2005, 06-20 Bldg J: Material & Test Report Underground Piping FROM PATRIOT FIRE PROTECTION, { IN1C. (THU) APR 20 2006 14 :01/ST. 14 :00/No, 6834436680 P 6
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CONTRACTORS MATERIAL&TEST REPORT FOR UNDERGROUND PIPING
PROCEDURE
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Upon completlonart work.Inapoctlon and teats'hail be made ey the contra store representative and wltneaaed by an owlet;riprfionlatlre.All defects than be coi reeled am aystam lull
In earr10 be Pore cootreator'e personnel finally leave the Job.
A certlllaate shall be lilted out and signed by both reprenntetivea.Copiaa shall he prepared for approving authorities,owner$,and Oonlreator.It la understood the owner's rep reeen1,iIve'a
',Igniters In no wiry preludlcea any cletm apalnet contractor for tautly material,poor workmanehlp,or fellpra to comply with approving authority'►fequlrertente or loss(adtnences,
PROPERTY NAME I , ^ ,`i1 MPITII�' �' DATE r�'Ai'"
PAY ADDRESS -�(,, 1� I
0PID Ifs AMINE ORM • a II . a t.1.–. ii
"'' a BY APPROVING AUTHORITIES(NAME)
ADDRESS
PANS .
INSTALLATION CONFOR :T.ACCEPTED PLANS •YES • .
EQUIPMENT USED IS APPROVED DYES 0 NO
IF NO,I (PLAIN DEVIATIONS
. HAS PERSON IN CHARGE F FIRE fir UIPM NT SEEN INSTRU D T TION YE8 N
OF CONTROL VALVE AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? .
IF NO,EXPLAIN
INSTRUCTIONS , •
■T r sla•1-S •F E APPROPRIATE IN'TRU T1 a"AND CARE ANO MAINT ENAN E HARTS • • 3: • NO
BEEN LEFT ON PREMISES?
IF NO,EXPUIIN • .
LOCATION PPUI:S BUILDINC3 I 7 1 •
.I - - AN a LASS 0 TYPE J*1NT v
wi. ntb.
• PIPE CONFORMS T •••,"TrAN t_-a YE NO
UNQF.RAIiQLIND FITTINGS CONFORM TO i!' STA IQARG', OYES NO
vHr
IF NO, !EXPLAIN° ..x.4
PIPES r.,r, xr
JAINT$ JOINTS •
NE.EDINQ ANCHORAGE CLAMPED, YRAPPED.OR I a as IN YES ■ NO
ACCORDANCE WITH .e STANDARD
• IF NO EXPLAIN
• d FLUSHING Flow the required rate until water In Clear ae iy dlcatsd by no CollayiJd bl foreign material In burlap begs at outlets such as hydrania end blow. ,
offs.Flush at Howe not teee than ask GPM for 44nch pipe,Cf$0 QPM lot&inch PIpff,{S1Sb GPM NI'Il.Ineh plpe•2440 t3PM for 10-Inch pipe,and 3520 GPM for 12•lnch
Woo,When supply van not produce stiputalad Now rates,obi sin maximum'iiillable.
1)`a5.-
TEST"' HYDROSTATIC liydrestelio feet shall be mad*at riot lean than pal for two Mottle or 50 pat above Stella pressure In exceae of l pal fox two hour.,
DESCRIPTION S LEAKAGE New pipe laid with rubber gasket ad Joldie ehatl,It the workman ehlp le aellafectwry,hevb little or no leakage at the Willie,The er ount of leak,®e at
the Jalnte shell not exceed 2gta,par hour per 100 joints Irreapective of pip,di lumpier.The feakspe shell be dlatributed over all Joint*.If won leakepeocoure ata
few Joints the Inelaii111011 Shall be 4oneldetad uneat'elaetory and neceeaary repair*media.The amount of allowable leehipe specified above may be Incraseed
by t fl.or per In.Valve dlameler per hour for each metal awned retie Isola nag the teat aectlon,If dry barrel hydrants ere tested wIth the main valve open,so the
hydrants ens under pressure,an eddltlgnal 5[rt pee minute leakage 1e permitted for each hydrant.
NEW NEW UNDERGROUND PIPING FLUSHED ACCORDING TO STANDARD II YES NO
/q QTY( BY(COMPANY)
V/Z/Q9 gt IF NO,EXPLAIN
FLUBHINa UBLIC WATER °TANK OR RESERVOIR ❑ FIRE PUMP "1:=1 HYDRANT BUTT PEN PIPE
TESTS
LEAD-INS FLUSHED ACCORDING TO —� , STANDARD Y S NO
BY(COMPANY)
IF NO, EXPLAIN
HOW FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OF OPENING
0 PUDL1C WATER 0 TANK OR RESERVOIR ❑FIRE PUMP ®Y CONN.TO FLANGE&SPIGOT ❑ OPEN PIPE
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(MR (OVER)
FROM PATRIOT FIRE PROTECTION, INC. (THU) APR 20 2006 14 :02/ST. 14 :00/Nl0. 6834436680 P 7
ALL NEW UNDERGROUND PIPING HYDROSTATICALLY TESTED AT J9INTS CO pEV Q
HYDROSTATIC 9,Do PSI FOR HOURS I
OYES NO
TEST
AL AMOUNT OF LEAKAGE MEASURED
LEAKAGE GALS. HOURS
TESL ALL.{?WABLE LEAKAGE
GALS. HOURS
HYDRANTS I*:d- 1• 14,4. '- 11 r 1 • -7. • • •T •-
D 11Es 0 N
WATER CONTROL VALVES LEFT WIDE OPEN YE NO
CONTROL IF NO,STATE REASON
VALVES
MriE THREADS F FIRE DEPARTMENT CONNEL:TION$AWD HY RANTS INTEFACHA N LE
WITH THOSE OF FIRE DEPARTMENT ANSWERING ALARM OYES 0 NO
.i T IN -r --11. E
REMARKS
NAME OF INSTALLING CONTRACTOR CONTRACTOR LICENSE'
PATRIFPO99OF
TESTS WITNESSED BY
SIGNATURES FOA PF PERTY OWNER(SIGNED) I TITLE `—.`.. IDAT
•' $0 • `t ! -' RACTORTEINED) TITLE DATA `0 Y
• 1 L'' i.rr 4 11 r
15". .., T THE I TION HEREIN IS TRU AND 'I• -P= KLER SYSTEM •i I • AL.ED IN ACCO-•
ANCE WITH RCW 18-10D AND THE RULES ADOPTED BY THE W c TON ADMINIST•• IVE CODE AS ADMINISTERED BY
CL:RTIFICATIoN THE STATE FIRE•MARSHAL. '
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414'64 . ._ ., hOt={PPIHTOFi1,PFI
�Qr1AT1"0 OF {1F)CA1�OF Qe!.w Nptir rq(DEli
CERTIFICATE REGISTRATIO ' ;.. ', ! *i ` DATE i.7 Zvs v
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