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<br />May. 23. 2007 12: 06PM <br /> <br />INTERNATIONAL FIRE PROTECTION <br /> <br />No, 0341 <br /> <br />P. 2 <br /> <br />International Fire Protection, Inc. <br />1402 Mercantile Court <br />Plant City, FL 33563 <br /> <br />Contractors Material and Test Certificate for Aboveground Piping <br />PROCEDURE <br />Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's <br />representative. All defects shall be corrected and system left in service before contractor's personnel leave the job. <br />A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and <br />contractor. It is u"derstood the owner's representative's sig"ature in no way prejudices any claim against contractor for faulty material, poor <br />workmanship, or failure to comply with approving authority's requirements or local ordinances. <br />PROPERTY NAME: DIVERSIFIED THERAPY <br />PROPERTY ADDRESS; 6215 ABBOTT STATION DRIVE, ZEPHYRHILLS, FL Permit #: <br /> ACCEPTED BY APPROVING AUTHORITIES (NAMES) : CITY OF ZEPHYRHILLS <br />PLANS ADDRESS: ZEPHYRHILLS, FLORIDA <br /> INSTALLATION CONFORMS TO ACCEPTED PLANS DYES DNO <br /> EQUIPMENT USeD IS APPROVED DYES DNO <br /> IF NO. EXPLAIN DEVIATIONS <br /> HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS DYES DNO <br /> TO L.OCATlON OF CONTROL VALVES AND CARE AND MAINTENANCE <br /> OFTHIS NEW EQUIPMENT <br />INSTRUCTIONS IF NO, EXPLAIN <br /> HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: DYES DNO <br /> 1 SYSTEM COMPONENTS INSTRUCTIONS DYES DNO <br /> 2 CARE AND MAINTENANCE INSTRUCTIONS DYES DNO <br /> 3 NFPA 25 DYES DNO <br />LOCATION Supplies Building(s); New Warehouse with Office <br /> - vn,'rlvl: ._, <br /> MAKE MODEL MANUFACTURE SIZE QUANTITY RATING <br /> VIKING MIRAGE it:UUIl K"'8 9 155 F <br />SPRINKLERS <br />PIPE AND Type of Pipe: CPVC & 5ch 10 & 40 Galv Steel Pips <br />FITTINGS Type of Fillings: CPVC & Threaded Cast Iron & Grooved Ductile Iron <br /> 11M!: I U u..t:KA I t: <br />ALARM VAL.Ve ALARM DEVICE THROUGH TEST CONNECTION <br />OR FLOW TYPE I MAI\t: I MODEL MIN. I SEC. <br />INDICATOR Flow I I I <br /> Tamper I I I <br /> DRY VALVE I \,I.U,D, <br /> MAKt: MuDEL I SERIAL NU. I IVIAI\!: I MUUt:L ~eRIAL NO. <br />N1A I I I <br /> TIME TO TRIP TIMt: VW\/t:K ALAKM <br /> THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED <br />DRY PIPE CONNtC1ION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET" PROPERLY <br />OPERATING MIN, ::;~{;. P::;I PSi ,....1 MIN. ;;it:~. YI:::> NO <br />TEST WlTIIOUT <br /> 0,0.0. <br /> WITH <br /> a.o,u, <br /> IIF NO, EXPLAIN: <br /> OPERATION: <br /> DPNEUMATIC DELECTRIC DHYDRAULIC <br />N/A PIPING SUPERVISED YES LTI NO DETECTING MEDIA SUPERVISED DYES CJNO <br /> DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE. OR BOTH DYES DNO <br />DELUGE AND CONTROL STATIONS <br />PREACTION IS THERE AN ACCE$SI61.E FACILITY IN EACH CIRCUIT IF NO, EXPLAIN: <br />VALVES FOR TESTING DYES DNO <br /> DOES EACH CIRCUIT OPC:RATt: DOl'S FACH CIRClIlT OI'ERA 1'1, MAl\IMUM liME 10 <br /> MAKE MODEL SUPERVISION LOSS ALARM '1 VN.VF RF.LF.A$F? OPI=RATF RFI.I::ASF <br /> YE~ I NO yt:~ I NU I <br /> I I 1 <br />