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<br />SIGMA 34 & 40 INSTALLATION, TEST AND <br />ACCEPTANCE PROCEDURE <br />IT A-34-902130 Rev J <br /> <br />Perry Baromedical CorporatioD <br /> <br />CHAMBER PERFORMANCE INSTALLA liON TEST <br /> <br />Test Date: G - ~ -0 f <br />Chamber Type: Sl~ -~LL- <br />Gas used: CJ 2. <br /> <br />Location: <br /> <br />p v...5 c....o <br /> <br />Q~,~evr <br />\'2- <br /> <br />SIN: b'J.C.0~ Number of Cycles to Date: <br /> <br />Metering Valve Settings: Pressurization <br /> <br />(" rz.." { <br />~ <br /> <br />Depressurization <br /> <br />lIe S- <br /> <br />Safety Interlock Operation: Satisfactory <br />(Pro/libits Oxygen flow) <br /> <br />Unsatisfactory <br /> <br />Pressurization Test: Set to attain 30 psig, Record rates at Maximum Flow and Minimum Flow on Cycle Test, <br />Ventilation at min. setting. <br /> <br />Depressurization Test: Set to 0 psig. Record rates at Maximum Flow and Minimum Flow on Cycle Test, <br />Ventilation at 250 Ipm. <br />Note: From 25-20psi, adjust closer to :45 if required to ran within S-O parameter. <br /> <br />~0 <br /> <br />AclUal CHAMBER PRESSURE Wi7SURE@ 30 psi: <br />(29.0 minimum ) <br />Leak Check: Satisfactory Unsatisfactory <br />(No leaks) <br /> <br />Was 30 psig Attained? <br /> <br />(Yes or No) <br /> <br />,....... <br /> <br />L9~ <br /> <br />(Explain) <br /> <br />Actual Chamber Pressure @ Set Pressure ... 22.0 paig: <br /> <br />Vent Rate <br />(LPM) <br />125 [or minimum] <br />385 [25.3 In H2O] <br /> <br />Chamber Pressure <br />(psig) <br /><2 (. (p <br />~{-1 <br /> <br />Deviation <br />(psig) <br /> <br />f tf_ (1.0 max.) <br /> <br />,7 <br /> <br />Exhaust Bypass Time: 30 psi to 0: <br /> <br /> <br />Test Results Acceptable: [L <br /> <br />I""; 2:J--'-' <br />'- J l/ (2:00 max.) <br /> <br />[ ] No Tested By/Date: <br /> <br />':;ft ~ <br /> <br />s--~ - O~ <br /> <br />Notice: The only controlled copies of this document are the electronic read-only version. located on "F" drive, <br />and the signed mulIIr copy maintained by the Quality depar1ment. The document user is responsIble for verifying that the latest <br />verwion Is available for use, by checking the electronic directory to detennine the current revlalon level before using Level 3 or <br />Level" documents. Page T of 9 <br />