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=—=— =— Above Ground � � � �� P.o. Box 1350 �.<,.z�i�� =::� .:;�=;� � --� �� - � ��`` Largo, Florida 33779-1350 ��- �� , � _ �y S p ri n k l:e r P i p i n g �-�727)_530-4521 50901100012004 CONIIN�RCIAL FIRE & COMMUNICATIONS SITE#: Operation � , ❑ Pneumatic ❑ Electric ❑ H draulic ' ,.r; �'"� Piping supervised ❑Yes ❑ No Detecting media supervised ❑Yes ❑ No � ,: ;. `;:r, � Does valve operate from the manual trip, remote or both ❑Yes ❑ No Deluge and control statioris? preaction Is there an accessible facility in each circuit If no, explain valves for testing? ❑Ye ❑ No b. �. NA N/A ' Does each circuit operate Does each circuit operate Maximum time to Make Model su ervision loss alarm? valve release? o erate release Yes No Yes No Minutes Seconds ' ❑ ❑ ❑ ❑ Pressure Location Make and Setting Static pressure Residual pressure Flow rate reducing and floor model flowin � - valv,�e test Inlet si Outlet si Inlet si Outlet si Flow m i� N/A� ❑ If checked, see attached listin for additional ressure reducin valves Hvdrostatic: Hydrostatic tests shall be made at not less than 200 psi (13.6 bar)for 2 hours or 50 psi(3.4 bar)above _ static pressure in excess of 150 psi for 2 hours. Differential dry-pipe valve clappers shall be left open during the test to ' Test Prevent damage. All aboveground leakage shall be stopped. . description Pneumatic: Establish 40 psi air pressure and measure drop,which shall not exceed 1%psi(0.1 bar) in 24 hours. Test �, pressure tanks at normal water level and air pressure and measure air pressure drop,which shall not exceed 1'/psi 0.1 bar in 24 hours. . � ; All piping hydrostatically tested at �(�� psi ( bar)for hours If no, state reason ' '�, Dry piping pneumatically tested ❑Yes ❑ No ❑ NA � �;. E ui ment o erates ro erl ❑Yes ❑ No � ; Do you certify as the sprinkler contractor that additives and corrosive chemicals, sodium silicate or derivatives of sodium silicate, brine or other corrosive chemicals were not used for testing systems or stopping leaks? ❑ Yes ❑ No Drain Reading of gauge located near water supply Residual pressure with valve in test� Tests test test connection: si bar connection o en wide: si tf��3 bar ' Underground mains and lead-in connections to system risers flushed before connection made to ' sprinkler piping ' Verified by copy of the Contractor's Material and ❑Yes � No Other Explain Test Certificate for Underground Piping ' � Flushed b installer of under round i in ❑Yes O,No ' ' If powder-driven fasteners are used in concrete, ❑Yes ❑ No If no, explain ' has representative sample testing been 'qNA satisfactoril com leted? � Blank testing Number used Locations Number removed askets Welded i in � Yes ❑ No , � If es... ' -Do you certify as the sprinkler contractor that welding procedures used complied with the �q Yes ❑ No , � minimum requirements of AWS B2.1,ASME Section IX Welding and Brazing Qualifrcations, � - � or other applicable qualification standard as required by the AHJ? '� � � Do you certify that all welding was performed by welders or welding operators qualified in 0 Yes ❑ No accordance with the minimum requirements of AWS B2.1,ASME Section IX Welding and '�, Welding Brazing Qualifications, or other applicable qualification standard as required by the AHJ? , \ � Do you certify that the.welding was conducted in accordance with a documented quality �� Yes ❑ No ' _ control procedure to ensure that(1)all discs are retrieved (2)that openings in piping are ��, smooth;that slag and other welding residue are removed, (3)the intemal diameters of � piping are not penetrated; (4)completed welds are free from cracks, incomplete fusion, surface porosity greater than 1/16 in.diameter, undercut deeper than the lesser of 25% of ; the wall thickness or1/32 in.; and (5)completed circumferential butt weld reinforcement does ; , not exceed 3/32 in.?