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