THIS IS A SOURCES SOUGHT, HOWEVER IF YOUR COMPANY CAN PROVIDE THIS SERVICE, PLEASE PROVIDE A QUOTE FROM THE INFORMATION ON THIS RFI. THIS SERVICE IS FOR THE VA MEDICAL CENTER, FAYETTEVILLE, ARKANSAS 72703 Contract will begin October 1, 2009 through September 30, 2010. Scope of Work for Safety Testing Boilers Equipment: 3 each clever brooks model CB-200-250-150 high pressure boiler 1 each clever brooks 30 HP low pressure boiler 1. Check and inspect fuel burning equipment, safety devices, and interlocks. Per VHA Boiler Plant Safety Device Testing Manual. See attached Checklist Test each boiler every 6 months Boiler Safety Checklist Job Name: Date: Address: Job #: Boiler Mfg.: Model#: S.N.: Max BTUH Input: Safety Control: Adjust burner combustion settings and calibrate oxygen trim (natural gas) Adjust burner combustion settings and calibrate oxygen trim ( #2 oil) Calibrate instrumentation, monitoring, and control systems Check vibration of burner fan Calibrate pressure gauges and thermometers Check flame scanner Check gas vent for leaks Check gas fuel safety shut-off proof-of-closure switch Leak test the gas fuel safety shut-off valves Check forced draft fan motor interlock switch Check forced draft fan damper switch (high purge switch) Check high gas pressure cut-off switch Check low gas pressure cut-off switch Check low pilot gas pressure cut-off Check pre-purge timing Check post-purge timing Check igniter timing Check low fire position interlock (low purge switch) Check combustion air interlock switch Check ignition flam-out (time to close valves) Check main flame-out (time to close valves) Check minimum igniter flame test (pressure) Check scanner not sensing ignition spark Check low oxygen alarm and/or cut-out Check combustion gas leaks into boiler room Check low-atomizing pressure for fuel oil Check high fuel oil pressure cut-off Check low fuel oil pressure cut-off Check fuel oil safety shut-off valves proof-of-closure Leak test the fuel oil safety shut-off valves Check the operation of the liquid petroleum gas pilot Check boiler outlet damper position (wide open for purge Combustion report attached (natural gas) Combustion report attached (#2 oil) High pressure cut-out (recycle) Trip out Calibrated Setting High steam pressure cut-out (non-recycle) Trip out Calibrated Setting Steam safety valves(raise boiler pressure until valves pop) East West Accumulated VHSO 1100 North College Ave Fayetteville, AR 72703 Boiler #: SN: Test Date: Technician: GAS Fire Rate O2 CO ppm Bailey Meter Stack Temp Deg F Lo Pin Pin 3 Pin 6 Pin 9 Hi Pin OIL Fire Rate O2 CO ppm Air pressure Metered #2 Oil #2 Oil Delivery #2 Oil Lo Pin Pin 3 Pin 6 Pin 9 Hi Pin Notes Corrective Action Suggested Corrective Actions Taken

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