17-19173 - Laserfiche WebLink

Browse Search

__ ALLPIPINGHYDROSTATICALL:YTESTEDAT �-` ZOO PSI FOR' �HOURS- - - DRY PIPING PNEUMATICALLY TESTED: ( N/A _ ,�_- _ - ' ' _- _ - - .,EQUIPMENT OPERATES PROPERLY: � YES- : - � � - __ _ - - � - � _ -- , - - - --- —-- - - _ —-- - —-__-:._.- --�-- ---�-- — ------___--.a�_ ___ _TESTS '- IF NO,STATE REASON: r -- - - ' - _ - _- _ _ _ ! - - . - -_ - _ : _ - 2 =-- - -- —------ ---- - -- - --- -- - - --- ------ - -- ----�---- - -- " ,.-- MODIFICATIONS OF 20 OR FEWER SPRKS OR RELOCATED DROFS: � - _ � SYSTEM PRESSURE ONLY i N/q-�� - � �-- - - BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS _ -------� -- -- � -�--- SFRINKLER CONTRACTOR: PIPER FIRE PROTECTION,INC. HYDROSTATIC OR PNEUMATIC TESTS WITNESSED BY: -- -- --- - - - ------------- -------- ---- ROUGH-IN, t HYDROSTATIC pROPERTY OWNER (PRINT NAME) SIGNATURE TITLE DATE TESTS OR -- -- -- -- - --- - -- — -- --- -- -, � o/ . PNEUMATICTESTS: A.�6h. S • i O WITNESSED BY SPRINKLER CONTRACTOR (PRINT NAME) SIGNATURE TITLE DATE LOCAL AHJ (PRINT NAME) f SIGNATURE TITLE DATE FINAL INSPECT/ON ' ALARM DEVICE OPERATINGTIMETHROUGHTESTCONNECTION ALARM VALVE OR TYPE MAKE MODEL MINUTES SECONDS WATER FLOW INDICATOR � DRY VALVE: Q.O.D. i MAKE MODEL SERIAL# MAKE MODEL SERIAL# Time to Vip Time water throu h test Water Air Pressure rrip point air �eached test Alarm O erated Pro erl DRY PIPE Q�.p 9 pressure pressure P p y OPERATING TEST connection• ouUeY in ec psi psi psi in ec Yes No W/OQOD With QOD IF NO,EXPLAIN , -measurea ttom[ime inspeccors tes[openeo�NrrA��oniy reqwres[ne ou-secona umi[auon in spearic sec[ions� OPERATION: IPNEUMATIC �ELEGTRIC__� HYDRAULIC � PIPING SUPERVISED � N/A�DETECTING MEDIA SUPERVISED IYES NO, DOES VALVE OPERATE FROM THE MANUAL TRIP,REMOTE,OR BOTH CONTROL STATIONS r---� --__i -- �_N/A_a� IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING r� N/A r-- �-- - ' - -- --- — "- _ � __ DELUGE AND IF NO,EXPLAIN: - --f'�- ---- - - - -�{-- -' --- -----�-- PREACTION VALVES DOES EACH CIRCUIT MAKE MODEL OPERATE SUPERVISION OPERATE RELEASE LOSS ALARM OPERATE VALVE RELEASE MINUTES SECONDS LOCATION AND FLOOR MAKE AND MODEL SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE PRESSURE pg� INLET PSI OUTLET PSI INLET PSI OUTLET PSI GPM REDUCING VALVE TEST DRAIN TEST WATER SUPPLY TEST CONNECTION RESIDUAL PRESSURE Wmi VALVE IN 7ES7 STATIC: PSI CONNECTION OPEN WIDE: PSI , rn�DitaUUC oATA HYDRAULIC DATA NAMEPLATE PROVIDED: NO DO YOU CERTIFYAS THE SPRINKLER CONTRACTOR,THATADDfTIVES AND CORROSNE CHEMICALS,SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE,BRINE,OR OTHER CORROSNE CHEMICALS WERE NOT USED FOR TESTING SYSTEM'OR STOPPING LEAKS. YES REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES LEFT OPEN � PIPER FIRE PROTECTION INC. ; FINAL ACCEPTANCE pROPERTY OWNER (PRINT NAME) S NATURE TITLE DATE TEST WITNESSED ' ' --' V-' �- - --- ---_ _ _ _ �_ �j BY: °� � d � SPRINKLER CONTRACTOR (PRINT NAME) SIGNATURE TITLE DATE i LOCAL AHJ (PRINT NAME) SIGNATURE TITLE DATE \ � _.