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Home My WebLink About0000 (3) T4z6t A ti4 E414.4.ce 5t4/ - MI HVAC Testing • Analysis • Balance • Energy Survey • Systems Commissioning • Clean Room Testing Test & Balance Analysis Report For Endoscopy Center Renovation Banner Thunderbird 5 823 W. Eugie Rd., Ste 1 & 2 Glendale, AZ Date: December 29th 2009 Architect: Cassetty Architecture Mechanical Engineer: Entech Engineering Inc. Prepared For: HACI Mechanical Contractors G9‘plt Balagee �rc�0 p1R BA/4 � co sae A H aid\° 29215 �C 16055 N.Dial Blvd.,Ste.#8 Scottsdale, AZ 85260 (623) 492-0831 Fax: (623) 492-0845 ROC189960 L-05 Aok 'I' A Tee-4 ,641 /4;4 getim-ta SW tptc. ' AABC Thunderbird Endoscopy Table of Contents Unit Number Description Location Page AC-4 Package/Split System DX Test M2.1 1, 2 Reduced print _ L._, Td4 A SW, Imo. 0 AABC Page 1 PACKAGE / SPLIT SYSTEM DX TEST PROJECT: Thunderbird Endoscopy SYSTEM: ACU-4 DATE: 12-28-09 LOCATION: M2.1 TECHNICIAN: JC UNIT # AC-4 MANUFACTURER Trane MODEL# WSC048 DESIGN DATA FINAL DATA TOTAL CFM 1350 1405 RETURN CFM / OSA CFM 1150 200 1200 205 FAN STAT. PRESS: EXTERNAL 1.00 FILTER IN / FAN OUT - .26 + .74 MOTOR: HP 1.0 1.0 MOTOR: RPM 1725 1743 MOTOR: VOLTS / PH 208 3 208 3 MOTOR: AMPS 4.0 4.0 4.0 3.2 3.3 3.2 FAN RPM 1061 COMPRESSOR:AMPS 16.0 16.0 16.0 7.2 7.6 7.3 _ CONDENSER FAN: AMPS 2.5 2.2 MOTOR SHEAVE 1 VL30 x 5/8 FAN PULLEY AK49 x 3/4 NO. BELTS / SIZE AX-26 TEMPERATURE TEST ENTERING LEAVING DELTA "T" COOLING TEMP.DB 74.3 57.3 17.0 COOLING RELATIVE HUMIDITY% 29.7 55.4 NOTES: TT A $ 5W f AABC Page 2 AIR DISTRIBUTION TEST PROJECT: Thunderbird Endoscopy ASSOC'D SYS: AC-4 Supply / Return DATE: 12-28-09 LOCATION: M2.1 TECHNICIAN: JC TERMINAL DESIGN PRE-LIM FINAL ROOM NO. SIZE" "K" FPM CFM TEST FPM CFM NOTES 1 12 475 375 485 2 10 300 235 305 3 10 300 255 320 4 12 275 405 295 Supply Total 1350 1270 1405 TERMINAL DESIGN PRE-LIM FINAL ROOM NO. SIZE" "K" FPM CFM TEST FPM CFM NOTES 1 24 x 12 350 265 370 _ 2 24 x 12 350 285 390 3 24 x 24 450 345 440 Return Total 1150 895 1200 NOTES: 1. Return CFM changed to accommodate OSA. e 'er W f r / . HVAC Testing-Analysis-Balance - System Commissioning Duct Smoke Detector Test Report For Endoscopy Center TI Banner Thunderbird 583 W. Eugie Rd . , Ste 1 & 2 Glendale, AZ Date: December 29, 2009 Prepared For: HACI Mechanical Contractors p,\r Balance rc�° \R BA(4� i 0 to Z • r • °e A. Ha06 292'.5 AABC 16055 N. Dial Blvd.. Ste. 8 Scottsdale, AZ 85260 Phone: (623) 492-0831 Fax: (623)492-0845 ROC 189960 L-05 Tk/ 4ASaSW, 11 AI I\ 16055 N. Dial Blvd., Ste. #8 Scottsdale, AZ 85260 • (623) 492-083111111, ,4.4ec SMOKE DETECTOR INSPECTION PROJECT: Endoscopy Center TI Banner Thunderbird PAGE: 1 OF 1 ADDRESS: 583 W. Eugie Rd., Ste 1 & 2 DATE: 12/29/09 ADDRESS: Glendale, AZ BY: Jesse Cox PERMIT: Smoke detectors have been inspected per the tasks listed. Exceptions to a passing condition are identified with a numbered note. Performance tests and inspection are for equipment function on date tested. If the building owner or any representative of the building owner observes or believes a deficiency is present, modifications have been made, or six months have passed since this testing, the system must be retested. MANUFACTURER:FireX MODEL:2650-560 UNIT - DUCT SAMPLE RATED TEST FAN ALARM ALARM TEST AND SIZE TUBE A P "WC A P SHUT VISUAL FIRE DATE SYSTEM H"X W" LENGTH" MIN —+ MAX "WC DOWN AUDIBLE PANEL AC-4 Yes 13 x 24 24 .01 —• 1.2 .05 Yes No No 12-29-09 Return INSPECTION TASKS (AS APPLICABLE) DELTA PRESSURE: As measured across the detector sampling tubes. FAN SHUT DOWN: Tested for immediate shut down when detector is challenged with canned smoke. Fan shut down is STAND ALONE. VISUAL ALARM: Lighting of remote test/indicator unit.Red is alarm.(remote not required if detector is visible from floor). AUDIBLE ALARM: Sounding of remote test/indicator unit(not required in all municipalities). FIRE PANEL ALARM: Alarm reports to central fire panel(remote audible unit not then required). INSTALLATION: Smoke detector is installed per manufacturers recommendation.YES NOTES TIT*_ 1 1 __ .. 5w tom. M HVAC Testing-Analysis-Balance- System Commissioning Duct Smoke Detector Test Report For Endoscopy Center TI Banner Thunderbird 583 W. Eugie Rd. , Ste 1 & 2 Glendale, AZ Date: December 29, 2009 Prepared For: HACI Mechanical Contractors a\or Balance r AeO�,, B4(4 S ti. � G� 7 C Fe . �. Z FA • o • . 6 4 •03-O�-he.� ae A. Hand 29215 Allik 1111/ AABC 16055 N. Dial Blvd., Ste. 8 Scottsdale, AZ 85260 Phone: (623) 492-0831 Fax: (623)492-0845 ROC 189960 L-05 TLd4Aga5W, (i . _ - 16055 N. Dial Blvd., Ste. #8 A: Scottsdale, AZ 85260 • (623) 492-0831 SMOKE DETECTOR INSPECTION PROJECT: Endoscopy Center TI Banner Thunderbird PAGE: 1 OF 1 ADDRESS: 583 W. Eugie Rd., Ste 1 & 2 DATE: 12/29/09 ADDRESS: Glendale, AZ BY: Jesse Cox PERMIT: Smoke detectors have been inspected per the tasks listed. Exceptions to a passing condition are identified with a numbered note. Performance tests and inspection are for equipment function on date tested. If the building owner or any representative of the building owner observes or believes a deficiency is present, modifications have been made, or six months have passed since this testing, the system must be retested. MANUFACTURER:FireX MODEL:2650-560 UNIT DUCT SAMPLE RATED TEST FAN ALARM ALARM TEST AND SIZE TUBE A p "WC A p SHUT VISUAL FIRE DATE SYSTEM H"X W" LENGTH" MIN MAX "WC DOWN AUDIBLE PANEL AC-4 Return 13 x 24 24 .01 —a 1.2 .05 Yes Nos No 12-29-09 • INSPECTION TASKS (AS APPLICABLE) DELTA PRESSURE: As measured across the detector sampling tubes. FAN SHUT DOWN: Tested for immediate shut down when detector is challenged with canned smoke. Fan shut down is STAND ALONE. VISUAL ALARM: Lighting of remote test/indicator unit. Red is alarm.(remote not required if detector is visible from floor). AUDIBLE ALARM: Sounding of remote test/indicator unit(not required in all municipalities). FIRE PANEL ALARM: Alarm reports to central fire panel(remote audible unit not then required). INSTALLATION: Smoke detector is installed per manufacturers recommendation.YES NOTES 4:, iVIEDICA& TECHNOLOGY ASSOCIATES � MEDICAL GAS PIPELINE SYSTEMS S PECI A1..1S S �:l A r Svsteris Medical Gas Certification For Thunderbird Endoscopy Center 5823 W. Eugie Glendale, Arizona 85304 Completed by: Denise Moutinho Date Completed: October 26, 2009 11001 North 24th Avenue Ste. 606 Phoenix, Arizona 85029 602-674-5205 • Medical Gas/Vacuum Systems ` ,; Certification Performed by: MTA 11001 North 24th Ave. Ste. 606 Phoenix, Arizona. 85029 Location: Thunderbird Endoscopy Center 5823 W. Eugie Glendale, AZ 85304 Project: OR# 3 Renovation Contractor: RKS Plumbing On this date: Oct. 26, 2009 The following equipment was tested: Qty Description 02 Oxygen Outlets 03 Vacuum Inlets 00 Medical Air Outlets 00 Nitrous Oxide Outlets 00 Nitrogen Outlets 00 Carbon Dioxide Outlets 00 Evacuation Inlets 00 Lab Air Outlets 00 Helium Outlets 02 Shutoff Valves 01 Area Alarm Panels 00 Master Alarm Panels 00 Vacuum Pumps 00 Medical Air Compressor 00 Manifolds Inspection is per NFPA 99, 2005 Edition. The findings are attached. Page 1 REV 02.20.04 MTA Corrections Required CLINICAL AIR SYSTEMS, INC. HAS INSPECTED THIS SYSTEM FOR ADHAERENCE TO NFPA 99 GAS AND VACUUM SYSTEMS: 2005 EDITION. THE FOLLOWING IS A LIST OF CORRECTIONS REQUIRED AT THIS TIME. • No discrepancies noted at this time • Released for patient use Inspected by: NT-42,tiL Date: 'T Page: 2 REV 02.20.04 Testing Quality Assurance Performed by: MTA 11001 North 24th Ave. Ste. 606 Phoenix, Arizona. 85029 Any or all of the following equipment may have been used during analysis of the medical gas systems on this project: 1.NST,Model 2500, Medical Gas Analyzer, Serial Number,257 a. Factory calibration performed—July 2009 2.Trace Analytics, Inc.—Medical Gas System Purity Analysis. 3.OXYCHEQ, Oxygen Analyzer, S/N 0200124—Calibrated to a known Oxygen Source before Performing tests. a. Calibration Date: 4-23-09 4.Aerotech Laboratories, Inc. -Nosocomial Suite Analysis. 5.Dwyer# RMB—55, 50 —400 CFH, Flow meter. 6.U.S. Gauge—0—200—PSI Gauge 7.U.S. Gauge—0—0—30" HG Gauge. 8.Ohmic AMM-15, Dew Point Monitor; S/N: 28689, a. Certificate of Calibration: 7/25/2006 9.Bacharach MGC 100 - N20 Monitor; S/N: HS10109 a. Certificate of Calibration: 8/2006 10. Bacharach MGC 200 - CO2/CO Monitor; S/N: GU5285 a. Certificate of Calibration: 8/2006 Page 3 REV. 8/1/006 Master Alarm Testing Procedures 1. Check for proper location. 2. Establish that power is on Life Safety Branch 3. Establish"Power On" Indication. 4. Establish visual and audible alarms("Push to Test"). 5. Check high/low set points for all gases by removing and subjecting each pressure/vacuum switch to a known source of dry Nitrogen or source gas. 6. Check for proper operation of all Change-Over/Reserve-In-Use alarms for all gases supplied by manifolds or alternating bulk systems. 7. Check for operation of all reserve alarms. 8. Check operation of high dew point alarm. 9. Check operation of high temperature/high water level alarms. Area Alarm Testing Procedures 1. Check for proper location. 2. Establish that power is on Life Safety Branch. 3. Establish"Power On" Indication. 4. Establish visual and audible alarms(Push to Test). 5. Establish proper labeling(Per Zone and Gas) 6. Observe existing pressure/vacuum reading of alarm panel for each gas. 7. Observe existing low and high alarm points for each gas. 8. Establish actual line pressure with calibration gauge. 9. Calibrate to actual line pressure per Manufacturer's recommendations. 10. Establish and set high and low points per NFPA and Manufacturer's recommendations. 11. Verify actual alarm set points by removing and subjecting each pressure/vacuum transducer to a known source of dry nitrogen or source gas. Page 4 REV 02.20.04 Zone Valve Testing Procedures 1. Check for proper location/condition. 2. Check for proper labeling. 3. Check for leakage. 4. Perform valve test. 5. Properly label valves per rooms or areas controlled. High Pressure Manifold Testing Procedures 1. Check for existence of duplex line regulators. 2. Check for source shut off valve and pressure relief valve. 3. Check for changeover from primary to secondary bank. 4. Check for proper setting of primary regulator,line regulators,and change pressure switch per manufacturer's recommendations. 5. Check for leakage. Page 5 REV 02.20.04 Outlet Testing Procedures 1. Establish proper labeling of outlet. 2. Check for leakage with proper adapter inserted. 3. Check latching mechanism. 4. Check static pressure. Perform vacuum inlet performance test. 5. Perform cross-connect test. 6. Perform valve test. 7. Perform flow test. 8. Perform piping purge test. 9. Perform piping purity test. 10. Perform operational pressure test. 11. Perform medical gas concentration test. 12. Perform medical air purity test. 13. Perform medical air quality test. Page 6 REV 02.20.04 Area Alarm Panel & Zone Valve Certification Form Certified by: Denise Date: 10/26/09 Facility: Thunderbird Endoscopy Center Zone Valve Location: Corridor outside of OR# 3 See page#5 for explanation of testing procedures Testing Labeled Valve Pass/ # Procedure Gas Area Serviced Zone/Gas Leaking Failed 1 1-5 Oxy OR# 3 Yes/Yes No Pass 2 1-5 Vac Yes/Yes No Pass 3 1-5 4 5 6 7 Comments: Area Alarm Location: Corridor outside of OR# 3 See page#4 for explanation of testing procedures Testing Indicated Labeled Indicated Indicated Visual Audible Pass/ # Procedure Gas Pressure Zone/Gas Low Alarm High Alarm Signal Signal Failed 1 1-11 Oxy 54 Yes/Yes 40 60 Yes Yes Pass 2 1-11 Vac 20 Yes/Yes -12 - Yes Yes Pass 3 4 5 6 7 Comments: Existing Page 7 REV.02.20.04 ---�• Medical Gas Outlet/Inlet Certification Form Facility: Thunderbird Endoscopy Center Certified by: Denise � Date: ]0/26/09 See page#6 for explanation of test Indicated Detected *Test Indicated Detected *Test # Room Gas _ Gas Results Comments # Room Gas Gas Results Comments 1 OR#3 Oxy Oxy 1 _ 21 2 Oxy Oxy 1 22 3 Vac Vac 1 _ 23 4 Vac Vac 1 24 _ 5 Vac Vac 1 _ 25 6 26 7 27 8 28 9 29 10 30 11 31 12 32 13 33 14 34 15 35 16 36 17 37 18 38 19 39 20 40 *Test results code: 6.Flow pressure(psi/hg)exceeds maximum 12.Drop exceeds maximum l.Satisfies code requirements 7.Unavailable for testing(room in use) 13.Leaks with flow meter 2.Cross connection 8.Unavailable for testing(obstruction) 14.leaks with probe 3.Static pressure(psi/hg)below minimum 9.Leaking 4.Static pressure(psi/hg)exceeds maximum 10.Incorrect or missing gas identification label 5.Flow rate(LPM)below minimum l 1.Mechanical deficienc ,_ Page: 8 REV. 02.20.04 — ENGINEERING INC.' 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