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11/16123, 12:41 PM Chapter 10: Underground Requirements, California Private Fire Service Main Installation Code 2016 1 UpCodes
Hydrostatic
All new underground piping hydrostatically tested at
Joints covered
test
. _200 _ psi (bar) for _ 2 _ hours
❑ Yes
® No
Total amount of leakage measured
Leakage
_ _-�_-- gallons (liters) _ 2 _ hours _ -
test
Allowable leakage
-__ 138 . gallons (liters)-- ._2..._ hours
Forward flow
Foward flow test performed in accordance with 10.10.2.5.2:
teat of backflow
preventer
Yes
❑ No
Number installed
Type and make
'All operate satisfactorily
Hydrants
1
CLOW 860
ff Yes
❑ No
Water control valves left wide open
W Yes
❑ No
It no, state reason
Control
valves
Hose threads of fire department connections and hydrants interchangeable with
51 Yes
❑ No
those of fire department answering alarm
Date leg In service 7/8/2024
Remarks_
—
Name of installing contractor
MARK COMPANY
Testa witnessed by
_
Signatures
For property owner (signed) Title
Dale
For installing contractor (signed) Title
Date
JASON APODACA SUPERINTENDENT
07/08/2024
Additional explanation
and notes
® 2012 National Fire Protection Association
NFPA 24 (p. 2 of 2)
FIGURE 10.10.1 Sample of Contractor's Material and Test Certificate for Underground Piping.
https://up.mdes/viewer-exporUcalifomiainfpa-24-2016/chapter/10/underground-requirements#10.10.1 3/4