements stated in this standard."7 MANUFACTURER: MODEL: NO.OFCYLS: LINE PRESSURE: STORE CAPACITY: PORTER VANGUARD 2 50 PSIG. 488 CF. 1. THE MANIFOLD MUST BE CONNECTED TO 2 DANKS or CYLINDERS THAT AL TERNA TEL Y SUPPLY THE PIPING SYSTEM. (NFPA 565, 1951, Sect. 2. lb) (NFPA 99, 1999, PAR. 4-3.l.1.7a) 2. EACH BANK MUST HA VE A PRESSURE REGULA TOR AND CYLINDERS CONNECTED TO A COMMON HEADER. (NFPA 565, 1951, Sect. 2-lb) (NFPA 99, 1999, Par. 4-3.1.l.7a) 3. EACH BANK MUST CONTAIN A MINIMUM OF 2 CYLINDERS OR AT LEAST AND AVERAGE DAYS SUPPLY. (NFPA 565, 1951, Sect. 2.lb) (NFPA 99, 1999, Par. 4-3.t.l.7b) 4. THE SECONDARY BANK MUST AUTO MA TICALL Y OPERA TE TO SUPPLY THE SYSTEM WHEN THE PRIMARY SUPPLY IS DEPLEATED. (NFPA 565. 1951 . Sect. 2-lh) (NFPA 99, 1999, Par. 4-3.1.1.7a) 5. THE RESERVE IN USE PRESSURE SWITCH MUST BE CONNECTED TO THE MASTER ALARM PANEL. (NFPA 565, 1951, Sect. 2.Ib) {NFPA 99, 1999, Par. 4-3.1.1.7a) 6. EACH PIGTAIL MUST HAVE CHECK VALVE. (NFPA 565, 1951, Sect. 2-1.C.2) (NFPA 99, 1999, Par. 4-3.l.1.5b) 7. THE CYLINDERS MUST BE APPROPRIATELY RESTRAINED. (NFPA 99, 1987, Sect. 4-3.1.2.lc) (NFPA 99, 1999, Par. 4-3.1.1.8a) 8. ALL ELECTRIC FIXTURES MUST BE AT LEAST 5 FEET ABOVE FLOOR LAVEL. (NFPA 56, 1951, Sect. 2-1.0.4) (NFPA 99, 1999, Par. 4-3.l.1.2a4) 9. THE STORAGE ENCLOSURE, DOOR, AND DOORFRAME MUST BE "ONE HOUR FIRE RATED". (NFPA 565:, 1951, Sect. 2-1.D.1) (NFPA 99, 1999, Par. 4-3.1.1.202) 10. THE STORAGE AREA MUST BE FREE OF COMBUSTIBLE MATERIALS. (NFPA 99, 1987, Sect. 4-3.1.2.1.H) (NFPA 99, 1999, Par. 4-3.1.l.2a5) 11. NO STORAGE OF FLAMMABLE GASES IS ALLOWED IN AN OXIDIZER LOCATION. (NFPA 565, 1951, Sect. 2- 1.D.3) (NFPA 99, 1999, Par. 4-3.l.1.2allb) 12. THE AMBIENT TEMPERA TORE TN THE STORAGE AREA MUST NOT EXCEED 130 DEGREES F. (NFPA 56F, 1973 Sect. 2262) (NFPA 99, 1999, Par. 4-3.1.1.2a11g) 13. NO SOURCES OF REA T OTHER THAN STEAM OR HOT WATER ARE PERMISSIBLE IN THE AREA OF THE SYSTEM ENCLOSURE. (NFPA 56F, 1973, Sect. 2264) (NFPA 99, 1999, Par. 4-3.1.1.lallg) Aug 3r OS ll:37a CertiFied Medical Testing 5594358827 p.S 14. (A) IF SYSTEM IS MORE THAN THE MANIFOLD'S PRESSURE RELIEFS IT SHALL BE VENTED TO THE OUTSIDE OR MECHANICALLY VENTED TO INCLUDE THE PRESSURE RELIEF VALVE VENTED TO THE OUTSIDE. (NFPA 56F, 1973: Sect. 225) (NFPA 99, 1999, Par. 4-3.t.1.2b4) (D) TIIE STORAGE AREA MUST BE PROVIDED WITH 72 SQ. IN. OF TOTAL FREE AREA. (NFPA S6F, 1973, Sect. 231) (NFPA 99, 1999, Par. 4-3.1.1.2b4) (C) IF THE DOOR OPENS ONTO AN EXIT ACCESS CORRIDOR THEN THE VENTS MUST HAVE FIRE DAMPERS OF APPROPRIATE RATING. (NFPA 99, 1990, Sect. 4-3.1.2.3) (NFPA 99, 1999, Par. 4-3.1.1.2b4) 15. NO SOFT SOLDERED JOINTS ARE PERMISSIBLE ON THE PIPING SYSTEM. (NFPA 565, 1951, Sect. 4-1 b) (NFPA 99, 1999, Par. 4-3.1.2.7) 16. FINAL LINE REGULATORS,SHALL BE DUPLEXED. (NFPA 99, 1990, Sect. 4-3.1.8.7) (NFPA 99, 1999, Par. 4- 3.1.1.8g) 17. A MANUALLY OPERA TED SHUTOFF VAL VE SHALL BE INSTALLED UPSTREAM OF EACH PRESSURE REGULATOR, AND A SHUTOFF VAL VE OR A CHECK VAL VE SHALL BE INSTALLED DOWNSTREAM. (NFPA 99, 1999 4-3.1.1.8D) 18. ALL GAUGES MUST BE LABELED "USE NO OIL''. (NFPA 565, 1934, Sect. 14B) (NFPA 99, 1999, Par. 4-5.t.2.9B) I 9. A PRESS URE RELIEF VAL VE MUST BE PROVmEn OOWNSTREAM OF THE LINE REGULATOR. (NFPA 565. 1951, Sect. 2-1.C.5) (NFPA 99, 1999, Par. 4-3.1.1.Se) 20. THE PRESSURE RELIEF VAL VE MUST BE RA TED AT 50% ABOVE NORMAL LINE PRESSURE. (NFPA 565, 1951, Sect. 2-1.C.4) (NFPA 99, 1999, Par. 4-3.1.1.Se) 21. A SHUTOFF VALVE MUST BE LOCATED DOWNSTREAM OF ALL MANIFOLD EQUIPMENT AND IMMEDIATELY WITHIN THE STORAGE AREA. (NFPA 99, 1990, Sect. 4-4.l.2.2B) (NFPA 99, 1999, Psu. 4-3.1.2.3a) 22. THE "SOURCE" SHUTOFF VAL VE MUST BE LABELED "SOURCE VAL VE" FOR THE (SOURCE NAME). {NFP A 99. 1990, Sect. 4-4.12.2B) (NFPA 99, 1999, Par. 4-3.t.2.3a) 23. A SHUTOFF VALVE MUST BE PROVIDED IN THE MAIN LINE ACCESSIBLE FROM WITHIN THE BUILDING SERVED AND OUTSIDE OF THE SOURCE ROOM, AND IT MUST BE ACCESSIBLE 24 HOURS A DAY. (NFPA 99, 1990, Sect. 4-4.1.2.2B) (NFPA 99, 1999, Par. 4-3.t.2.JIJ) 24. A PRESSURE GAUGE MUST BE LOCATED DOWNSTREAM OF THE MAIN LINE SHUTOFF VALVE AND ABLE TO BE VIEWED FROM A STANDTNG POSTTTON. (NFPA 56F, 1977. Sect. 341) (NFPA 99!' 1999!' Par. 4-3.1.2.2el) 25. A PRESSURE SWITCH FOR THE MAIN LINE MUST BE LOCATED DOWNSTREAM OF THE MAIN LINE SHUTOFF VALVE. (NFPA 56F, 1977, Sect. 325) (NFPA 99, 1999, Par. 4-3.I.2.2e2) 26. A PRESSURE SWITCH FOR THE MAIN LINE MUST BE LOCATED DOWNSTREAM OF THE MAIN LINE SHUTOFF VAL VE. (NFPA 56F, 1977, Sect. 325) (NFPA 99, 1999, Par. 4-3.1.2.2e2) Design or configuration variances from the referenced. standard are represtnted by "Hlgltlighl0 • LEAKAGE NOTE: 0 COMMENTS: Aug 3 :t 06 11:37a LOS COCHES DENTISTRY CARLSBAD, CALIFORNIA 08/30/06 Certified Medical Testing 5594358827 DENT AL OXYGEN SYSTEM (STATION OUTLETS) p.7 THE SYSTEM COMPONENTS DESIGNATED BELOW HA VE BEEN TESTED FOR FUNCTION AL CAPACITY PER NFPA 99, 1999 CRITERIA. EXCEPT AS NOTED IN THE COLUMN MARKED (FAIL), ALL COMPONENTS DESCRIBED HEREIN ARE CERTIFIED AS OPTIMALLY FUNCTIONAL. ILOCATION 2:<Jb FLOOR ROOMl 2 3 4 5 6 NO. OF OUTLETS FLOW RATE ( LPM) FAIL 220 220 220 220 220 220 DENT AL NITROUS OXIDE SYSTEM (STATION OUTLETS) COMMENTS THE SYSTEM COMPONENTS DESIGNATED BELOW HA VE BEEN TESTED FOR FUNCTIONAL CAPACITY PER NFPA 99, 1999 CRITERIA. EXCEPT AS NOTED IN THE COLUMN MARKED (FAIL), ALL COMPONENTS DESCRIBED HEREIN ARE CERTIFIED AS OPTIMALLY FUNCTIONAL. ILOCATI.ON NO. OF OUTLETS FLOW RATE (LPM) FAIL COMMENTS 2N6 FLOOR ROOM I 1 220 2 l 220 3 220 4 220 5 220 6 220 Aug 3 1• 0 6 1 1 : 3 8 a LOS COCHES DENTISTRY CARLSBAD, CALIF ORN IA 08/30/06 Certiried Medical Testing 5594358827 MEDICAL OXYGEN SYSTEM (WARNING ALARM SYSTEM) p.8 THE SYSTEM COMPONENTS DESIGNATED BELOW HA VE BEEN TESTED FOR FUNCTIONAL CAPACITY PER NFPA 99, 1999 CRITERIA. EXCEPT AS NOTED IN THE COLUMN MARKED (FAIL). ALL COMPONENTS DESCRIBED HEREIN ARE CERTIFIED AS OPTIMALLY FUNCTIONAL. ♦ ALP ( ABNORMAL LINE PRESSURE ♦ LPL ( LINE PRESSURE LOW ) ♦ LPH ( LINE PRESSURE HIGH ) ♦ RIU ( RESERVE IN USE ) MASTER ALARM PANELS: ♦ LLL ( LIQUID LEVEL LOW) ♦ RLL ( RESERVE LIQUID LEVEL LOW ) + RPL ( RESERVE PRESSURE WW) SIGNAL REQUIREMENTS: Almormal Li11e Pre."i.mre OR line Pres.rmre Lnw & Line Pre.r..mre High; Re.-.en.•e in U\'t!i Liquid leJ1el low: Re.'ierve Pressure Low LOCATION VIS. AUD. ALP LPL LPH RIU LLL RLL RJ>L FAIL COMMENTS IND. IND. CLEAN ROOM Y Y X X X Aug 31 .. 06 11:38a LOS COCHES DENTISTRY CARLSBAD, CALIFORNIA 08/30/06 CertiTied Medical Testing 5594358827 MEDICAL NITROUS OXIDE SYSTEM ( WARNING ALARM SYSTEM) p.9 THE SYSTEM COMPONENTS DESIGN A TED BELOW HA VE BEEN TESTED FOR FUNCTIONAL CAPACITY PER NFP A 99, 1999 CRITERIA. EXCEPT AS NOTED IN THE COLUMN MARKED (FAIL). ALL COMPONENTS DESCRIBED HEREIN ARE CERTIFIED AS OPTIMALLY FUNCTIONAL. ♦ ALP ( ABNORMAL LINE PRESSURE ♦ LLL ( LIQUID LEVEL WW) ♦ LPL ( LINE PRESSURE LOW) ♦ RLL ( RESERVE LIQUID LEVEL LOW ) ♦ LPH ( LINE PRESSURE HIGH) ♦ RPL ( RESERVE PRESSURE LOW) ♦ RIO ( RESERVE IN USE ) MASTER ALARM PANELS: SIGNAL REQUIREMENTS: Ah,wrmal Lille Pre.'t~mre OR line Pre.,.sure low & Lilte Pressure High: Resen1e in U.\·e LOCATION VIS. AUD. ALP LPL LPH RIU LLL RLL RPL FAIL COMMENTS IND. IND. CLEAN ROOM y y X X X A"ug 31-06 11: 38a Cert if' i ed Medi ca 1 Testing 5594358827 p. 10 LOS COCHES DENTISTRY CARLSBAD, CALIFORNIA 08/30/06 DEW POINT TESTING DEW POINT LEVELS WERE ESTABLISHED BY OBTAINING A SAMPLE DIRECTLY FROM THE NITROGEN C.YLINDRR HTrT.17.F.n TO PRESSURIZE THE SYSTEM AND COMPARING TO SAMPLES OBTAINED FROM THE MOST REMOTE OUTLET IN EACH WNE OF EACH PIPING SYSTEM. DEW POINT RECORDING SYSTEM SOURCE GAS PIPING SYSTEM VARIANCE OXYGEN 10 DEG. F. 10 DEG. F. 0DEG. F. NITROUS OXIDE 10 DEG. F. 10 DEG. F. 0DEG.F. CONCLUSION: ALL TEST RESULTS REFLECT VARTANCE LEVELS WITHIN THE PARAMETERS SETFORTH BY THE NFPA 99 CRfTERIA. MAXIMUM ALLOWABLE VARIANCE TABLE Dt:w Pui11t 5 DEG. C. @ SO PSJG. ~ug 3f OS 11:38a Certiried Medical Testing 5594358827 LOS COCHES DENTISTRY CARLSBAD, CALIFORNIA 08/30/06 DENTAL GAS SYSTEM Fl,OWTF.ST OPERATIONAL PRESSURE TEST p. 11 THE SYSTEM COMPONENTS DESIGNED BELOW HA VE BEEN FUNCTION-TESTED PER NFPA 99, 1999 CRITERIA. EXCEPT AS NOTED IN THE COLUMN MARKED <FAil>, ALL COMPONENTS DESCRIBED HEREIN ARE CERTIFIED AS OPTIMALLY FUNCTIONAL. FLOW TEST CRITERIA-NFPA 99, 1996 SECT. 4-5.1.3.3; OPERATIONAL PRESSURE TEST CRITERIA-NFPA 99, 1996 SECT. 4-5.1.3.8. SPECIFIC AREA PRESSURE DROP W/ N2 PRESSURE DROP W/ S GAS OXYGEN <2 PSIG NIA NITROUS OXIDE <2 PSIG NIA MAXIMUM ALLOWABLE DROP TABLE PRESSURE DROP < = 5 PSIG VACUUM SYSTEM MUST BE CAPABLE OF MAlNTAINlNG PRESSURE OF 12 inHG WHILE EVACUATING 3 SCFM AT AN ADJACENT STATION INLET } Aug 31 -□6 11:38a CertiFied Medical Testing 5594358827 p. 12 LOS COCHES DENTISTRY CARLSBAD, CALIFORNIA 08/30/06 PARTICULATE TESTING PARTICULATE FILTER SYSTEM FILTER NUMBER FLOW TIME WEIGHT PASS/FAIL OXYGEN LINE 1 +200 LPM 5 minutes <l P~ss NITROUS OXIDE LINE 2 +200 LPM 5 minutes < I Pass CONCLUSION: All Filter Samples were taken from the piping systems listed above with Hi Flow Rates (greater than 2001pm). They were in place for 5 minutes. There was no particulate matter or debris noted. Au~ 3( OS 11:39a Certif'ied Medical Testin~ 559435882? LOS COCHES DENTISTRY CARLSBAD, CALIFORNIA 08/30/06 HYDROCARBON ANALYSIS p. 13 THE MEDICAL GAS PIPING "ZONES" DESCRIBED BELOW CONSTITUTE ALL ZONES IN THE SUBJECT SYSTEM EACH ZONE WAS TESTED AT THE MOST REMOTE OUTLET FOR HYDROCARBONS AS METHANE AND HALOGEN A TED HYDROCARBONS. TOTAL HYDROCARBONS AS METHANE ZONE SOURCE GAS PIPING SYSTEM VARIANCE OXYGEN 1.0128 PPM 1.1469 PPM 0.1341 PPM NITROUS OXIDE 1.0128 PPM 0.9667 PPM -0.0461 PPM TOTAL HALOGENATED HYDROCARBONS ZONE SOURCE GAS PIPING SYSTEM VARIANCE OXYGEN OPPM 0 PPM OPPM NITROUS OXIDE 0 PPM OPPM OPPM CONCLUSION: ALL TEST RESULTS REFLECT VARIANCE LEVELS WITHIN THE PARAMETERS SETFORTH BY THE NFPA 99 CRlTERJA. MAXIMUM ALLOWABLE VARIANCE TABLE TOTAL HYDROCARBONS AS METHANE 1 PPM HA LOG ENA TED HYDROCARBONS 2 PPM I ! j FILE C Y ~ug 3t 06 11:36a CertiFied Medical Testing 5594358827 p.2 /tStYoooq'o CERTIFIED 377 W. FALLBIWO~, STE. 208 MEDICAL FRr~SNO, CALIFORNIA 93711 TESTING (800) 243-5427 I Fax 559--435-8827· A Division of Rio;l: Sol11tinns. I .ttl To: ATTN: MR. JACK TERRY JACK TERRY CONSTRUCTION 1812 PREMIER STREET F ALLBROOK, CA 92028 PROJECT: FINAL CERTIFICATION Subsequent to the Remodel Construction involving the Dental Oxygen and Nitrous Oxide systems-Construction Certification Testing of the Dental Gas System OR PORTION THEREOF have been affected at the herein referenced facility. Testing procedures utilized, conform with and are capable of detenninin funct· · h meet the minimum requirement set forth in NFPA 99 1999, CGA, and JCAHO requirements_~nt:l~Tf-"rommendations. With the exception o · ms so designated in the attached data sheets,THEDENTALG GSYSTEMDESCRIBEDHERETNAT-32. 1./7 C~MIIUO O. LOS COCHES DENTISTRY .::t:f 1.10 Complies with pipe gas systems Level III as per NFPA99, 1999 SEC. 4-5.1.1.1-SEC. 4.5.5.9 M DICALGAS RESULTS Oxygen Nitrous Oxide DATE: 08/30/06 GAS PRESSURE TEST FLOW TEST RESULTS CONCENTRATION RESULTS >99% >99% 50 psig. 50 psig. ROLAND W. LAMER EXECUTIVE DIRECTOR TCl000I-60 TEMP.TEST RESULTS 76° F 76° F FILE C Y