The URL can be used to link to this page

Home My WebLink AboutF2021-0630 - MiscContractor's Material and Test Certificate for Underground Piping PROCEDURE Upon completion of work, Inspection and 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 certificate shall be filled out and signed by both representatives. Coples shall be prepared for approving authorities, owners, and 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. Property name G `JC/`N7e— � -4.r— . /�. i. �� Property address � .11iilee, Accepted by approving authorities (names) Ni ow Oo Address Plans -- installation conforms to accepted plans Yes No Equipment used Is approved Yas 0 No If no, state deviations Has person In charge of fire equipment been instructed as to location of Yes No control valves and care and maintenance of this new equipment? If no, explain Instructions Have copies of appropriate instructions and care and maintenance I`7 Yes I_._. I No charts been left an premises? If no, explain Location Supplies buildings Pipe types and class J, GKane wN Type joint Pipe conforms to standard 0 Yes No Underground Fittings conform to standard 0 Yes No pipes and joints If no, explain Joints needed anchorage clamped, strapped, or blocked in D Yes ❑ No accordance with standard If no, explain Flushing: Flow the required rate until water is clear as Indicated by no collection of foreign material In burlap bags at outlets such as hydrants and blow -offs. Flush at flows not less than 390 gpm (1476 Umin) for 4-in. pipe, 880 gpm (3331 Umin) for 6-In. pipe, 1560 gpm (5905 Umin) for 8-in. pipe, 2440 gpm (9235 Umin) for 10•in. pipe, and 3520 gpm (13,323 Umin) for 12-in. pipe. When supply cannot produce stipulated flow rates, obtain maximum available. Hydrostatic., Hydrostatic tests shall be made at not less than 200 psi (13.8 bar) for 2 hours or 50 psi (3.4 bar) above Test static pressure in excess of 150 psi (10.3 bar) for 2 hours. description Leakage: New pipe laid with rubber gasketed joints shall, if the workmanship is satisfactory, have little or no leakage at the joints. The amount of leakage at the joints shall not exceed 2 quarts per hour (1.89 Uhr) per 100 joints iffespective of pipe diameter. The leakage shall be distributed ever all joints. If such leakage occurs at a few joints, the installation shall be considered unsatisfactory and necessary repairs made. The amount of allowable leakage specified above can be Increased by 1 fluid ounce per inch valve diameter per hr. (30 mU25 mmlhr) for each metal seated valve isolating the test section. If dry barrel hydrants are tested with the main valve open so the hydrants are under pressure, an additional 5 ounces per minute (150 mUmin) leakage is permitted for each hydrant. New u e ro nd piping flushed according to es No standard by (company) It no, explain How Bushing flow was obtained Through what type opening Flushing tests C Public water Tank or reservoir Fire pump Hydrant butt Open pipe Lead-ins Bushed according to standard by (company) Yes No If no, explain How flushing flow was obtained Through what type opening F Public water El Tank or reservoir Fire pump Y connection to flange 0 Open pipe and spigot Reprinted whh permisalon from NFPA 13, Installation of Sprinkler Systems, Copyright ® 2002, National fire Protection Association, Quincy, MA a2269. This reprinted material Is not the complete and official postion of the National Fire Protection Association, on the reverenced subject which Is represented only by the standard in its entirety. American Fire Sprinkler Association 9696 Skillman Street, Suite300, Dallas, Texas75243 AFSA Form #AF064 Hydrostatic All new underground piping hydrostatically tested at Joints covered test psi for hours Yes , No Total amount of leakage measured Leakage gallons hours test Allowable leakage gallons — hours Number installed Type and make All operate satisfactorily Hydrants 0 Yes Q No Water control valves left wide open Nees .0 No Control If no, state reason valves Hose threads of fire department connections and hydrants interchangeable with AAAyyy Yes 0 No those of fire department answering alarm Date left in service Remarks Name of Installing contractor A /OX Signatures Testswitnessed by For property owner (signed) Title Date For Installing contractor (si ne Tittle Date 7 Additional explanation and notes Contractor's Material and Test Certificate for Underground Piping