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Above Ground Piping Test
' METRO FIRE SPRINKLER SERVICES; - 1501 S.E. DECKER AVENUE, BAY 522 Stuart, Florida 34994 PHONE:.,(.772) 288-0615 FAX: (772) 288-5122 GENERAL INFORMATION rnwTRArr6ii,C MATFRIAI. k TFCT rF.RTiRrATF, FOR ABOVEGROUND 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 connected 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 r uirements or local ordinances. • -- PROPERTY NAME PGA CLUBHOUSE,- ADDITION DATE .� % PROPERTY ADDRESS . ; • i 1916 PERFECT DR., Port St.' Lucie PLANS ACCEPTED BY APPROVING AUTHORITIES (NAMES) St. Lucie County Fife Prevention ADDRESS 5160 NW Milner Drive, Port St. Lucie, FL 34983. . INSTALLATION CONFORMS TO ACCEPTED PLANS 0�jCES []NO EQUIPMENT USED IS APPROVED' • r,. RYES []NO .... IF NO, EXPLAIN DEVIATIONS t •: INSTRUCTION HAS PERSON IN CHARGE OF FIRE.EQUIPMENT BEEN INSTRUCTED AS TO LOCATION EIYES ❑NO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW. EQUIPMENT IF NO, EXPLAIN.. , HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES •.' . ©YES []NO 1: - SYSTEM COMPONENTS INSTRUCTION [ZLYES NO ❑ 2. CARE AND MAINTENANCE INSTRUCTIONS YES []NO B 3. NFPA25 [YES ❑NO LOCATION OF SUPPLIES BUILDINGS SYSTEM SPRINKLERS MAKE MODEL YEAROF OFIFICE QUANTITY TEMPERATURE MANUFACTURER:. SIZE RATING `I Z�O�iIL C1 Id tot �r S PIPE AND FITTINGS TYPE OF PIPE It J ` , tati TYPE OF FITTINGS ' ALARM VALVE OR ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST FLOW_ INDICATOR CONNECTION TYPEr 'MAX ,.' MODEL'. MIN:. -• SEC. DRY PIPE DRY VALVEQ.O.D. MAKE MODEL" SERIAL NO:: MAKE '"' MODEL SERIOAL NO. OPERATING TEST TIME TO TRIP . WATER AIR TRIP POINT AIR TIME WATER ALARM THROUGH TEST PRESSURE PRESSURE PRESSURE,- REACHED TEST OPERATED CONNECTION'' OUTLET PROP.ERTLY MIN. SEC. PSI PSI PSI MIN SEC YES NO WITHOUT O.O.D. WITH O.O.D. IF NO, EXPLAIN y DELUGE & OPERATION OPNEUNI.ATIC. ' " • ❑ELECTRIC-'- `—HYDRAULIC PREACTION VALVES PIPING SUPERVISED UYES UNO DECTING MEDIA SUPERVISED OYESNO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/,OR REMOTE CONTROL:STATIONS ❑YES- LINO IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESING .. - IFNO, EXPLAIN MAKE MODEL VVES EACH CIRCUIT OPERATE, MAXIMUM TIME TO OPE TE ' ALARM DOES EACH CIRCUIT OPERATE VALVE RELEASE, _ RELEASE NO • , ,... MIN SEC PRESSURE LOCATION MAKE & SETTING STATIC PRESSURE -- RESIDUAL PRESSURE' . FLOW RATE & FLOOR MODEL OWIIdG "' '' REDUCING VALVE TEST - LET tPsl> OtmET(Psp uUr,trsq, tmti(Psq•, -HYDROSTATIC: Hydrostatic tests shall be made at not less the.200 PSI (116bars) for two hours or 50 PSI (3.4 bats) above static pressure in excess of 150 PSI (10.2 bars) for two hours. Differential dry -pipe valve.clappers shall be left open during test to prevent TEST DESCRII'TION damage. All aboveground piping leakage shall be stopped.,..' . PNEUMATIC: Establish 40 PSI (2.7 bars) air pressure and measure drop, which shall not;exceed.l, %: PSI P.1 bars) in 24 hours. Test ressure tanks at normal water level and air pressure and measure air pressure dro •which shall not exceed I V2 PSI 0.1 bars in 24 hours. ALL PIPING HYDROSTATICALLY TESTDED AT •V& PSI BARS FOR HRS IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED ❑YES ❑NO, E UIPMENT OPERATESPROPERLY' • :. ,' ©TES . ❑NO -: DO YOU CERTIFY`AS THE SPRINKLER CONTRACTOR THAT, ADDITIVES ANDCORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? ❑YES ❑NO TESTS DRAIN I READING OF GAGELOCATED NEAR WATER SUPPLY TESTS PIPE: ;. RESIDUAL PRESSURE WITH VALVE IN TEST STATIC PRESSURE PSI " TEST PIPE OPEN WIDE UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING . . VERIFIED BY COPY OF THE U FORM NO.85B ffYES ❑NO OTHER :. ' EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND. ETY _S. ❑NO SPRINKLER PIPING BLANK TESTING NUMBER.USED....LOCATIONS` ...;. '' 'i.::" . '....`._ NUMBERREMOVED ' GASKETS WELDED.PIPING YES ❑NO _ IF YES.... S []NO DO YOU CERTIFY. AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL, AR-3? ,,,,,/ - _ OYES ❑NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR 37'.' _.." WELDING DO YOU CERTIFYTHAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A*DOCUMENTED . QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE;ARE REMEOVED, AND THAT THE ErYES []NO INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED- - " - - " - • ` ' - • DO YOU'CERTIFY THAT YOU HAVE A CONTROL FEATURE TO.ENSURE THAT ALL CUTOUTS 21YES ONO (DISKS) ARE RETRIEVED. NAMEPLATE! OVIDED.'_ IF NO; �NO OYES EXPLAIN 'DATE LEFT IN SERVICE WITH'ALL CONTROL VALVES OPEN: REMARKS _ NAME OF SPRIN CTOR Metr pinkler Services, c: - - - - TEST WITNESS ED TESTS WITNESSED BY O ED D _ TITLE (( DATE BY P CTO IGNED)- TITLE -D r� ADDITIONAL EXPLANATION