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, Q,port on Pmposals A2006—Copynght,NFPA NFPA 24 Contractor's Material and Test Certificate for Underground Pipin r PROCEDURE `� Upon completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an er's � representative.All de(ects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,a contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulry materiai,poor workmanship,or failure to comply with approving authority's requirements or loral ordinances. - - ------ - Property name � ---- --- --- G'��Vl(�e Re,�. 'f Date . — ---- =--- �� -'---� --- ----- --- !----��-"L3"/�— ---- Property address � �� �a � r Z , Accepted by approving a orities(names) �l'� O� �� r 1 1 I�� Address y� �r -�� I ��j rY�` - ------ -- Plans --- - -SJ JS_��= S�f��Q��_ �!L- il��a_ -- Installation conforms to accepted plans r Yes � No -�-- — i Equipment used is approved r� Yes I_�I No If no,state deviations � Has person m charge of fire equipment been instructed as to location of j I Yes �� No Icontrol valves and care and maintenance of this new equ�pment? If no,explain -- - Instruetions - ------- --- - Have copies of appropriate instructions and care and maintenance �i Yes �; No charts been left on premises? If no,explain Location Suppl�es buildings Pipe types and class I Type joint R I$ � GAs r�e� --- �f��'-zPP�B�� ---- � — - Pipe conforms to Fittin $ slandard �+,_,/� Yes [__' No Underground conforms To �\h��_��jstandard � Yes J No pipes and joints If no,explain Joints needed anchorage clamped,strapped,or blocked in i=�I Yes I_] No accordance with - __ ___standard If no,explain Flushina; Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow-offs. Flush at flows not less than 390 gpm(1476 Vmin)for 4in.pipe,880 gpm(3331 Umin)tor 6-in.pipe,1560 gpm(5905 Umin)for 8-in,pipe,2440 gpm(9235 Umin)tor 10-in.pipe,and 3520 gpm(73,3Z3 Umin)for 12-in.pipe. When supply cannot produce stipulated flow rates,obtain maximum available. fiydrostatic: All piping and attached appurtenances subjected lo system working pressure shall be hydrostatically tested at 200 psi Test (�3.8 bar)or 50 psi(3.4 bar)in excess of the sysTem working pressure,whichever is greater,and shall maintain that pressure±5 psi description for 2 hours. Hydrostatic Testinq Allowance: Where additional water is added to the system to maintain the test pressures required by 10.10.2.2.1, the amount of water shall be measured and shall not exceed the limits of the following equation(For Metric Equation See Section 10.102.2.4): L = testing allowance(makeup water),in gallons per hour �_ SDJP S= length of pipe tested,feet 148,000 D= nominal diameter of the pipe,�n inches P= average test pressure during the hydrostatic test,in pounds per sq�are mch(gauge) New underground piping flushed according to �� Yes � No _-___ _.__ standard by(company) If no,explain -- --—---- --------- -- -- --- -------- -- - ---- i----- How flushing flow was obtained Through what type opening Flushin �'Public water `�Tank or reservou �-'Fire um I �I H drant butt `-� 9 .� P P I _ , Y LJ Open pipe tests -— --- -- — ----- ----- ----- --- - �ead-ins flushed according to__ ___.___ standard by(company) �r� Yes `� No I If no,explain I -- - --- -- --- ------- ---------- - ----- ------- - C How flushing flow was obta�ned Through what type opening _� Pubhc water '-j Tank or reservoir � � _�Fire pump i__�Y connection to flange �Open pipe and spigot NFPA 24(p,1 ot 2) 24-1�