HomeMy WebLinkAbout2006-08-02 FireGuard Sprinkler Test Reports 08/02/2006 14:30 FAX 6517489143 FIRE GUARD X001
iv -GUARD . FIRE-GUARD
`, SPRINKLER SERVICE, INC.
� AVE.N.SUITE C :YtN. LICENSE NO.C00018
-k
2055 WHITE BEAR. W::LICENSE NO.SC3000139
e MAPLEWOOD,MN 55109
PH.651-748-9499 FAX 651-748-9143
FAX TRANSMITTAL
DATE: 8 °(_____------ -------3+
FOR YOUR INF O Riv1ATION G
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08/02/2006 14:30 FAX 6517489143 FIRE GUARD1,1, ✓ / ` 0Ij002
1 -GUAIto 2055 V4`, sear Ave.No., Suite C
FIRE-GUARD St.Paul,Minnesota 55109
11.. L i1 J w SPRINKLER SERVICE, INC.• PH:651-748-9499 • FAX:651-748-9143
4, zMN License No. C00018
S
v
DRY PIPE VALVE TEST
NAME OF PROPERTY: VD )( 1 t)110 W . DATE:, 1— k _ 06
ADDRESS: ISO FILE NO.• /
DRY PIPE VALES IN• MCPJ r •
NO. 1 NO. 2 NO.3
SIZE,MAKE,MODEL&YEAR {I`p1\,It 6" .
OF MANUFACTURER • r c• D , A 006
CONTROL SPRINKLERS IN Q I+c "'
PRESSURE(LB.) AIR ' 1 / 0 . h7 ' 3 0
BEFORE TESTS WATER !QO /DO IA 6
CONTROL VALVE WIDE OPEN? t Oren ) 7
(IF NOT,HOW MANY TURNS?) VV kl
OPERATED AT: I .. L b S , , Z 0 W5
5
AIR PRESSURE(LB.) ))
TIME(MIN.,SEC.) 1 m IN . 7 DI.S
OPERATION INDICATE: 1:30 k4kr jaft41144-5
TORY PARTLY `�'� • ��(SATISFAC � � g-'j�,j
SATISFACTORY,OR FAILED) � c Ir�r , C
REASON FOR FAILURE OR
PARTLY SATISFACTORY
VALVE RESET DRY? un 1 '
T",' L J
V
LIST REPAIRS MADE MI n t t
CONDITION:
INTERIOR OF BODY
WATER FROM.TEST PIPE
MOVING PARTS
' SEALS
RUBBER FACING
ALARMS OPERATED? V'31
n oyicK OPENING DEVICES
MAKE,MODEL,YEAR 2�
tioD11,_
OPERATION INDICATE:
SATISFACTORY,FAILED OR SHUT OFF S,4' t,A4 .
itif tsdi
spit i'vl klef- •
SIGNAT RE AND TITLE OF RSON MAKING TESTS COMPANY NAME AND ADDRESS
WITNESS(OWNER OR LEASEE OF THE PROPERTY) DATE OF EXAMINATION
WHITE:CLIENT YELLOW:OFFICE PINK:INSURANCE AUTHORIY
08/02/2006 14:30 FAX 6517489143 FIRE GUARD a 003
w T SYS7E
CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING
- --t
PROCEDURE
Ulm amPNdsn el work,Intpeetlen and lou shell be made by the eentracter's mpreantethe end a inmued by sit own Ire NpmentitIW. All
defiers shell be waffled end system left In wiles before contractor's personnel finally Neve the lob.
A esrtlRaess shell be flllad out and dSnwel by both representativas.Copies shall be prepared ler app cyln,mutherftuee,mows and eenineter.
It le undimmed the manor's naresanted e'eeynature In no way pnjudlees any Halm aphrmt eoMreeter ler 1wRp meted.Pow wotkmenshlP.
or Mum to comply with apprevinp authority's requirements or Wel ordinsna$.
PROPERTY NAME /� `OA+E
E � L(�ic.✓ L- ,' 0 f 1 0y-f2-:
PROPERTY ADDR S I
l�t13 ,Oma` Si`. , o . �` , . %w6 1s 1'110 5-509 i
ACCEPTED EY APPROVIN UTMORITYt'S)NAMES
ctri4o �fieicHr6i
ADDRESS
PLANS -
INSTALLATION CONFORMS TO ACCEPTED PLANS tarns O NO
EQUIPMENT USED IS APPROVED WEE (ANO
IF NO,EXPLAIN DEVIATIONS
HAS
CONTTROL`.VCHARGE
LVEf AND CARE EQUIPMENT
EN OF THIS NEW EQUITED AS TO PMENT Meas I]NO
IP NO,titPLAIN
INSTRUCTIONS CCOO EESS //�A ppb `ltpr �/p
NNAVEN`%IEf_OF EN REPT ON MENSES TIONS AND CARE AND MAINTENANCE MART+1 QYES NO
LOCATION SUPPLIES SLOWS. „..-”,
OF SYSTEM 0rt"'X7i" ' A e`US0T'ML. L_ t7kS
MAKE MODEL YEAR OFWAN QUANTITY TEMPERATURE
MANUFACTUR-' I --- RATING
14117Niro �� iI{O < "-
P►RINKLlRE '� ,r, .. r jry." lic'cr�- i53
PIFS CONPORMS TO A, i STANDARD YES ONO
FIFE AND FITTINGS CONFORM TO t. i i' STANDARD YES ONO
FITTING! IF NO.EXPLAIN
ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE
ALARM TYPE MAKE MODEL IIIIN. SEC.
OR now V s ;e,- Se' -
INDICATOR
MO• I. SERIAL NO. Q I_t.:IT_ =�
�i"'
TIME TO TRIP WATER AIR TR TI'E WATER ALARM
THRU TEST PIPE PRESSURE - RE UR! STOUTREACH . a OPERATED
TfETpUTLEi PROPERLY
DRY PIPE MiN. IEC. PSI - PSI MIN. SEC. YES NO
OPERATING -
TETT Oil
With
O.O.D.
IF NO.EXPLAIN
'MEASURED FROM TIME INSPECTOR'S TEST PIPE I!OPENED. (OVER)
SSA 110401 PRINTED IN USA
Contractor's Material&Test Certificate for Aboveground Piping
08/02/2006 14:30 FAX 6517489143 FIRE GUARD [7J 004
•
02 sYS79'-'
CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING
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PROCEDURE
Upon semsMenof work,lmpndon and tate shell be mode by the centre/noes Mw,a tln lob Messed by an owner's NPtontINVe. All
debuts shall be eemeted end system lett to swim before eentnetarh personnel
finally appra�ember Wel.onmre end"'Wall".
A a.. Wes andshellthe filled oute end dined rbye both+�ret ray ~I�seI my ai be PITins►centreetar for faulty meas lel,poor wakmenshlp.
It h undefeated comply
fowner's so rovIno utho l y'i irements or tont ordinances.
of teNrn w exrnptT rvlth sppreMnE oeMerlty's redo OA!E
PROPERTY NAME r Q(/,�g-C94
POI- VOVOL-Loin) to S /�`
PROO[RTY ADpRESS / C3A.K PA e.` #1014446_
)_ IA/ O&Z
i.��'3 fi Gd'=- Ste'• o. R�'r. �/GfflJ / �
ACCEPTSD SY APPROVING AUTNO �TYYIYs;NA>�ES
�T"t eF 0 &s . Itoetts
ADDRESS
PLANS ONO
INSTALLATION CONFORMS TO ACCEPTED PLANS !RYES 0 NO
EQUIPMENT USED I11 APPROVED
If NO,EXPLAIN DEVIATIONS
HAS
CONTSM,VALVCHARGE
S AND CARE EQUIPMENT SEEN
CE INSTRUCTED
P THIS NEW EQUTO IPMENT N [rYEE Cl"
IF NO,tXPLA1N
INSTRUCTIONS gOryp /► ry u VES NO
HAVE MD FPA>t'FAP g It LOPR ON ATE I1[MIRkS�roNS ANO CARE AND MAINTENANCE CHAR TS ❑
IF NO,EXPIJIIIN
LOCATION SUPPLIES SLOGS. A
OP SYSTEM '�`L�,/✓��7
YAR OE QUANTITY TEMPERATURE
MAKE MODEL pyyS[ �jRL nal 111 AIM
—RATING
op
LEIM i 'TYCO
V o 4Pse- • -Loa
s NO
.
' 1-
P CONPORMSTO A•' L.3 STANDARD • lv 0 ES NO
PIPE ANO PITTINGS CONFORM TO NAA-L-3 STANDARD
PITTINGS IF NO,EXPLAIN
u
ALARM DEVICE MAXNMJMTIME'ID OPEMTE•RMIOUGMTEST PIP E
ALARMVALVE TYPE MARE if
MMI. SEC.
OR FLOW le iSLYrO
• INDICATOR y _ AO
•
• CRY ALT.. ' OMODEL SERIAL NO,
. ' ft- MAKE. MODEL ( SERIAL NO. �� .
-i/C�l.Ir !l T E WATER ALARM
TIME TO TRIP . WATER AIR TRIP POINT REACHED OPERRLY
ATED
THRU TEST PIPE" PRESSURE PRESSURE ASI PRERSURE LET PROP
Psi MIN. sic. YES NO
DRY PIPE MIN, SLC yl yl ` J z X
OPERATING Whhau1
! O /so 9 0 1 1 i (+�O r
DA.D. f a� J a
° . lob 3a
O.O.D.
IP NO,EXPLAIN
I °MEASURED PROM TIME INSPECTOR'TEST PIPE IS OPENED. tOVLRI
SSA 551
0! PRINTED IN USA
Contractor's Material&Test Canute for Aboveground Piping
__ 08/02/2006 14:31 FAX 6517489143 FIRE GUARD IA 005
13-IO SPRINKLER SYSTP-4S
;TION
0 PNEUMATIC 0 ELECTRIC OHYORAULIC
PIPING SUPERVISE. ONO DETECTING M DIA -.-
- YES f*NO
IN._ on........_ .!r'�: STATIC/NS ,_�Q�_�
005 VALVE OPERAT ROM T MA UAL • `�rT�' 4�
DELUGE a IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUI
T T.'. 0,EXPLAIN
PREACTION O YES ONO_
VALVES • DOES EACH CIRCUIT OPERATE COESEAO4CIRCUIT MUM TfarE
SUPERVIMO4 LOSS ALARM OPERATE VVE RELEASE MIN. S
MAKE MODEL YES NO YES 140
•
•
NYD�TICr: Hydrostatic teats shell be made at not less than 200 psi 112.6 beryl for two hour,or 60 psi(3.4 bars)above stake
pressure in eaeeu of 160 pal 1102 ban)for two houn. DiHerentiel dry.pipe valve dapper,shall se left open during tat to prevent damage.
AS abov ound piping Nekees shell be stopped.
TEST F IN : Flow the rewired rate until water is claw es indicated by no collection of foreign GPNI 1 I7burLap bags r Bdncht pipe.well a
h ran s blow offt. Flush at flows not less then 400 GPM(1614 LfmIn)leery 4.Inch pips 60P
DESCRIPTION G GM 17670 L/min►for112-Incch pipe.FIRM Supplylcannot p5 roduce stipulatied Inver rot1500 es, 15T713 4 hours.pipe end 2070
PNEUMATIC:Establish 40 psi 13.7 bend Yr pressure and measure drop which shell not exceed I-11 pd DJ bon)in 21 bas)to Te hours.
en
pressure tai at normal wiser Level end elr pressure end measure elf pressure drop which shell net exeied 1-%ps (0.
may] [iWREA5ON
r ALL PIPING HYDROSTATICALLY TESTED ATa�PS$ FOR HRS.
E4..)r DRY PIPING PNEUMATICALLY TESTED EYES ❑NO
EQUIPMENT OPERATES PROPERLY YES ONO RE WITH VALVE as TEST PIPE OPEN WIDE
S DRAIN READING OF GAGE LOCATED/ _ yrATER SUPPLY TEST PIPET I REMOVAL —P:i)
TESTS
TEST READING OF
AML/ PSI
Underground mains and lead In connections to system risen fl u hedq store connection made N sprinkler piping.
VERIFIED BY COPY OF THE U FORM NO,ISS OYES ONO l`�y/`�110\ FLUSHED 8V INSTALLER OF UNDER-
GROUND SPRINKLER PIPING YES ONO
•
--
MAW TEST= ► ' 1
NUMBER REMOVED
GASKETS
0WELDED PIPING EYES NO
IF YES...
•
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY OYES ONO
WITH THE REQUIREMENTS OF AT LEAST AWS OILS,LEVEL AR-a
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED IlY WELDERS QUALIFIED IN S ONO
WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS DICE LEVEL AR-7
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A
DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE
RETR IEVED1 THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER ( ES ONO
WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF
PIPING ARE NOT PENETRATED
HYDRAULIC NAMEPLATE PROVIDED ' �IF NO,EXPLAIN
DATA .ES ONO
NAMEPLATE Yr—�-
DATE LEFT INdiErICEYir ALL CONTROL VALVES OPEN.
REMARKS 1 (�'Lww
NAFSPRINKLE OCR -
TESTS WITNESSED BY
•
f i/'T ‘DAT `/ �////
SIGNATURES F 0 TYOWNE TITLE.._ ,..1.-
r. �
,. Allir
.T 1DAtTTE
f SPRY_ COTOR 10NE0)„' y""'�. 1 ! ' -O6
ADDITIONAL EXPL ATION AND N• '
•
IMA BACK
Contractor's Material&Test Certificate for Aboveground Piping
1
__ 08/02/2006 14:31 FAX 6517489143 FIRE GUARD lit)006
, •'N.,
13_10 SPRINKLER SYSTFMS
wen" AtION °PNEUMATIC OEL£CTRIC °HYDRAULIC
PIPING SUPER171ELm........ YES ONO (DETECTING MEDIA SUPERVISED_..ddal YES ONO
GOES VALVE OPERATE FRO T L TRIP AND/OR REMOTE CONTROL STATIO 0- 11 NS__
DELUGE& IS THERE AN ACCESSIBLE FACILITY IN EACH CIR TESTING ,EXPLAIN
PREACTION OYES ONO I�t MgXiMUMT
VALVES S00E7UPE VISI T OPERATE > F' - YE 1RELEASE OPERATE.RELEASE
SUPERVISION ALARM VE MIN, SEC.
MAKE MODEL YES NO YES
I
ooviow
H YDROSTATICs: Hydrostatic teals shell be mode et not leu then 200 pd 113.6 bard for two ham or 60 1351(3.4 bard above rink
pressure as mess of 160 psi(10.2 band for two hours. Differential dryMpe seise clappers shell bed aft omits during test t0 prevent damage.
Allebovaeround piping leskage shell be stopped.
TEST FL SN IMG: Flow the required rate until water is claw as indicated by no collection of foreign meculsl in burlap bags at outlets es
rents end blowolfs. Flush at flows not Mu than 400 DPM(*514 L/min)for 4-inch pipe,600 GPM(2 71 UmInI for 6•inch pipe
DESCRIPTION TION
7 GPM(2676 Llmini for 6-nch Plpe,1000 GPM 13795 LIminl for 5-inch pipe,1500 GPM(5676 L/minl for 104nch pips end 2000
GPM(7570 L/min)fa I2-Inch pipe. When supply cannot produce RIpuleted flow rates,obeln mwtimum evNkrble.
pNEUMATIS Eslsbtish 40 psi 12.7 bars}air pressure and measure drop which shell not exceed I•%.psi(0.'bars)In 24 hours. Test
pressure tanks et nturnel water level and Pr pressure and measure alt pressure drop which'helmet exceed(44 psi 10.1 bawl In 24 hours.
f) -�H
ALL PIPING HYDROSTATICALLY TESTED AT ! &PSI FOR__, RS. 1IFNO.STATERI:ASON
ORY PIPING PNEUMATICALLY TESTED OYES ❑NO
SC • EQUIPMENT OPERATES PROPERLY ®,YES ONO
W� READING OP GAGE LOCATED NEAR WATER SUPPLY TEST PIPET RESIDUAL P S�/RE WITH VALVE IN TEST PIPE OPEN W IDE
5 ®
TE TEST STATIC PRESSURE: / 0 PSI S PSI
51 TESTS
maim end lead(n connection.to system risen flushed before connection Riede to sprinkler piping.
VERIFIED BY COPY OF THE U FORM NO.11531 ❑YES (73NO
OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDER•
GROUND SPRINKLER PIPING £YES ONO
(NUMBER REMOVED
SLAW TESTING NUM SJSED ILOCATIONS `F
GASKETS /(/`/�J/J� JI
WELDED PIPING $ ONO _
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY ❑NO
WITH THE REQUIREMENTS OF AT LEAST AWS Dice,LEVEL AR-3 tt----tt
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED eV WELDERS QUALIFIED IN YES L-I NO
WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL AR-3 et
NO
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 AYES 0 No
PIPING ARE NOT PENETRATED
HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN
DATA PrXes ONO
NAMEPLATE DATE LEF�N SECA_WITHHAA44 CONTROL VALVES OPEN,
•
REMARKS r- rV+
NAMER FSPPR/I�NKLER(�..-BNTRACTO Sr !`
N/ lS �l�
TESTS WITNESSED BY
FOR PROPERTY OWNER ISIoNEO) TITLE DATE
SIGNATURES
I
I
FOR SPRINKL ONT RACTOR(SIG 0) T ITL icit ' DATE
L
ADDITIONAL EXPLANATION AND NOTE
SSA BACK ..«—
Contractor's Material&Test Certificate for Aboveground Piping