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HomeMy WebLinkAboutF2023-0329 - 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 failure to comply with approving authority's requirements or local ordinances. Property name ..( ,ZVIwor CJMAVyY DaleG' mZ �% Property address Q+7rr, ,yl, IVAr 66�� �v Accepted by approving authorities (names) Address Plans Installation conforms to accepted plans ® Yes Lj No Equipment used is approved [] Yes No If no, state deviations Has person in charge of fire equipment been inslmcted as to location of Yes F-1 No control valves and care and maintenance of this new equipment? If no, explain Instructions Have copies of appropriate instructions and care and maintenance Yes 0 No charts been left on premises? If no, explaln Location Supplies buildings Poo G( Pipe types and class Type joint j„AG(C_. / Pipe conforms to 'LJOP.* standard 5( Yes E:1 No Underground Fittings conform to /J ,4- standard FKJ Yes E3 No pipes and joints It no, explain Joints needed anchorage clamped, strapped, or blocked In ® Yes No accordancewith IVFPA- standard If no, explain Flushing- Flow the required rate until water is clear as inr➢cated 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 44n. pipe, 880 gpm (3331 Lhnin) for 6-In. pipe, 1560 gpm (5905 Umin) for 8-in. pipe, 2440 gpm (9235 Umin) for 10in. 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) fort hours or 50 psi (3.4 bar) above Test static pressure in excess of 160 psi (10.3 bar) for 2 hours. description Leakage: New pipe lad 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 irrespective of pipe diameter. The leakage shall be distributed war 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 mIJ25 mmyhr) 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 tlergmund piping flushed according to Nfl Yes No standard by (company) It no, explain How flushing flow was obtained Through what type opening Flushing tests El Public water )]Tank or reservoir �1j Fire pump OHydrant butt (Open pipe Lead-ins flushed according to standard by (company) 5a Yes 0 No If no, explain How flushing flowwas obtained Through what type opening 1�r-, 0 Publlo water 0 Tank or reservoir IR Fire pump 0 Y connection to flange ® Open pipe end spigot Reprinted with permission from NFPA 13, Installation of Sprinkler Systems, Copyright® 2002, National Fire Protection Association, Ouinoy, h/A 02269.This reprinted material Is not the complete and official postion of the National Fire Protection Association, on the referenced subject which Is represented only by the standard in its entirety. Amedran Fire Sprinkler Association AFSA Form #AFO64 9696 Skillman Street, Suite 300, Dellea,Texes 75243 All new underground piping hydrostatically tested at Joints covered Hydro `alit a pJ psi for hours Yes O No Total amount of leakage measured Leakage mna gallons 49— hours test Allowahle leakage gallons rSL— hours Number installed Type and make All operate satisfactorily Hydrants 0 Yes ONO Water control valves left wide open Yes 0 No control If no, state reason valves Hose threads of fire department connections and hydrants interchangeable with Yes 0 No those of fire department answering alarm Date left in service / - �t 11 , a� Remarks Name of installing contractor (-6,LA- 1� rv5 /Mid 7a</ Signatures Teats witnessed by For property owner (signed) I Title Date For Installing ntrector (sign Title Date ail Additional explanation and notes Contractor's Material and Test Certificate for Underground Piping