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Home My WebLink AboutFP 2006-00347 Materials & Test Certificate CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING a PROCEDURE Upon completion et work,Inspection end tests shall be made by the contractor's representative end witnessed by en owner's representative, All defects shell be corrected end system left In service before contractor's personnel finally leave the lob. 1 A cenifi.Rb shall be filled out end signed by both representatives. Copies shell be prepared for approving euthoritles,owners end contractor, It Is understood the owner's representative's signature In no way prejudices any claim against contractor for faulty materiel,poor workmanship, or failure to comply with approving authorIty's requirements or local ordinances. PROPERTY NAME DATE SNE 6eovE 664.e 3 S //—/ PROPERTY ADDRESS 5765'i ° O cr. ACCEPTED SY APPROVING AUTHORITY('SI NAMES Cir./ f doli, Azte A7, .frirs ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS Li YES 0 NO EQUIPMENT USED IS APPROVED it, ES []NO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT SEEN INSTRUCTED AS TO LOCATION 0YES 0NO OP CONTROL.VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT IF NO,EXPLAIN . INSTRUCTIONS HAVE OPIE OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS O YES ONO If NO EXPLAIN1A0EEN LEFT ON PREMISES LOCATION SUPPLIES SLOGS. d BiWM-�e _Q.. OF SYSTEM 6.1A1 7— `��' <j C s—• Vft(/1N� � GFL"fTJ MAKE MODELYEAR OF ORIFICE QUANTITY TEMPERATURE MANUFACTURE SIZE RATING VG-C, r/.S�t�wu. 2--40:242--40:24 Xe, ' /O /S3"' SPRINKLERS rk_C) 0/ tax_ /', ZU /s-N----- PIPE CONFORMS TO Nfill /A..3 i3 STANDARD STANDARD YES 0 NO PIPE AND FITTINGS CONFORM TO I�IT/T 131) STANDARD 6-YES 0NO FITTINGS IF NO,EXPLAIN ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE AVANE TYPE ` MAKE MODE MIN. C OR FLOW I-ielit/5w# / c 54 S�+At t T� ,O. INDICATOR — O.S - _ ' .: ,7 • O s MAKE MODEL SERIAL NO. . MAKE MODEL SE• 'le TIME TO TRIP WATER AIR TRIP POINT ALARM TEST PIPE. PRESSURE URE AIR PRESS REACHED OPERATED TEST OUTLET' PROPERLY DRY PIPE MIN. SEC. PSI PSI ----="----FSI MIN. SEC. YES NO OPERATING TEST Without O.O.D. ---___,_ Wm O.O.D. IFNO,EXPLAIN ------ 'MEASURED FROM TIME INSPECTOR'S TEST PIPE IS OPENED. (OVER) SSA Soot PRINTED IN USA ( Contractor's Material&Test Certificate for Aboveground Piping 13-10 SPRINKLER SYSTFAAS -- re--_--- ----- OPERATIO OPNEUMATIC OELECTRIC DHYDRAULIC PIPING SUPERVISED ONO 'DETECTING MEDIA SUPERVISE YES 0N DOES VALVE OPERATE FROM THE MANUAL 0/OR REMOTE CONTFIS LI YES ONO DELUGE& IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR IF NO,EXPLAIN PREACTION D YES D NO VALVES DOES EACH CIRCUIT OPERATE DOES EACH aR MAXIMUM TIME TO MAKE ••DEL SUPERVISION ID BS ALARM OPERATE VALVE RE OPERATE RELEASE YES NO YES NO 15H SEC. HYDROISTATIli: Hydrostatic tests shell be made at not less than 200 psi 113.6 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 dry-pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shell be stopped. FL SHING: Flow the reoulred rate until water is clear as Indicated by no collection of foreign material in burlap bags et outlets such as TEST DESCRIPTION hydrants and blow-offs. Flush at flows not less then 400 GPM 11514 L/min)for 4-Inch pipe600 GPM(2271 L/min)for 5-inch pipe, 750 GPM(2839 Umin)for 6-inch pipe,1000 GPM(3785 L/min)for 8-inch pipe,1500 GPM 15678 L/min)for 10-inch pipe end 2000 GPM 17570 L/min)for 12-Inch pipe. When supply cannot produce stipulated flow rates,obtain maximum available. PNEUMATIC:Establish 40 psi(2.7 bars)sir pressure and measure drop which shell not exceed 1•%psi(0.1 bars)in 24 hours. Test pressure tanks at normal water level end air pressure and measure sir pressure drop which shall not exceed 1-11,psi(0.1 bars)In 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR HRS. IF NO,STATE REASON DRY PIPING PNEUMATICALLY TESTED�/sy D YES ONO C3 eJ EQUIPMENT OPERATES PROPERLY et OYES ONO DRAIN READING OF GAGE LOCATE N ATER SUPPLY TEST PIPE, RESIDUAL RE WITH VALVE IN TEST PIPE OPEN WIDE TESTS TEST STATIC PRESSURE: PSI PSI Underground mains end lead in connections to system risers flushed before connection made to sprinkler piping. VERIFIED BY COPY OF THE U FORM NO.e5B D YES ONO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER• GROUND SPRINKLER PIPING DYES ONO PLANK TESTING NUMBE SED LOCATIONS NUMBER REMOVED GASKETS �y�j WEL EO PIPING D YES IMLO 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 D YES ONO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9.LEVEL AR•3 D YES D 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 D YES ONO PIPING ARE NOT PENETRATED HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN DATA NAMEPLATE MMES 0N DATE LEFT IN SERVICE WITH ALL COOZVES QG/�F/� PE�/ REMARKS 6// NAME OF SPRINKLER CONTRACTO TESTS WITNESSED BY SIGNATURES FOR PROPERTY OWNER 1041D) TITLE DATE OR SP• r' LER CONT ACTOR(SIGNED) TITLE DATE * 0 0 1 61uayfyfr, I id Zo ADDITIONAL EXPLANATION AND NOTES e5A BACK LOntractor'a Material. "'rsi Certificate for Aboveground Piping