The URL can be used to link to this page

Home My WebLink AboutFP 2007-00042 Material & Test Certificate CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE Upon completion of work,Inspection and teats shall be made by the contractor's representative and witnessed by en owner's representative. All defects shell be corrected end system left In service before contractor's personnel finally leave the lob. A artifiate shell be filled out and signed by both representatives, Copies shall be prepared for approving authorities,owners end contractor. 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 local ordinances, tv cf( r.� fa 7 PROPERT /TfE � �� E54-7"7- `I PROPERTY ADDRt{+f 6 / �� f�-! ' '— �-s�-�i�-f f� �T aft � ,`✓ ACCEPTED NY APPROVING AUTHORITYf'S)NAMES Cl/ 7V ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS etaftS 0 NO EQUIPMENT USED IS APPROVED GES ONO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT SEEN INSTRUCTED AS TO LOCATION E;eirrS ONO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT IF NO,EXPLAIN INSTRUCTIONS C s p u AAV NEVA ISA SEEN IR.OFT ON PREMIRU TIONS AND CARE AND MAINTENANCE CHARTS 124 0 NO IF NO,EXPLAIN LOCATION sUPP IES CLOGS. OP SYSTEM e(f ri.e4l4. / vc /�/ �►�f�Cy4,f,A,-7"" AK/`o,`f /'w"t MAKE 1i MODEL"�dicYCEAR OF ORIFICE QUANTITY TEMPERATURE MANUFACTURE I RATING - tO "pp azz3� I�� ' /.- t SPRINKLERS "r-fCO i j'1 3, Ile 2.01e..)".", 2 D 4174' pS PIPE CONFORMS TO 1y1STANDARD IES ONO PIPE AND FITTINGS CONFORM TO Al dor STANDARD lanril ONO FITTINGS IF NO,EXPLAIN ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE ALARM TYPE MAKE MODEL MIN, VALVE �f OR PLOW ��— _ Sf�KPAT L! ar INDICATOR (r 2FtiS DRY yALVE 0 0.0. MAKE. MODEL SERIAL.NO. MAKE MODEL SERIAL NO. ARM TIME TO TRIP WATER AIR TRIP POINT ACHED OAPERATED THRU TEST PIPE' PRESSURE PRESSURE AIR PRESSURE REACHED OPERATED TEST OUTLET' PROPERLY DRY PIPE MIN. SEC. PSI PSI PSI MIN, sae. YES NO OPERATING TEST Without +r 0.0.0. Ih/ Wl. 111 f O.O.D. IF NO,EXPLAIN ' 'MEASURED FROM TIME INSPECTOR'S TEST PIPE IS OPENED. OVER) ISA*NO) PRINTED IN USA Contractor's Material&Test Certificate for Aboveground Piping 13-10 SPRINKLER SYSTFMS s OPERATION 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC PIPING SUPERVISED OYES ONO IDETECTING MEDIA SUPERVISED AYES ONO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS ❑YES ONO DELUGE& IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO,EXPLAIN PREACTION ❑YES ONO VALVES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO li 1 K MAKE MODEL SUPERVISION LEES ALARM VALVE RELEASE OPERATE RELEASE YES NO YES NO MIN, SEC. HYDROSTATIC: Hydrostatic tests shall 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 shall be stopped. TEST FLUSHING: Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such es DESCRIPTION hydrants end 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)for 8-inch pipe,1500 GPM(5678 L/min)for 10-inch pipe and 2000 GPM(7570 L/min)for 12-Inchipe. When supply cannot produce stipulated flow rates,obtain maximum available. PNEUMATIC:Establish 40 psi 12.7 bars)air pressure and measure drop which shall not exceed 134 psi 10.1 bars)in 24 hours. Test pressure tanks at normal water level and air pressure end measure air pressure drop which shall not exceed 1-%psi(0.1 bars)in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR HRS. IF NO,STATE REASON DRY PIPING PNEUMATICALLY TESTED YES ONO EQUIPMENT OPERATES PROPERLY YES ONO �•/ DRAIN READING OF GAGE LOCAT SUPPLY TEST PIPE, RESIDU`��- WITH VALVE IN TEST PIPE OPEN WIDE TESTS TEST STATIC PRESSURE: PSI i� PSI Underground mains and lead in connections to system risers flushed before connection made to sprinkler piping. VERIFIED BY COPY OF THE U FORM NO.9SB O YES ONO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER- GROUND SPRINKLER PIPING OYES ONO IC TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING O YES O 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 O YES EJ NO 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 O YES 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 ❑YES ONO PIPING ARE NOT PENETRATED HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN DATA ,�,/' NAMEPLATE I�JYES ONO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS // 17�4's NAME OSBPRINKLR i'Yl EYY1 ( T CONTACTOR rI (i� pr2s/ Cf CT?� &, ---c J 7- I gV o aTESTS WITNESSED BY SIGNATURES FOS OPE TY OWNER ISI NED) TITLE i DATE P- c„,..,3L), I -:-"t`'ik-- 0--s-4- °Mel I 1- -t, st)7 FOR SP I��C^TR TOR jS10 D) ITITLE c Hs/i yAt�/ I DATE 20 07 ADDITIONAL EXPLA TION AND NOTES 2 tv, SSA BACK Contractor's Material&Test Certificate for Aboveground Piping