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Pressure Location Make and Setting Static pressure Residual pressure Flow rate reducing and floor model• (flowing) valve test Inlet(psi) Outlet(psi) Inlet(psi) Outlet(psi) Flow(gpm) Hydrostatic:Hydrostatic test 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(10.2 bar)for 2 hours.Differential dry-pipe valve clappers shall be left open during the test to prevent damage.All aboveground piping leakage shall be stopped. Test description Pneumatic:Establish 40 psi(2.7 bar)air pressure and measure drop,which shall not exceed 1 1/2 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 1/2 psi(0.1 bar)in 24 hours. All piping hydrostatically tested at 200 psi ( bar) for 2 hours If no,state reason Dry piping pneumatically tested =Yes �Ne Equipment operates properly =Yes =NO Do you certify as the sprinkler contractor thal 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 Test Drain Reading of gauge located near water Residual pressure with valve in test test supply test connection psi ( bar) connection open wide psi ( bar) Underground mains and lead in connections to system risers flushed before connection made to sprinkler piping Other Explain Verified by copy of the U Form No.85B F7X Yes =No flushed by installer of underground sprinkler piping =Yes =No If power driven fasteners are used in concrete,has =Yes =No If no,explain representative sample testing be satisfactorily, completed? N/A Blank testing Number used Locations N/A Number removed gaskets Welding piping =Yes =No If yes... Do you certify as the sprinkler contractor that welding procedures comply F x ]Yes No, with the requirements of at least AWS B2.1? Welding Do you certify that the welding was preformed by welders qualified.in XYes =No compliance with the requirements of at least AWS B2.1? Do you certify that the welding was carried out in compliance with a documented F x--]Yes =No quality control procedure to ensure that all discs are retrieved,that openings in piping are smooth,that slag and other welding residue are removed,and that the internal diameters of piping are not penetrated? Cutouts Do you certify that you have a control feature to ensure that Yes =No. (discs) all cutouts(discs)are retrieved? Hydraulic Nameplate provided If no,explain data nameplate =Yes =No Date left in service with all control valves open Remarks Name of sprinkler contractor COAST TO COAST FIRE PROTECTION,INC. Tests witnessed by For property owner(signed) Title Date For sprinkler contractor(signed)' Title Date F- fire rshall(signe �tle Date Additional explanatio6gandnAleb #SPILL!