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Pressure Location Make and Setting Static pressure Residual pressure Flow rate <br /> reducing and floor model (flowing) <br /> valve test n psi e pa n ps ps ow gpm <br /> Hydrostatic:Hydrostatic test shall be made at not less than 200 psi(13.6 bar)for 2 hours or 50 psi(3.4 bar) <br /> above static pressure in excess of 150 psi(10.2 bar)for 2 hours.Differential dry-ptpe valve clappers shall be left <br /> open during the test to preverrt damage.All aboveground piping leakage shail be stopped. <br /> Test <br /> description PneumaUc:Establish 40 psi(2.7 bar)afr presaure and measure drop,which shall not exceed 1 1/2 psi(0.1 bar) <br /> in 24 hours.Test pressure tanks at normal water Ievei and air pressure and measure air pressure drop,which shall <br /> not exceed 1 1!2 psi(0.1 bar)in 24 hours. <br /> All piping hydrostaUcally tested at 200 psi ( bar) for 2 hours If no,state reason <br /> Dry piping pneumaUcally tested �Yes �Ne <br /> Equipmentope�atesproperly �Yes �Ne <br /> Do you certffy as the spAnkler contractor thal additives and corrosive chemicals,sodium silicate or derivatives <br /> of sodium silicate,brine,or other corrosive chemicals were not used for testlng systems or atopping leaka� <br /> �X Yes �No <br /> Test Drain Reading of gauge Iceated near water Residual pressure with valve in test <br /> test supply test connection psi ( bar) connectlon open wide psi ( bar) <br /> Underground mains and lead in connections to system risers flushed before connection mad <br /> to aprinkler piping Other Explain <br /> Verified by copy of the U Form No.85B �X Yes �No <br /> flushed by installer of underground <br /> sprinklerpiping �X Yes �No <br /> If power driven fasteners are used in concrete,has �Yes ONo If no,explain <br /> representaUve sample tesUng be satfafactorily <br /> completed? WA <br /> Blank testlng Number used Locations WIA Number removed <br /> gasksts <br /> Welding piping �X Yes �No <br /> yes... <br /> Do you certify as the sprinkler contractor that welding procedures comply �X Yes �No <br /> with the requiremerKs of at least AWS B2.1� <br /> Welding Do you certify that the welding was prefortned by welders qualified in �X Yss �No <br /> compliance wMh the requiremerHS of at leaat AWS B2.1? <br /> Do you certity that the welding was carried out in compllance with a dxumeMed �X Yes �No <br /> qualily control procedure to enaure that all discs are retrieved,that openings <br /> in plping are smooth,that slag and other welding residue are removed,and that <br /> the IrMsmal diameters of piping are not peneVated? <br /> Cutouts Do you certlfy that you have a control feature to ensure that OYes �No <br /> (discs) all cutouts(discs�are retrieved? <br /> Hydraul(c Nameplate provided if no,explain <br /> data <br /> nameplate �X Yes �No <br /> Date left in service with all coMrol vaNes open <br /> Remarks <br /> Name of sprinkler corMractor COAST TO COAST FIRE PROTECTION,INC. <br /> Tests witnessed by <br /> For property owner(signed) TIUe Date <br /> For sp�inkler ntractor(sf TiUe Date <br /> �/— �Or�en � �fl � <br /> m rshall(sfgn ) TiUe Date <br /> l� �/'0 1 <br /> ona exp an ons an <br />