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20100145 Installed Insulation Certificates 02212014 N OC N � m O � V W u � C p[ 41 O Z tl0 � a�. � � U N _ CG L � C ll') W � .. �. OA V �C N vi N ^ �i , ., (/� � a t ,`�,° a v� ,°n' c°v :�jw,�� /�� 3 �^ � Q Y oo � ��sr��s� V � � o � � Q � ��'�y�'�,,` �. 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Q •� � fD � M �A .Q i.. � w � m � > � } o } ,v A' � � W 0 � � v � � U � L H � � � , v � W V�1 (6 � L � z � V = a Z Q i p'I 'B '6 W N O �� tn � � N '^ ° F' .,.r N � °° ° � � 3 ❑ ❑ ❑ ❑ ❑ ° � �, V y_ � a }.� N � N N � � t u V v � ° � 3 � � 'Q a L L � v u N � cQ'a � U v J � v � o ❑ ❑ ❑ ❑ ❑ O �n � �a a� u' V O o��o —°J = a tN0 � p '� � � � � � � � �+ � a = � � �°° ❑ ❑ ❑ ❑ ❑ � � � � � /17 f0 0 v � u a� oiD � c L � � � � L � O � ❑ ❑ ❑ ❑ ❑ � f0 -C = N � m N � t U N � Y ❑ ❑ ❑ ❑ ❑ � ., 0 0 ❑ ❑ ❑ ❑ 0 J O � m ~ J c g 3 � .. u � 0 3 � ' J'-., 1 Contcacto�'s Material and Test Certificate for V nderground Piping PROCEDURE Upon completion of wwk,i�spection and tests sh�l be made by the coMractofs repieserrtative and witnessed by an owners represerrtative. AN defeccs shall be correded and system left in service b�ore tmntraGors personnel fin�ly leave the job. A certificate shall be filled out and signed by tmM represeMatives. Copies sh�l be prepared for approving authoribes,owners,and contrac,tor. It is understood the owners represeniative's signature in no way prejudices any daim aganst contraclor for faulty material,poor workmanship,or failure to comply with approving authority's requirements or lacal ordinances. PROPERTY NAME J J�+` '. / • �� DATE 4 PROPERTY AD�RESS Y �� ACCEPTED BY APPRCN{NG AUTHORfTIES(NAMES) C�T� y�i - ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS YES ❑NO EQUIPMENT USED IS APPROVED. IF NO,STATE DEVIA'f10NS �YES Q NO HAS PERSON IPI CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO YES �NO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF MO,EXPLAIN INSTRUCT{ONS HAVE COPIES OF TFSE APPROPRIATE INSTRUCT�ONS AND CARE AND YES• �NO MAINTENANCE CHARTS BEEN LEFf ON PREMISES? IF NO,EXPLAIN IOCAT10N SUPPLIES BUILDINGS f PIPE TYPES 8 CLASS �.AZ� }�✓IAl7'r C TYPE JOINT (.i>�.V PtPE CONFORMS TO N F p!�STANDARD �/YES Q NO FITTINGS CONFORM TO NF��STANDARD �}YE5 ❑NO IF NO,EXPIAIN UNDERGROUND PIPES AND JOINTS JO�NTS NEEDING ANCHORAGE CIAMPED,S PPED, OR BLOCKED IN ACCQRDNACE WITH N��STANDARD �YES�NO IF NO,EXPLAIN (�i.t'G J O'.i,t�1 T' FIUSHING: Flow the required rate uMil water is dear as indicated by no oolfection of foreign material in burlap bags at outlets such as hydraMs and dow-ofFs. Flush at flows not Iesa than 390 GPM(1476 llmin)for 4inch pipe,880 GPM(3331 Umin)for 6inch pipe,1560 GPM(5905 Umin)for 8-inch pipe,2440 GPM(9235 Umin)tor 14inch pipe,and 3520 GPM(13323 Umin)for 12-inch ppe. When supply canrsot produce stipulated flow rates,obtain m�dmum avalable. HYDROSTATIC: Hydrostffiic tes4s sh�I be made at rrot less than 200 psi(13.8 bers)for two hours or 50 psi(3.4 bars)above �� static pressure(n exoess of 150 psi(10.3 6ars)fw two hours. LEAKAGE: New pipe lad wRh rubber gaskeied jants shall,if the workmanship is satisfeclory,have little or rro leakage at the DESCRIPTION joints. The amount of leakage at the jdMS shaN not exceed 2 q�arts per tnur(1.89!Jh)per 100 joirrts irrespective of pipe diameter. The leakage shall 6e disfi6uted ov er all joiMS. If such leakage oecurs ei a fevr jaMS the installation shall be considEVed unsatisfactory and necessary repairs made. The amouM of allowable leakage specified above may he increased by 7 ffuid oz pet inch valve diameter per tnur(30 mU25 mMh)for each metal seat�valve isdating the test sedion. If dry barrel hydrants are tested with the rt�ain valve open,so the hydrarrts are under pressure,an addition�5�per minute(150 mVmin) leakage is permitted for each hydrent. NEW UND RGROUND PIPING F�USHED ACCORDING TO �STANDARO BY(COMPANY) IF NO,EXPLAIN �YES �NO HOW F�USHING FLOW WAS OBTAINED THROUGH NMAT TYPE OF OPENING FLUSHING TESTS PUBLIC WATER TRNK OR RESERVOIR FIRE PUMP HYDRANT BUTT OPEN PIPE LEAD-INS FLUSHED ACCORDING TO !4 STANDARD BY(COMPANY) YES Q NQ If NO.EXPLAIN HOW RUSH�NG FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING PUBLIC WATER ANK OR RESERVOIR[]F1RE PUMP Y CONN TO FLANGE 8 SPIGOT OPEN PIPE ' � L ALL NEW UNDERGOUND PIP�NG HYOROSTATICALLY TESTED JOINTS COVERED Q YES NO HYDROSTATIC TEST AT Z�'t PSI FOR Z HOURS TOTAIAMOUNT OFLEAKAGE MEASURED ��^ LEAKAGE TEST GALLONS HOURS �.� AILOWABLE LFAKAGE GALLONS HOURS �� NUMBER INSTALLEQ TYPE AND MAKE ALL OPERATE SATISFACTORILY HYDRANTS p�S p nio WATER CONTROL VALVES LEFf W{�OPEN �YE$ Q NQ � �� IF NO,STATE REASON CONTROI VALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM Q YES NO DATE LEFT IN SERVICE REMARKS NAME OF INSTALLING CONTRACTOR ' E� TESTS WITNESSED BY FO E NED) TITLE DATE . SIGNATURES �� /j��'� ! � FOR SP NKLER CONTRACTOR(SIGNED) TfRE DATE ADDITIONAL EXPLANATION AND NOTES: m m � m � w a ' 0 c c z° v v o � � � � •�, �c y m � U �A y" C � W � n � �w C Q V Q N ^ O \// N ++ 01 � 3 � � '� a Y o .V �' � � ° ` � a � > c � L -a a, v o �' 3 ++ C � 00 � N � i Q. •� �, � fp M 1n � � � W .i� � GJ � � } � } 1i � � � }� y � oC L � � N � N �n GJ ,.� � W � io E � � Z � V c � Z Q O �� L �..� � 'fl '6 GJ N � Lf1 � � � � F-� � � � O � v 3 ❑ ❑ ❑ ❑ ❑ � Y V � •� � V �' � a ♦.+ v � d v � O � � � 'a �? u a � V i v � � Q L � v � y � m � ooJ � � � a ❑ ❑ ❑ ❑ ❑ O � � � � Ll1 � f0 � LL V N °��° °—' � � � � O v' G � Y � to � � a __ _ � � ❑ ❑ ❑ ❑ ❑ � � � � � o s � +� �' C � '� � � � � ❑ ❑ ❑ ❑ ❑ � m "O O � i w = v�i � m v N L U N ♦ Y ❑ ❑ ❑ ❑ ❑ � o � ❑ ❑ ❑ ❑ 0 J O � � F- J � � 3 � u u ° 3 °u� ! Y ' Contractor's Material and Test Gertificate for U nderground Piping PROCEDURE Upan complelion�work,inspection and tests shali be made by the mntraatots represerrtffiive and witnessed by an owners re�e�ative. AN defects shail be corteded and systam ieft in service befwe�ntractofs personnel finaliy leave the jeb. A certificate shall be filied out and signed by both represeMa[ives. Copies shall be prepared for approving authorities,owners,and contrador. It is understood the owners representative's si9nature in no way prejudices any daim against oontractor for faulty materi�,poor workmanship,or failure to compiy with approving authority's requirements or loca�ordinances. PROPERTY NAME e��. �7 � / �.J�C! DATE � � � PROPERTY ADDRESS " ACCEPTEO BY APPROJING AUTHORITIES(NAMES) G�Ty ��-- AODRESS P��S INSTAILATION CONFORMS TO ACCEP7ED PIANS YES Q NO EQUIPMENT USED IS APPROVEO. IF NO,STATE DEVIATIONS �YES ❑NO HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO YES Q NO LOCATION OF CONTROL VAIYES AND CARE ANO MAINTENANCE OF THIS NEW EQUIPMENT? IF NO,EXPlA1N INSTRUCTIONS HAVE COPIES OF 7HE APPROPRIATE INSTRUCTIONS AND CARE AND YES• [3 NO MAINTENANCE CHARTS BEEN LEFT ON PREMISES? IF NO,EXPLAIN LpCATION SUPPLIES BUILDINGS PIPE TYPES&CIASS LAZ� I�AS� C TYPE JOINT �ij{,..U PIPE CONFORMS TO C�f��=/P��STANDARD YES � NO FITTINGS CONFORM TO v�STANDARD �YES �NO If NO,EXPLAIN UNDERGROUND PIPES AND JOINTS JOINTS NEEOING ANCHORAGE CLAMPED,ST PPED, OR BIOCKED IN ACCORDNACE WITH N��STANDARD Q YES��NO IF NO,F�(PlA1N l�l..C`'� J o.i,N ?' FLUSHING: Flow the required rate uMil water is Gear as indicated by no cdlecfion of foreign material in burlap bags at outlets such as hydrants and Wow-offs. Flush at flows not less than 390 GPM(1476 Umin)for 4inch pipe,880 C�AA(3331 Umin)for 6-inch pipe,1560 GPM(5905 Umin)for&inch pipe,2440 GPM(9235 l/min)for 10.inch pipe,am!3520 GPM(13323 Umin)Tor 12-inch pipe. When supply cannot produce stipulated flow rates,obtain m�dmum availade. HYDROSTATtC: Hydrostatic tests shall be made at rwt less than 200 psi(13.8 bars)for two hours or 50 psi(3.4 bars)ahove �� stffiic pressure in excess oF 150 psi(10.3 bers)for two hours. LEAKAGE: New pipe laid with nibber gask�ed jaMS shall,if the workmanship is satisfaqory,have little or rro leakage at the DESCRIPTION jaMs. The amount of Ieakage at the jdMS sha{I noi exc�ed 2 quarts per Inur(1.89 L!h)per 100 joiMS irtespedive of pipe diameter. The leakage shall 6e dishi6uted ov er all jaMS. If such leakage occurs ai a few jaMs the installatio�shali be considered unsatisfaaory and necessary repairs made. The amouM of allowable leakage speahed above may be incmased by 1 fluid oz per inch valve diameter per Four(30 mU25 mrNh)for each metel seated valve isolating the tast sedion. If dry bartel hydrants are tested with the main valve open,so the hydr�ts are under pressure,an additiona�5� per minute(150 mUmin) leakage is pertnitted for each hydrent. NEW UpNOERGROUN�PIPING FLUSHED ACCORDING TO �!"�STANDARD BY(COMPANY) IF NO.EXPLAIN �YES �NO HOW FLUSHING FLOW WAS OBTAINED THROUGH WMAT TYPE QF OPENING FLUSHING TESTS PUBLIC WATER TANK OR RESERVOIR FIRE PUMP HYDRANT BUTf OPEN PIPE LEAD-INS FLUSHED ACCORDING TO � STANDARD BY{COMPANY) YES Q NO IF NO,EXPLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING PU9LIC WATER ANK OR RESERVOIR FIRE PUMP Y CONN.TO FLANGE 8 SPIGOT OPEN PIPE r � - y ALL NEW UMDERGOUND PIPiNG HYDROSTATICALLY TESTED JOINTS COVERED �YES iVO HYOROSTATIC TEST AT�'�PSI FOR Z HOURS TOTALAMOUNT OF LEAKAGE MEASURED q IFAKAGE TEST GALLONS HOURS � Jr� ALLOWABLE LFAKAGE { GA�LONS HOURS NUMBER INSTALLED TYPE AND MAKE ALL OPERATE SATISFACTORILY N�Q HYORAMS � - ��5 � � WATER CONTROL VALVES LEFT WIDE OPEN ��$ Q NQ � �� IF NO,STATE REASON CONTROI VALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM Q YES NO DATE LEFf IN SERVICE REMARKS NAME OF INSTALLING CONTRACTOR / �°' ' e TESTS WITNESSED BY FOR PR RTY TITLE �pqjE 9 SIGNATURES !'��.!� r�/''7A�'? �� jtrj� FOR SPRINKLER CONTRACTOR(SIGNED) TRLE DATE ADDITIONAL EXPLANATION AND NOTES: � m � 0 u �i o p c c z � a� o .a � «� •� co w m � V N - L �F C ll� W C� � N C Q � N Q N p�j O � 3 � � '� a Y o � O U N 4J � N V �, �+ � o � � � � •� � � � � � V � ca r�-+ C � 00 � N � i a Q. •� y� � fp M 1L1 � i � �y �� c6 y � � } � ��„ � � � Y � y f�6 � NN N � v�i f6 E ( W i V Z �O � � Z a O Ls.. p'I � � G1 N O vi = c ,v '^ ° �= � N m Q }I � � y � � � � � � « O1 U 'u O � � � -a �? u a � c� � aTi � v a L � v °' L U � !n to � u° � J � � � ❑ ❑ ❑ ❑ ❑ OLl1 � f0 � LL V O o��o —°' = a Cf0 � p � G � Y � ca � � a __ � � � ❑ ❑ ❑ ❑ ❑ � � � � � o '� U T � v- C .� � � � � C ❑ ❑ ❑ ❑ ❑ � m '� O � L _ V1 = 00 � ln � U N � Y ❑ ❑ ❑ ❑ ❑ � 0 0 ❑ ❑ ❑ ❑ 0 J ' O � m ~ J � � 3 � � � 0 3 � � - a' ' � Contractor's Material and Test Certificate for V nderground Piping PROCEDURE Upon completion of work,inspedion arxl tes[s shail be made by the corrtractors represerrtative and witnessed by an ownels represe�tabve. Aq defects shall be correded arn!system left in servicE b�ote coniraetor's personnel fin�ly leave the job. A certificate shall be filled out and signed by�th represeMatives. Copies shall be prepared for approving authorities,owners,and contractor. It is understood the owner's representalive's signature in no way prejudices any daim against corrtractor for faulry material,poor workmanship,or failure to comply with approving authority's requirements or local ordinances. PROPERTY PIAME �.i 'L �� Yj � DATE � PROPERTY ADORESS Cy �QG C�+ / � .T D � ' ACCEPTED BY APPRWING AUTHORRIES(NAMES) GLT�f YF 1 ADDRESS PLANS �NSTA�LATION CONFORMS TO ACGEPlED PLANS YES Q NO EQUIPMENT USED IS APPROVED. IF NO,STATE DEVIAT�ONS �YES ❑NO HAS PERSON W CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO YES Q NO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQU�PMENT? IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE APPROPRIATE INS7RUCTIONS AND CARE AND YES• Q NO MAINTENANCE CHARTS BEEN LEFT ON PREMISES7 IF NO,EXPLAIN LOCATION SUPPIIES BUILDINGS PIPE TYPES&CLASS I..//�Z� WIA�`r L TYPE JOINT �i>i.-� PIPE CONPORMS TO ��STANDARD YES Q NO FITTINGS CONFORM TO NF�P�4 STANDARD YES Q NO IF MO,EXPLAIN UNDERGROUND PIPES AND JOINTS �OINTS NEEOING ANCHORAGE CLAMPElD�,S PPED, OR BIOCKED IN ACCORDNACE WITH /Y��STANDARD Q YES�•PtO IF N0,EXPlA1N �i..c,� .1a":N t' FLUSHING: Flow the raquired rate uMil water is dear as indicated by no cdlection oF fweign material in burtap bags at outlets such as hydrarrts and blow-offs. Flush at flows not less than 390 GPM(1476 Umin)for 4inch pipe,880 C�M(3331 Umin)for 6inch pipe,1560 GPM(5905 L/rtun)for Sinch pipe,2440 GPM(9235 L/min)for 10.inch pipe,arM 3520 GPM(13323 Umin)for 12-inch pipe. When supply cannot produce stipulated flow rates,obtain m�dmum availahle. HYDROSTATiC: Hydrostatic tests shall be made at not less than 200 psi(13.8 bars)for two hours or 50 psi(3.4 bars)above �� static pressure in excess W t50 psi{10.3 bars)fortwo trours. LEAKAGE: New pipe laid with rubber gask�ed jaMS sh�l,if the wwkmanship is satisfadory,have little or no leakage at the DESCRIPTION jants. The amount of leakage a�the jants shaU not euceed 2 q�AS per hour(7.89 LJh)per 100 jants irrespective of pipe diameter. The leakage shall be dstn6uted ov er all joints. If such leakage occurs at a few jdMS the installation shall be considerad unsatisfaUOry and necessary repairs made. The amouM of allowabie leakage speafied above may be increased by 1 fluid a¢ per inch va{ve diameter per hour(30 mU25 mmltt)for each metal seated valve isolating ttie test sedion. If dry bartel hydrants are tested with the main valve open,so the hydrants are under pressure,an adcMional 5� pet minute(150 mlJmin) leakage is pertnitted for each hydrarN. NEW UNDERGROUND PIPING FLUSHED ACCORDING TO JlI FPRSTANDARD BY(COMPANY) IF NO,EXPLAIN �`(�$ �(�Q HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING FLUSHING TESTS PUB�IC WATER TANK OR RESERVOIR FIRE PUMP HYDRANT BUTT OPEN PIPE LEAD-INS F�USHED ACCORDING TO �E STANDARD BY(COMPANY) YES Q NO IF NO,EXPIAIN HOW FLUSHiNG FLOW WAS OBTAINED TNROUGH WHAT TYPE OF OPENING PUBLIC WATER ANK OR RESERVOIR FIRE PUMP Y CONN.TO FLANGE&SPIGOT OP�N PIPE .� � �' FiYDROSTA7IC ALL NEW UNDERGOUND PIP�NG HYDROSTATICAILY TESTED JOINTS COVER� Q YES NO TEST AT�'t PSI FOR Z HOURS TOTAI AMQUNT OF IEAKAGE MEASURED �'^ LE4KAGE TEST GALLONS HOURS !i�- ALLOWABLE LEAKAGE GALLONS HOURS �� NUkABER INSTALLED TYPE AND MAKE ALl OPERATE SATISFACTORILY HYDRANTS p vE5 p n�o WATER CONTROL VAIVES LEFT WIDE OPEN �`(E$ �►�Q � f� IF NO,STATE REASON CONTROIVALVES HOSE THREA�S OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS INTERCHANGEABLE WITH TIiOSE QF FIRE DEPARTMENT ANSWERING ALARM ❑YES NO DATE LEFT IN SERVICE REMARKS NAME OF INSTALLING CONTRACTOR f• �� ` jJ �, � TESTS WITNESSED BY F PERTY O I TfT1.E DATE SIGNATURES C�..e�i �� . � Jv� FOR SPRINKIER CONTRACTOR(SIGNED) TRLE DATE ADOITIONAL EXPLANATION AND NOTES: m m N � O � 4J = C C Z W v O � � j.+ � '� [6 N f� a� u '^ _ i if= d 111 � W � � •w c Q u N Q � � O �Il t c-� � 3 � � a Y o0 � � fC Y N O1 N V ,, ++ � o � � Q � •� � � � -C GJ U 0 � t6 ' f� �V }' f0 7 pp � N � L L � �� f6 m M N O � 41 � O y � � � � OC � r-1 } IL � � N � � N E W � V Z �G � � Z a O '� i � � '6 "O GI N i 0 � � � � � � � N m Q �..i L. � � � � � � � �`o �, rn � ? � u .� ai V " o � 3 c0 � ° � � � � � � � � �Q a i ` U N f6 N '_ = u ° J ` " � ❑ ❑ ❑ ❑ ❑ O " �, � L!1 � (C � LL V � o °—' _ °- � — o " � � � � �o � � a = � � � ❑ ❑ ❑ ❑ ❑ � � � � � o � u +� � c � � L � � � ❑ ❑ � ❑ ❑ � C � N � o0 h L U H ♦ Y ❑ ❑ ❑ ❑ ❑ � ; � ❑ ❑ ❑ ❑ 0 J O � m �' J � � 3 � a � 0 3 � i '�arTF Contractor's Material and Test Certificate for V nderground Piping PROCEDURE Upon completion of work,inspection and tests shall be made by the coMractots represerrtative and witnessed by an owners represeMative. AN defects shall be corrected and system lett in service b�ore mrttraatofs personnel finally I�ve the pb. A certificate shall be filled out and signed by both represeM2tives. Copies shall be prepared fw epproving authorities,avrners,and contrador. It is understood the owners representative's signaiure in no way prejudices any daim aganst contractor for faulty material,poor workmanship,or failure to comply with approving authonty's requirements or local ordinances. PROPERTY NAME �C.°i-�"K;, r DATE ± PROPERTY ADDRESS '� 'f�� / ""' � ACCEPTED BY APPRCNWG AUTHORRIES(NAMES) G=Tf y�.L— ADDRESS PLAN5 �NSTALLATION CONFORMS TO AGCEPTED PLANS YES �NO EQUIPMENT USED IS APPROVED. IF NO,STATE DEVIATIONS �YES ❑NO HAS PERSON IPl CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTE�AS TO YES �NQ LOCATION OF CONIROL VAWES AND CARE ANO MAINTENANCE OF THIS NEW EQUIPMENT? �F MO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE APPRQPRIATE INSTRUCTIONS AND CARE AND YES• �NO MAINTENANCE CHARTS BEEN LEFT ON PREMISES9 IF NO,EXPLAIN LOCATION SUPPLIES BUILDINGS f PIPE TVPES&CLASS LAL� 'W�A�J`r C TYPE JOINT (i>�,..LJ PIPE CONFORMS TO �STANDARD YES �NO PITTINGS CONFORM TO f�F,�STANDARD �YES Q NO IF NO,EXPLAIN UNDERGROUND PIPES AND JOINTS JOINFS NEEDING ANCHORAGE CLAMPED,S PPED, OR BLOCKED IN ACCORDNACE WITH N��STANDARD Q YES�NO IF NO,IXPLNIN (��,��- J O.i N T' FLUSHING: Flow the required rate until water is dear as irWicated by no cdlection of foreign material in burtap bags at ouUe[s such as hydrants and blow-offs. Flush at flows not less than 390 GPM(1476 Umin)fw 4inch pipe,880 GPM(3331 Umin)tor 6inch pipe,1560 GPM(5905 L/min)for Sinch pipe,2440 GPM(9235 Umin)for 10.inch pipe,and 3520 GPM(13323 Vmin)for 12-inch pipe. When supply canrwt produce stipulatad flow rates,obtain m�timum availade. HYDROSTATIC: Hydrost&ic tests shall be made at rrot less than 200 psi(13.8 bars)for two hours or 50 psi(3.4 bars}above �� static p2ssure in excess of 150 psi(10.3 bars)for two hours. LEAKAGE: New pipe laid with nibber gaskated jaMs sh�l,if the workmanship is satisfadory,have little or rw leakage at tha OESCRIPTION joints. The amourrt of leakage a[the joints shall not exceed 2 q�aAs per hour(1.89 Lfh)per 100 joiMS irrespective of pipe dameter. The leakage shall 6e distributed ov er aIl joints. If sud�leakage occurs at a few jaMS the installation shall be cansidered unsatisfactory and necessary repairs made. The amount of allowable leakage specified above may be increased by 1 fluid oz.per inch valve diameter per hour(30 mU25 mmlh)/or each metal seated vatve isolatirg the test sedion. If dry barr� hydrants are tested with the rnain valve open,so the hydraMS are under pressure,an ad�Ntional 5�per minute(150 m1Jmi�) leakage is pertnitted for each hydrarrt. tdEW UNDERGROUND PIPING fLUSHfD ACCORDING TO fi� FP�STANDARD BY(COMPANY) IF NO.EXPLAIN �`(ES ❑NQ HOW FLUSHING FIOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING FLUSNING 7EST5 PUBIIC WATER TANK OR RESERVOIR FIRE PUMP HYDRANT BUTT OPEN PlPE LEAD-INS FLUSHED ACCORDING TO �} STANOARD BY(COMPANY) YES �NO IF NO.EXPLAIN HOW FLUSHING F�OW WAS OBTAINED THROUGM NfFiAT TYPE OF OPENING PUBLIC WATER ANK OR RESERVOIR FIRE PUMP Y CONN TO FLANGE&SPIGQT OPEN PIPE i A�L NEW UNDERGOUND PIP�NG HYDROSTATICAILY TESTED JOINTS COVERED Q YES NQ HYDROSTATIC TEST AT�'t P51 FOR � HOURS TOTAL ANIOUNT OF LEAKAGE MEASURED /� LEAFCAGE TEST GALLONS HOURS � �i�' AILOWABLE LEAKAGE GALLONS NOl1RS �� NUMBER INSTALLED TYPE AND MAKE ALl OPERATE SAT�SFACTORILV HYDRANTS p v�S p r�o WATER CONTROL VALVES LEFT WfDE OPEN Q`(E$ �NQ � �� IF NO,STATE REASON CONTR�L VALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AN�HYDRANTS INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM Q YES NO DATE LEFT IN SERVICE REMARKS NAME OF INSTALLING CONTRACTOR /�f '�1 S' TESTS WITNESSEO BY ER 0 ER IGNED) TITIE DATE SIGNATURES �� r� / �� FOR SPRI KLER CONTR4CTOR(SIGNED) TITLE DATE ADOITIONA�EXPLANATIdN AND NOTES: m � N m � O U � O (� C C Z � N O � � � '� �6 a 00 � u �n - L Y= C Lfl �y,� � � � •/� c� Q u N Q N � O \Il t a-i � 3 �' � a �c o0 V �, +�+ � o � � a � �� C � � .O a� V � � � � � � � � � � � Q. V ,., ca � m �n � C W � co � ] � � O � LL � 0 � }� y � oC L N N cn � N �o E L � w Z �c � v z °- O �; L � � � � N N L Q I.n � � � H r � � Q O � � � ❑ ❑ ❑ ❑ ❑ � a-T� V �� N V � �+ �, @ � O � � � t c� V -o � +-� d � � � ¢ l f0 v � � � Q. i L U � t�il f6 � � � J � •� � c ❑ ❑ ❑ ❑ ❑ � V u° v � o Oui � m a� u. V � � -°' � � � � � o � � � �a :� � � � � a = � � � ❑ ❑ ❑ ❑ ❑ � � � s � ,,, u oD � C � � � � O � ❑ ❑ ❑ ❑ ❑ � m '� > L j N � � � � L u N � x ❑ ❑ ❑ ❑ ❑ � � o � ❑ ❑ ❑ ❑ 0 J O � m ~ J � � 3 � a � 0 3 � I � I � ��. ��pT � Contractor's Material and Test Certificate for V nderground Piping PROCEDURE Upon compietion of work,inspedion and tests shaii be made by the coMractots representative and witnessed by an owner's tepreseMative. AN defects shall be cflrreded and system left in senrice be.fore�actofs personnel finaliy leave the pb. A certificate shali be filled ouf and signed by both represeMaBves. Copies shall be prepared for approring authorities,avners,and contrador. It is understood the owne�s representative's si9neiure in no way prejudices any daim ag�nsi coMractor for fauky material,poor wakmanship,or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME t� DATE C,S /�� PROPERTY AD�RESS � 'C '� � ACCEPTED BY APPRQ✓ING AUTHORITIES(NAMES} ��Y yC".L- ADDRESS PLANS �NSTAILATION CONFORMS TO ACCEPTED PLANS YES Q NQ EQUIPMENT USED IS APPROVED. IF NO,STATE DEVIATIONS �YES ❑NQ HAS PERSON W CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO YES Q NO LOCATION OF CONIROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO,EXPLAIN {NSTRUCTIONS HAYE COPIES OF TME APPROPRIATE INSTRUCTIONS AND CARE AND YES• �NO MAINTENANCE CHARTS BEEN LEFT ON PREMISES? IF NO,EXPLAIN LQCATION SUPPl1ES BUIIDiNGS PIPE TVPES&CLASS LAZ� �I,I�S'r C TYPE JOINT ��...U PIPE CONFORMS TO �STANDARD YES Q NQ FITTINGS CONFORM TO �F�STANDARD �YES Q NO IF NO,EXPIA�N UNDERGROUND PIPES ANp JOINTS JOWTS NEEDMG ANCHORAGE CLAMPEiD�,ST PPED, OR BIOCKED IN ACCORDNACE WITH /V��STANDARD �YES�NO IF NO,EXPLAIN �j..c'� J CJ.i�I T' FLUSHING: Flow the required rate urrtil wat�is dear as ir�icated by no coifedion of foragn material in buAap bags at oudets such as hydtants and blow-otfs. Flush ffi flows not less than 390 GPM(1476 Umin)for 4inch pipe,860 GPM(3331 Umin)for 6-inch pipe,156a GPM{5905 Llmin)for 8incb pipe,2440 GPM(9235 Umin)for 10.inch pipe,aMi 3520 GPM(13323 Urrrin)for 12-inch ppe. When suppiy cannot produce stipulated flow rates,obtain m�dmum availade. HYDROSTATIC: Hydrostatic tests shali 6e made at rrot less than 200 psi(13.8 bars)for rivo hours or 50 ps(3.4 bars)above -�� static pressure in excess af 150 psi(10.3 bars)fw two hours. LEAKAGE: New pipe I�d with rubber gask�ed jdMS shall,rf the workmanship is satisfadory,ha�e little or rro leakage at tFre OESCRIPTION joiMS. The amount of leakage at tlie jaMs shaN not exc�ed 2 quarts per hour(1.89 Uh)per 100 joiMS irrespedive oF pipe diameter. The leakage shall be disttibuted ov er ali jants. If such leakage oxurs at a few jants the installation shali be considered unsatisfadory and necessary repairs made. The amouM of aHowable I�kage spacified above may be incrr,ased by t fluid oz per inch valve diameter�r tnur(30 mU25 mmfi)for each metal seated valve isolating the test sedion. If dry barr� hydrants are tested with the mai�valve open,so the hydrants are under pressure,an additiona�5�per minute(150 mUmin) leakage is pertnitted for each hydrartt. NEW UNDERGROUNO PIPING FLUSHEO ACCORDING TO �STANDARD BY(COMPANY) IF NO,EXPLAIN �YE$ �►�p HOW FLUSHING FLOW WAS OBTAHVED THROUGH YVHAT TYPE OF OPENING FLUSHtNG TESTS PUB�IC WATER TANK OR RESERVOIR FIRE PUMP HYDRANT BUTT OPEN PIPE LEAD-INS FLUSHED ACCORDING TO ,� STANDARD BY(COMPANY) YES �NO IF NO.EXPLAIN HOW FL.USHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING PUBLIC WATER ANK OR RESERVOIR FIRE PUMP Y CONN TO FLANGE&SPIGOT OPEN PIPE HYDROSTATIC ALL NEW UNDERGOUND PIP�NG HYDROSTATICALLY TESTED JOINTS COVERED Q YES NO TEST AT��`�PS� FQR Z HOURS TOTAL AMOUNT OF LEAKAGE MEASURED ^ lE4KAGE 7EST GALIONS HOURS � J� ALLOWABLE LFAKAGE a GALLONS NOURS �� NUMBER INSTALLED TYPE AND MAKE ALL OPERATE SATISFACTOR�LY HYDRAMS p vES p n�o WATER CONTROL VALVES LEFT 4VfDE OPEN Q yE$ ❑(�p � I� IF NO,STATE REASON CONTROLVALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM Q YES NO DATE LEFT IN SERVtCE REMARKS NAME OF INSTALLING CONTRACTOR / � � � TESTS WITNESSED BY F PERTY O ER( TITI.E DATE SIGNATURES �s� � C../�/�� J I o��.� OR SPRINKLER CONTRACTOR(SIGNED) TfTLE DATE ADDITiONA�EXPLANATION AND NOTES: � '° c, m � v = 0 c c z = a, o � � � � •,,, co fn m � V tA - i � C n W a-i rw � Q v ry Q N p^j O \/1 n) � � f- � Q Y 00 � r/ � (0 Y Gl Ol N V �, {.+ o o v � Q � .� � � � -c o, c, o � t0 > Q V � � � oo � c.i � � L � '�' ;t= `° c; > � � o � � � O a� �i�+ � o � [� U � AL' +.. r/ N �✓ � N � � W '� � E � V Z � V � � Z a O •L 0 �A � C �GJ � N y � H (C Q � � � � ❑ ❑ ❑ ❑ ❑ � a�+ Ol ° � N V •� � V " v O � '�S � .c U � � � � l V ` � .� � � a i � � U t�/f l6 '�'� c � J = � Y � � � � � � ° ❑ ❑ ❑ ❑ ❑ � M � �, V ° � °' o �. � � c� � � � � +� � ca a = � � � ❑ ❑ ❑ ❑ ❑ � � _ L � � C L � � � L � ❑ ❑ ❑ ❑ ❑ � 10 � � > L ? � � � � N � U N � Y ❑ ❑ ❑ ❑ ❑ � ; 0 ❑ ❑ ❑ ❑ a J O � m ~ Y � 3 � � a � 0 3 � ; i ,� . � Contcactor's Material and Test Certificate for U nderground Piping PROCEDURE Upon completion of work,inspection and t�[s shall be made by the cflMractofs representattive and witnessed by an owneYS represeMative. Ap defects shall be correded and system left in service b�we ca�Vaetor's personr�el fin�ly leave the job. A ceriificate shall be filled out and signed by b�h represeMatives. Copies shall be prepared ta approving authorities,awners,and contractor. It is understood Me owners representative's signatute in no way prejudices any daim ag�nst corrtractor for faulty material,poor wakmanship,or failore to comply with approving authority's requirements or local wdinances. PROPERTY NAME � � 7 DATE G.� �? � � PROPERTY ADDRESS ` �`"� ' ��- ACCEPTED BY APPROVING AUTHOR171ES(NAMES) G��y y�1 ApDRESS P��S INSTALLATION CONFORMS TO ACGEPlED PLANS YES Q NO EQUIPMENT USED IS APPROVED. IF NO,STATE DEVIATIONS �YES Q NO HAS PERSON IN CHARC,E OF FIRE EQUIPMENT BEEN INSTRUCTED AS Tp YES Q NO LOCATIpN OF CONTR�L VALVES AND GARE ANt3 MAINTENANCE OF THIS NEW EQUIPMENT? IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE APPROPRfATE INSTRUCTIONS AND CARE AND YES• Q NO MAINTENANCE CHARTS BEEN LEFf ON PREMISES? IF NO,EXPLAIN LOCATION SUPPLIES BUILDINGS PIPE TYPES&CLASS i..�Z� Y►'lAST L TYPE JOINT �i�L.La PIPE CONFORMS TO ��BTANDARD YES a NO FITTINGS CONFORM TO NF,P�STANDARD YES ❑ NO IF NO.EXPLAIN UNDERGROUND PIPES AND JOINTS JOINTS NEEO�NG ANCHORAGE CLAMPED,ST PPED, OR BLOCKED IN ACCORDNACE WITH N��STANDARD Q YES�NO IF NO,EXPLAIN ��G +O�� r J FLUSHING: Flow the required rate until water is dear as indicated by no cdlection oF foreign material in burlap bags at outlets such as hydraMs and blaw-Mfs. Flush ffi flows not less than 390 GPM(1476 Umin)fw 4inch pipe,880 C,PM(3331 Umin)for 6-inch pipe,156�GPM(5905 Umin)for&inch pipe,2440 GPM(9235 Umin)for 10.inch pipe,amd 3520 GPM(13323 Urrnn)fw 12-inch pipe. When supply canrrot produce stipulated flow rates,obtain mm�6mum avaiiade. HYDROSTATIC: Hydrostatic tests shatl 6e made at nM�ess than 200 psi(t3.8 bars)for hvo hours or 50 psi(3.4 bars)above �� static pressure in excess of 150 psi{10.3 bars)for two trours. LEAlG4GE: New pipe taid with rubber gasketed jdMs shall,if the workmanship is satisfadory,have little or no leakage at the DESCRIPTION joints. The amount of leakage at the jants shaN not exc�ed 2 q�rts per hour(1.89 Lth)per 10Q joirrts irrespective af pipe diameter. The I�kage shall 6e dshi6uted ov er all jaMS. If such�eakage occurs et a few jants the installation shall 6e co�sidered unsatisfactory and necessary repairs made. The amouM of allowaWe leakage specified above may be increased by 1 fluid oz per inch vafve diameter per hour(30 mU25 mrNh)for each rt�tal seated valve isolatirg the test sedion. If dry bartel hydrants are te�ed with the main valve open,so the hydrants are under pressure,an additional 5�per minute(150 mL/min) leakage is pematted for each hydraM. td�E,►W�UnND RGR�UND PIPING FLUSIiED ACCORDING TO �STANDARD BY(COMPANY) IF P10.EXPIAIN �YES �PIO HOW FLUSHING FIOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING FLUSHING TESTS PUBLIC WATER TANK OR RESERYOIR FIRE PUMP HYDRAM'BUTT OPEN PIPE LEAD-INS FLUSHED ACCORDWG TO �STANDARD 8Y{COMPANY) YES Q NO IF NO,EXPLAIN HOW FLUSHING FLOW WAS OBTAINED THROUGN WHAT TYPE OF OPENING PUBLIC WATER ANK OR RESERVOIR FIRE PUMP Y CONN.TO FLANGE&SPIGOT OFEN PIPE � . � HYDROSTATIC ALL NEW UNDERGOUND PIPIkG HYDROSTATICALLY TESTED JO�NTS COVERED Q YES NO TEST AT�fiPSI FOR Z- HOURS TOTAL AMOUNT OF LEAKAGE MEASURED ^ IEAKAGETEST GALLONS HOURS � �i� ALLOWABLE LEAKAGE GALLONS HOURS NUMBER INSTALLED TYPE AND MAKE AlL OPERATE SATISFACTORI�Y ��A HYDRANTS p�S p t�o WATER CONTROL VA�VES LEFf WIDE OPEN Q`(E$ Q NQ ` �� IF NO,STATE R£AS01J iv CONTROI VALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS 1NTERCHANGEABLE VNTH THOSE OF FIRE DEPARTMENT ANSWERING ALARM �YES NO DATE LEFf IN SERVICE REMARKS � NAME OF INSTALLWG CONTRACTOR � '�' TESTS WITNESSED BY FOR RTY (SI E ) TtTLE DATE SIGNATURES ��,�� ,//� f) ., /� l�C��/ OR SPRINKLER CONTRACTOR(SIGNED) TITLE QATE ADDITIONAL EXPLANATION AND NOTES: Contractor's Material and Test Certificate for V nderground Piping PROCEDURE Upan completion ot work,irtspedion and tests shali be made by the coMraGOr's representative and witnessed by an owners represeM�ive. AN defec2s shall be corrected and system left in service be4ore contractofs personnel finally leave the job. A certificate shall 6e filled out and signed by both representatives. Cop�s shall be prepared for approving authorities,owners,and contractor. It is understood the owners representative's signature in no way prejudices any daim ag�nst coMractor for faulty material,poor workmanship,or f lure to comply with approving authority's requirements or local ordinances. PROPERTY NAME E / �' y DATE L J PROPERTY ADDRESS %G` K T L ACCEPTED BY APPRQJING AUTHORITIES(NAMES) C�T'� �L� ADDRESS PLANS INSTAlLAT10N CONFORMS TO ACCEPTED PLANS YES Q NO EQUIPMENT USED IS APPROVED. IF NO,STATE DEVIATIONS �YES Q NO NAS PERSON M CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO YES �NO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO,EXPLAIN {NSTRUCTIONS HAVE COPIES OF THE APPROPRIATE INSTRUCTIONS AND CARE AND YES• Q NO MAINTENANCE CHARTS BEEN LEFf pN PREMISES? IF NO,EXPlA1N LOCATION SUPPIIES BUtLDiNGS PIPE TYPES 8 CIASS L9Z� Y�'1A5`'i' C TYPE JOINT �ipJ...V PIPE CONPORMS TO "�.�STANDARD YE$ a Np FITTINGS CONFORM TO ��STANDARD YES Q NO IF NO,EXPIAIN UNOERGROUND PIPES AND JOINTS �OINTS NEE�ING ANCHORAGE CLAMPED,ST PPED, OR BLOCKE�IN ACCORDNACE WITH N+'��STANDARD Q YES�•NO IF NO,EXPLAIN �i_.C'� J o�N T' FLUSHING: Fiaw the required raM until watm is dear�it�icated by no cdlection of faeign materi�in burlap bags at outlets such as hyd2Ms and blowoffs. Flush at flows not less than 390 GPM(�476 Umin)for 4inch pipe,880 GPAA(3331 Umin}for 6inch pipe,1560 GPM(59�5 Umin)for 8inch pipe,2440 GPM(9235 Umin)for 14inch pipe,and 3520 GPM(13323 Llmin)for 12-inch pipe. When supply rannW produce stipulated flow rafes,obtain m�omum awailade. HYDROSTATIC: Hydrost�ic tests shalt be made at rrot less than 200 psi(13.8 bars)for two twurs or 50 psi(3.4 bars)above TEST static pressure in excess of 150 psi(10.3 bars)fortwo hours. LEAKAGE: New pipa laid wfth rubber gasketed jdnts shall,if the workmanship is satisfectory,ha�little or no leakage at the DESCRIPTION joints. The artwu�t of leakage at the jaMS shaN nof exceed 2 q�rts per hour(1.89 L/h)per 100 joirits irrespective of pipe dameter. The leakage shall he dishibuted ov er all jants. If such leakage occurs at a few jaMs the insteliation shall be cansidered unsatisfadory and necessary repairs made. The amouM d allowable leakage specified above may be increased by 1 fluid oz per inch valve diameter per hour(30 mU25 mMh)for each r�tal seated valve isolating the tesf sedion. If dry bartd hydrants are tested with the mai�valve open,so the hydraMs are under pressure,an additiona�5�per minute(150 mUmin) leakage is pertnifted for each hydraM. N`E,►W�U.�NDERGROUNO PIPING FLUSHED ACCORDING TO �STANDARD 8Y(COMPANY) IF NO,EXPLAIN �y�$ �►�jQ HOW FIUSHING FIOW WAS OBTAIME� THROUGH WHAT TYPE OF OPENING FLUSkING TESTS PUB�IC WATER TANK OR RESERYOIR FIRE PUMP HYDRANT BUTT OPEN PIPE L.F1+D-INS FLUSHED ACCORDING TO A STANDARD BV(COMPANY) YES Q NO IF NO,EXPIAIN HOW FLUSHING FIOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING PUSLIC WATER ANK OR RESERVOIR[]FIRE PUMP Y CONN TO FLANGE&SPIGOT OPEN PIPE ALL NEW UNDERGOUND PIPING HYDROSTATICALLY TESTED JOINTS COVERED �YES NO HYDROSTATIC TEST p'T�"�P51 FOR Z HOURS TOTAL AMOUNT OF LEAKAGE MEASURED , ` � lE4KAGE TEST GALLONS HOURS r,' ALIOWABLE LEAKAGE GAILONS HOURS ��MS NUMBER INSTALLED TYPE AND MAKE ALL OPERATE SATISFACTORILY � �_ p vES p►vo t WATER CONTROL VALVES LEFT WIDE OPEN ��$ ❑(�Q � �� IF NO,STATE REASON corrrRO�vr,tves HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS INTERCHANGEABLE VNTH THOSE OF FIRE DEPARTMENT ANSWERING ALARM Q YES NQ DATE LEFT IN SERVICE REMARKS NAME OF INSTALLING CONTRACTOR � ` TESTS WITNESSED BY FOR (SI D TITLE DATE SIGNATURES �� /�� FOR SPRINKLER CONTR4CTOR(SIGNED) TfRE DATE ADDITIONAL EXPLANATION AND NOTES: , �� Contractor's Materiai and Test Certificate for (,�nderground Piping PRQCEDURE Upon completion of work,inspection and tests shall be matle by the coMradoPs representative and witnessed by an ownefs reprasentative. All defects shali be coReGed and system left 7n service before contractors personnel finally leave the job. A ceriificate shall be filied out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contrador. It is understood ihe owners representative's signature in no way prejudices any daim against contractor for faulty material,poor workmanship,or f'lure to comply with approuing aulhority's requirements or local adinances. PROPERTY NRME yE j• � �'' � DATE � , �� PROPERTY ADDRESS Q "�, / ,'�',L•T'S " f� ACCEPTED BY APPRWING AUTHORITIES(NAMES) �-�T� � y�.�.. ADDRESS PLANS tNSTAUATION CONFORMS TO ACCEPTED PlANS �S �� EQUIPMENT USED IS APPROVED. IF NO,STATE DEVIATIONS �j�$ �� HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO YE$ Q WQ LOCATION OF CONTROI VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? if NO,EXPLAIh( IPISTRUCTIONS HAVE COPIES OF THE APPROPRIATE INSTRUCTIONS AND CARE AND �$• �(�Q MAINTENANCE CHARTS BEEN LEFT ON PREMISES� IF NO,EXPLAIN LOCATION SUPPLIES BUILDINGS PIPE TYPES&CLASS l.�ZL. YY2,1�S�� C TYPE JOINT (�j�(,1 PIPE CONFORMS TO �,j(;P�STANDARD yES �NO FITfINGS CONFORM TO V� �STANDARD �y�s �� IF NO,EXPlA1FV UNDERGROUND PIPES ANO JOINSS JOINTS NEEDING ANCHORAGE CLAMPED,5 PPED, OR BLOCKED IN ACCORDNACE WITH N��STANDARD IF NO.EXPIAIN ��S�•� fai..i.'�- J G.i N I FLUSHING: Flow the required rate uMil water is Gear as iridicated by rm callection of foreign material in burlap bags at outlets such as hydrants and blow-ofls. Flush at flows not less than 39D GPM(�476 L/min)for 4inch pipe,gg0 GRM(3337 Umin)for 6-inch pipe,156U GPM(5905 L/min)for&inch pipe,2440 GPM(9235 Umin)for 10-inch pipe,and 3520 GPM(13323 Umin)for 12-inch pipe. When suppiy cannot produce stipulated How rates,obtain maximum av�lade. HYDROSTATIC: Hydrosta[ic tests shall be made ffi not�ess than 200 psi(13.8 bars)far iwo hours or 50 psi(3.4 bars)above TEST �c pressure in excess of 150 psi(10.3 bars)for two houB. IEAKAGE: New pipe iaid with rubber gasketed joints shall,if the workmanship is safisfactory,have little or no leakage at the DESCRIPTION joints. The amount of leakage at the jants shafl not exceed 2 quarts per tnur(1.89 Llh)per 100 jarrts irtespective of pipe dameter. The leakage shall he dstributed ov er all joints. If such leakage occurs ai a few joi�ta the installation shalf be considered unsatisfactory and necessary repairs made. The amount of ailawable leakage specified almve may be increased by 1 fluid oz per ineh valve diameter per tnur(30 mU25 mrNh)for each metal seated vatve isolffiing the test sedion. If dry barte! hydraMs are tested wfth the main vahre open,so the hydrants are under pressure,an additional 5�.per minute(150 ml/min) leakage is pertnitted for each hydrant. NEW UNDnERGROUND PIPING FLU5HED ACCQRDING TO ��"�`STANDARD BY(COMPANY} IF NO.EXPLAIN ��S �� ,HOW FLUSHING FLOW WAS OBTAINED THROUGH WfiAT TYPE OF OPENING FLUSHING"fESTS PUBLIC WATER QTANK OR RESERVOIR QFIRE PUMP �HYDRANT BUTf ppEh PIFE LEAD-INS FLUSHED ACCORDING TQ � STANDARD BY(COMPANY) �$ �� IF NO.EXPI.AI(V HOW FLUSHING FLOW WAS OBTAINED THROUGH WtiAT TYPE OF QPENING PUBLIC WATER TANK OR RESERVOIR QFlRE PUMP Y CONN.TO FLANGE&SPIGOT OPEN PIPE . ' • ALL NEW UNDERGOUND PIPING HYDROSTATICAIIY TESTED JOINTS COVERm Q(E$ �NQ HYDROSTATIC r� TEST AT��1�PSI FOR Z- HOURS TOTAI AMOUNT OF LEpKqGE MEASURED LEAKAGE TEST GALLONS HOURS � �i AILOWABLELEAKAGE GALLONS HOURS Tt ��_. �,�MS NUMBER INSTALLEO TYPE AND MAKE AlL OPERATE SATISFACTORIIY �_ �YES �NO WATER CONTRQL VALVES LEFT WIDE OPEN Q yES Q NO IF NO,STATE REASON � �� CONTROL VALVES HOSE THREADS OF FIRE DEPARTIWENT CONNECTIONS AND NVDRANTS INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANSYVERING ALARM a YES NO DATE LEFf IN SERVICE REMARKS NAME OF INSTALLING CONTRAC OR / � �L, .. "� TESTS WITNESSED BY FOR E TiTLE DATE SIGNATURES ��1 f� .�/`�/� � '' T �� ,�t4'/-3 �OR SPRINKLER CONTRACTOR(SIC�NED) TITLE DATE AODfTIONA�IXPLANATION AND NOTES: