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,I : . FORM 2-K O �Automatic Sprinkler Systems , Contractor's Material and Test Certificate for Under round Pi in (cont.) Test Descript(on (cont.) NYDROSTATlC,Hydrostatic tests shall be made at not less than 200 psi (13.6 bar}for two hours or 50 psi(3.4 bar) abo'�ve static pressure in excess of 150 psi(7U.2 bar)for two hours. �FAK4GE:New pipe laid with rubber gasketed joints shall, if the workmanship as satistactory, have fittle or no leak- ag�at the joints.The amount of leakage at the joints shall not exceed Z qtr per hr. (1.$9 Uh) per 100 joints irre- spective of pipe diameter.The leakage shall be distributed over all joints. If such teakage occurs at a few joints the insi�allation shal! be considered unsatisfactory and necessary repafrs made.The amount of allowable fealcage speci- fiec�above may be intreased by 1 fl oz per in.valve diameter per hour(30 mL/25 mm/h)for each metal-seated � valye isofating the test section. If dry bar�el hydrants are tested with the main vaive open,so the hydrants are ' under pressure,an additional 5 oz per minute (150 mUmin) leakage is permitted for each hydrant. Flushing Tests � Netirv underground piping flushed according to standard. ❑ Yes ❑ No By i company) If no, explain. How flushing flow was obtained: �Public water ❑ Tank or reservoir p Fire pump Th�ough what type opening ❑ Hydrant butt ❑ Open pipe Lead-ins flushed act rdi to �Q Z standard � Yes l7 No By(company) � t'1 t If no,explain. Hoinr flushing flow was obtained Publit water ❑ Tank ar reservoir 0 Fire pump ! Through what type opening ❑ Y connection to flange and spigot � Open pipe Hydrostatic Test All lnew underground piping hydrqstatically tested at�0�psi {bar)for�hours joints covered? i�T Yes 8 No _ Leakage Test Total amount of leakage measured:_�gals(L) �.._hours Allowable leakage: gals(L) hours Hy{drants N�lmber installed:�_ T e and make: All operate satisfactorily? �Yes 0 No i Ca�introl Valves , - ,_,/ Water control valves left wide open? � Yes Lrf IVo if�o,state reason. � � �{� Hose threads of#ire depa�tment connections and hydrants inter- changeahle with those of fire department answering alarm? 0 Yes ❑ No Remarks Date left in service with all control valves open: I � i I� Installing Contractor. JV. Gvn ' 'Signatures of Test Witnesses f , For property owner(signerJ), .,.�� .�-- Title S, ,��«.cfi�� Date� � ✓� � FOr sprinkler contractor(signed) Title Date � � PAGE2ot2 , Copyright��000 National Fire ProtecUon Association � � --- — - - •-- .._