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ALL PIPING HYDROSTATICALLY TESTED AT _ .OPSI FOR OHOURS <br /> DRY PIPING PNEUMATICALLY TESTED: N/A <br /> EQUIPMENT OPERATES PROPERLY: YES <br /> TESTS IF NO,STATE REASON: <br /> MODIFICATIONS OF 20 OR FEWER SP_RKS OR RELOCATED DR(iPS: <br /> SYSTEM PRESSURE ONLY <br /> BLANK TESTING NUMBER USED LOCATIONS INUMBER REMOVED <br /> GASKETS 0 <br /> -__ <br /> SPRINKLER CONTRACTOR: PIPER FIRE PROTECTION,INC: <br /> HYDROSTATIC OR PNEUMATIC TESTS WITNESSED BY: <br /> ROUGH-IN, <br /> HYDROSTATIC T STS PROPERTY OW R (P T NAME) SI U T 'D E <br /> PNEUMATIC TESTS: llr> ___ {� CiIYIRC�t <br /> WITNESSED BY SP IN LER C NTRACTO (PRI T ME) N TITLE DATE <br /> PLO&V . (PRINT.NAME), SIGNATURE TITLE DATE. <br /> FINAL INSPECTION .. <br /> ALARM DEVICE. OPERATING TIME THROUGH TEST CONNECTION " <br /> ALARM VALVE OR TYPE .. ,.': MAKE : MODEL MINUTES - : SECONDS <br /> WATER FLOW <br /> INDICATOR <br /> DRY VALVE: Q.O.D. .. <br /> MAKE MODEL SERIAL#' MAKE' MODEL SERIAL# <br /> Time to trip Time water <br /> Water Trip point air <br /> DRY PIPE through,test Air Pressure reached test Alarm Operated Properly <br /> OPERATING TEST <br /> Q•�•�• connection' . Pressure pressure. .outlet'. <br /> m ec PSI . psi :psi In eC. YES : . -NO' -- . <br /> W/OQOD <br /> With QOD <br /> IF NO,EXPLAIN <br /> measured trom time Inspectors test opened(NI-PA,13 only,requires the bU_-second limitation In specific sections) <br /> OPERATION: PNEUMATIC I .ELECTRIC HYDRAULIC I <br /> PIPING SUPERVISED ! N/A DETECTING MEDIA SUPERVISED f YES NO t <br /> DOES VALVE OPERATE FROM THE MANUAL TRIP,REMOTE,OR BOTH CONTROL STATIONS N/A <br /> IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING <br /> DELUGE AND IF NO,EXPLAIN: -- ---- -- --- ---- - - - - - -- - -- <br /> PREACTION VALVES DOES EACH CIRCUIT MAXIMUM TIME TO . <br /> MAKE MODEL OPERATE SUPERVISION DOES EACH CIRCUIT OPERATE RELEASE <br /> OPERATE VALVE RELEASE <br /> LOSS ALARM MINUTES SECONDS <br /> LOCATION AND FLOOR MAKE AND MODEL SETTING STATIC PRESSURE. RESIDUAL PRESSURE FLOW RATE <br /> PRESSURE PSI INLET PSI . OUTLET PSI INLET(PSI), OUTLET PSI GPM . <br /> REDUCING VALVE. <br /> TEST <br /> READING OF GAUGE LOCATED NEAR <br /> DRAIN TEST WATER SUPPLY TEST CONNECTION PS <br /> RESIDUAL PRESSURE WITH VALVE IN TEST <br /> (STATIC): <br /> . <br /> PSI CONNECTION OPEN WIDE: <br /> HYDRAULIC DATA . HYDRAULIC DATA NAMEPLATE PROVIDED: <br /> NO <br /> DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR,THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM SILICATE OR DERIVATIVES OF SODIUM -. .YES <br /> REMARKS SILICATE,.BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEM OR STOPPING LEAKS.- <br /> DATE LEFT IN SERVICE WITH ALL CONTROL VALVES LEFT OPEN <br /> PIPER FIRE PROTECTION INC. <br /> FINAL ACCEPTANCE PRO ERT(OWNER (PRIN NAME) Sl URE TITLE D T <br /> TEST WITNESSED —```" - <br /> BY: 0( .ti <br /> SPRI ER CONTRACTOR- - (PRINT E) Q S YIfLE ATE <br /> LOC TLAHJ: (PRINT;NAME) ., NATURE, TITLE TE <br />