Nitrox letter for 2008-0931.pdf01/07/2009 17:55 FAX 4257412500 NITROX INC U002
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• Medical Gases * Medical Gas Line Verifications ■ Analgesia Equipment
* ** MEDICAL GAS VERIFICATION REQ ORT * * *
07 JANUARY 2009
CONTRACTOR: STEVENS HOSPI'T'AL
DATES / TIMES OF TESTING: 03 NOVEMBER 2008 / 6:00 P.K
03 NOVEMBER 2008 / 9:15 P.M.
04 DECEMBER 2008 / 8:30 P.M.
FACILITY: STEVENS HOSPITAL
21600 76"' Ave West
EDMONDS, WA.
SCOPE OF WORD: REPLACE MEDICAL GAS OUTLETS ANDI VACUUM INLETS
WITH NEW `BEACON MEDAES' HEAD WALT, UNITS. 2"d FLOOR
`WOUND HEALING' ROOMS: #212 through #225.
I
I I. GENERAL, FINDINGS:
A. MEDICAL OXYGEN AND VACUUM ARE IN COMPLIANCE WITH NFPA 99
L
(1999ed.)_ LEVEL 1, HO$PITAL j
B. NO CROSSED LINES WERE FOUND IN MEDICAL CASES OR VACUUM
IN TESTED AREAS ON T14E DAY OF TESTING_
C. MEDICAL GASES MEET MINIMUM CONCENTRATION.
D. MEDICAL GASES MEET MINIMUM FLOWS AND ARE AT NORMAL
PRESSURE.
E. MEDICAL VACUUM MEETS MINIMUM PLOW AND IS AT NORMAL
VACUUM LEVEL. * VACUUM LINES ARE SOLDED
F. SOME CTAS SYSTEM COMPONENTS IN AREA TE TED ARE IN
COMPLIANCE WITH NFPA 99 (1999ed.). * See (Nott) AND * (Corrections)
G. MEDICAL GAS LINE PURITY: NO PURITY DONE — NOT REQUIRED
H. MEDICAL OXYGEN AND VACUUM LINE PRESSU�E TEST DONE PER.
NFPA 99: PASS
I. ATTACHMENTS: `TIE INS FOR, NEW MEDICAL GAS COLUMS.
STEVENSHOSP-11.03.08 final
2706 164th Street S.W., Lynnwood, WA 9808K
(425) 741-8807 ■ 1ry800-736-7047 ■ Fax: (425) 741-2500
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"I
NOTE: NFPA 99 # 4-1.4 -
COMPLIANCE - 4
SHALL BE PERM
THE AUTHORITI.
THAT S'IUC14 USE
TO LIFE.
- Medical Cases - Medical Cas Line Verifications - Analgesia Equipment
kN EXISTING SYSTEM THAT IS NOT IN STRICT
ITH THE PROVISIONS QF THIS STANDARD
ITTED TO BE CONTINUED IN USE AS LONG AS
'HAVING JURISDICTION HAS DETERMINED
DOES NOT CONSTITUTE A DISTINCT HAZARD
MEDICAL GAS:
A. OXYGEN:
1. STATIC LINE PRESSURE: 54 PSIG.
2. DYNAMIC OUTLET FREE FLOW. >3.5 SCFM.
3. DELTA FLOWS: PASS
19. MEDICAL AIR: NONE
Ili, VACUUM:
A. MEDICAL / SURGICAL VACUUM:
1. STATIC LINE VACUUM: 22"HgV.
2. DYNAMIC INLET F FLOW: >3.0 SCFM.
3- DELTA FLOW, PASS
IV, PARTICULATE LINE TEST: PASS.
V. ODOR: NONE
V1. OUTLET BRAND: 'BEACON MEDAET WALL QUICK CONNECT
A. OUTLET `QUICK CO ECT' STYLE: 'CHEMETRON'
VII. ZONE VALVES: ON'* EXISTING, WITH & WITHOUT DOWN LINE
GAUGES.
A. * See Corrections
fm
VIII. AREA ALARM BRAND: 'C UIMETRON'*EXISTING
A. See Corrections
Ix. BRAZIER- CLAY KJFTH - # MGO I KEITHC * 920MC
PLUMBING CONTR.ACTO;: PSF
X. WITNESS: DAVE RUSK — 4NGINEERING
STEVENSHOSP-1 1.03.08fmal Pg2 of 3
2 706 164th ! treet S.W., Lynnwood, WA 48087
(425
) 741-8807 - 1:800-736-7047 - Fax; t425)741-2500
01/07/2009 17:55 FAX 4257412500 NITROX INC 1@004
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0
1:411
. Medical Gases - Medical Gas Line Verifications v Analgesia Equipment
COMMENTS:
A. NO `VACUUM ZONEVALVE' * EXISTING
B. NO `ZONE VALVES' F R `WOUND CARE' AREA..
C. `AREA ALARM' (OLD -SECTION ROOM) IS DOWN LINE OF `WOUND
CARE' (IN SAME ME CAL GAS LINES.)
D. * EXISTING `OXYGEN ZONE VALVE' IN HALL WAY,
1). HANDLE WAS RE OVED AND COVERED.
RECOMMENDED CORRE TIONS:
A. NONE
XII. CORRECTIONS.
A. ADD `ZONE VALVES'
B. CORRECT ALL MEDIC
`WOUND CARE'
C. VEPdFY WHEN COM)
TESTED BY: B. EVAN Mc
AARRY POP
STE SHOSP-I1.03.08final
z
2706 164th
DY
1425) 741-8807 ■ 1
ci
w NFPA 99 FOR TOTAL AREA.
GASES AND VACUUM. DOWN DINE OF
R, CRTT, CMGV
CMGV #V-133
0' /BAN Mc ALLISTER. - CR.TTI
t MGV #V-0024
PRESIDENT
S.W., Lynnwood, WA 98087
736-7047 ■ Fax: (425) 741-2500
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