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Home My WebLink AboutFP 2008-00025 Above Ground Piping Certificate (04-11-2008) v-.. CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE Upon conwletlon of work,Inspection end tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left In service before contractor's personnel finally leave the job. A certlfl ate shall be filled out and signed by both representatives. Copies shell be prepared for approving authorities,owners and eontrector, It Is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material,poor workmanship, or failure to comply with approving authority's requirements or load ordinances. PROPERTr-tiAME GATE 11 ' Ail chi CD 1/V CPROPE TV ADDRESS - f� / ) 1( • V o,1 '_ f $ ¶cv - ACCEPTED SY APPROVING AUTHORITY1 NAMES (--r 'l 11 ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANSr S 0 NO EQUIPMENT USED 15 APPROVED JjS 0NO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT SEEN INSTRUCTED AS TO LOCATION 12i'EE ONO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT IF NO,EXPLAIN INSTRUCTIONS COPIESo uu AND NOF AP ROPR OA S tNSTPREMIRV TIONS AND CARE AND MAINTENANCE CHARTS [IVES 0 NO IF NO,EXPLAIN LOCATION SUPPLIESSLOGS. OF SYSTEM k ./1 ( ii!� fy ,y'r.' 0' I N FrnasQ,/_� 1?" bli- A/7' /-f MVAKE V_*'r I MODEL ,YEEAR O wrORIIFI`CE QUANTITY TEMPERATURE f MANUFACTURE ZE RATING 6LtG klet-,4' Fe{v 1 1_o '- L `' ( !3"tj r' SPRINKLERS 'K=ZL lel /31.�? E( ;Yr� Q ,k, 'UM V'7 f I 1 i f.,--g' PIPE CONFORMS TO iv/pot , . STANDARD OYES D NO PIPE AND FITTINGS CONFORM TO N /P Jy _ STANDARD OYES ONO FITTINGS IF NO,EXPLAIN ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE ALARM - VALVE TYPE ; MAKE `� MODEL MIN. SEC. OR FLOW J S�"� /E-( fGD _ INDICATOR W!Tr(�1L Z _ .5t-g---- DRY VALVE 00.0. MAKE. MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP WATER AIR I TRIP POINT TI E WATER ALARM THRU TEST PIPE" PRESSURE PRESSURE AIR PRESSURE REACHED OPERATED TEST OUTLET' PROPERLY DRY PIPE MIN. SEC. PSI PSI PSI MIN. SEC. YES NO OPERATING TEST Without O.O.O. O.O.DWltn . IF NO.EXPLAIN •MEASURED FROM TIM!INSPECTOR'S TEST PIPE IS OPENED. SSA pew PRINTED IN USA (OVER) Contractor's Material&Tat Certificate for Aboveground Piping 13-10 SPRINKLER SYSTEMS nnmes OPERATION ❑PNEUMATIC 0 ELECTRIC ❑HYDRAULIC PIPING SUPERVISED OYES ONO 'DETECTING MEDIA SUPERVISED DYES ONO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS DYES NO DELUGE 8 IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO,EXPLAIN /REACTION ❑YES ❑NO VA V(ES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE MAXIMUM TIME TO OPERATE RELEASE YES NO YES NO MIN. SEC. HYDROISTATIC: Hydrostatic tests shall be made at not less than 200 psi(13.6 bars)for two hours or 50 psi(3.4 bars)above static pressure in excess of 150 psi(10.2 bars)for two hours. Differential drypipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. TEST FLUSHING: Flow the required rate until water is clear es indicated by no collection of foreign material in burlap bags at outlets such as DESCRIPTION hydrants and blow-offs. Flush at flows not less than 400 GPM(1514 L/min)for 4-inch pipe 600 GPM 12271 L/min)for 5-Inch pipe, 750 GPM(2839 L/min)for 6-inch pipe,1000 GPM(3785 L/min)fôr 8-inch pipe,1500 GPM(5678 L/min)for 10-inch pipe and 2000 GPM(7570 L/min)for 12-Inch pipe. When supply cannot produce stipulated flow rates,obtain maximum available. PNEUMATIC:Establish 40 psi(2.7 bars)air pressure and measure drop which shall not exceed 1-14 psi(0.1 bars)in 24 hours. Test pressure tans at normal water level and air pressure and measure air pressure drop which shall not exceed 1-%psi(0.1 bars)in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR �-RS. IF NO,STATE REASON DRY PIPING PNEUMATICALLY TESTED OYES ❑N T ; • e /n ( C f i i�.....__ EQUIPMENT OPERATES PROPERLY OYES ❑NO /4 " "— I �" DRAIN READING OF GAGE LOCATED R R SUPPLY TEST PIPE, R DUAL PR E WITH VALVE IN TEST PIPE OPEN WIDE TESTS TEST STATIC PRESSURE: PSI PSI Underground mains and le n connections to system risers flushed before connection made to sprinkler piping. VERIFIED BY COPY OF THE U FORM NO.ass OYES ❑NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER• GROUND SPRINKLER PIPING OYES ONO BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING ❑YES 11JNU IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL AR-3 ❑YES ❑NO DO YOU CERTIFY THAT THE WELOINO WAS PERFORMED BY WELDERS QUALIFIED IN WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL AR-3 DYES 0 NO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF DYES ❑NO PIPING ARE NOT PENETRATED HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN DATA �, ,/ NAMEPLATE Wertri.' ❑NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS NAME OF RINKLER CONTRACTOR TESTS WITNESSED BY SIGNATURES FOR PROPERTY OWNER(SIGNED) TITLE DATE I 1 FORS NKLER CONTACT R(SIGNED) TITLE DAT - ( ADDITIONAL EXPLA ATION AND NOTES aSA BACK Contractor's Material&Test Certificate for Aboveground Piping i<