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Home My WebLink AboutF2023-0324 - 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. Copies 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 (allure to comply with approving authority's requirements or local ordinances. Property name .115r y,n h- VWf 6MA�w Properly address � Saw y� 6V�A`I- 24V45- Accepted by approving authorities (names) Address Plans Installation conforms to accepted plans ®Yes No Equipment used is approved rXj Yes 0 No If no, state deviations Has person in charge of fire equipment been instructed as to location of Yes n No control valves and care and maintenance of this new equipment? If no, explain Instructions Have copies of appropriate instructions and care and maintenance Vas (] No charts been Teti on premises? If no, explain Location Supplies buildings Pipe types and doss OCLL I Type joint &(1WV6-i;) /.0.JPtlh+ir Pipe conforms to standard Yes No � 0 Underground Fittings conform to standard � Yes 0 No pipes and joints If no, explain Joints needed mchor�agge clamped, strapped, or blocked in 5d Yes 0 No accoalancewith -ry F0.4- 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 flaws 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 Teat static pressure In excess of 150 psi (10.3 bar) for 2 hours. Leakage: New pipe laid with rubber gasketed joints shall, it the workmanship is satisfactory, have little or no leakage at description the joints. The amount of leakage at the joints shall not exceed 2 quarts per hour (1.89 Jhr) per 100 joints iffespnth/B of pipe diameter. The leakage shall be distributed war all joints. It 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 mnvhr) 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 uN d rground piping flushed according to NJ Yes 0 No VVhh standard by (company) If no, explain How flushing flowwas obtained Through what type opening Flushing 0 Public water 0 Tank or reservoir CA Fire pump 0 Hydrant butt 1JA Open pipe tests Lead-ins flushed according to standard by (company) Yes 0 No If no, explain How gushing llowwas obtained Through what type opening 0 Public water 0 Tank or roservoir V Fire pump 0 Y connection to flange (� Open pipe and spigot Reprinted with permission from NFPA 13, Installation of Sprinkler Systems, Copyright® 2002, National Fire Protection Association, Quincy, MA 02269.This reprinted material Is not the complete and offlclal postlon of the National Fire Protection Association, on the referenced subject which Is represented only by the standard in its entirety. Amednan Fire Sprinkler Association AFSA Form #AF064 2696 Skillman Street, Suite 300, Dallas, Texas 75M All new underground piping hydrostatically tested at Joints covered Hydtestatio aOJ psi for hours (ham Yes ElNo Total amount of leakage measured Leakage gallons hours _. test Allowable leakage gallons hours Number installed Type and make All operate satisfactorily Hydmnte I I ❑ Yes ❑ No � Yes ❑ No Water control valves left wide open Control It no, state reason valves Hose threads of fire department connections and hydrants interchangeable with CK Yes ❑ No those of tire department answering alarm Date left In service /_ _�1q ,�•'l Cl fa�.�3 -a;�a Remarks Name of installing contractor Tests witnessed by Signatures For property owner (signed) I TNe Date For lnslailintrector(signs ng Title Date Additional explanation and notes Contractor's Material and Test Certificate for Underground Piping