Laserfiche WebLink
i'l%ONTRACTORS MATERIAL�TEST CERTIFICATE FOR BOVEGROUND PIPING <br /> i� <br /> I <br /> j PROCEDURE: <br /> lpon completion or work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall <br /> �-�left in service before contractor's personnel finally leave the job. <br /> �certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor. It is understood <br /> �:he owner's representative's sig�ature in no way prejudices any claim for faulty material,poor workmanship,or failure to comply with approving authoritys <br /> re uirements or local ordinances. <br /> PROPERTY NAME: The Woofington DATE:� ,�7 �( ^ <br /> ��ROPERTY ADDRESS: 3596 Shoreline Drive Orono, MN 55391 <br /> ACCEPTED BY APPROVING AUTHORITIES(NAMES) <br /> � City of Orono <br /> PLANS ADDRESS: <br /> INSTALLATION CONFORMS TO ACCEPTED PLANS <br /> EQUIPMENT USED IS APPROVED � YES � NO <br /> IF NO,EXPLAIN DEVIATIONS <br /> HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION <br /> OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT � YES ❑ NO <br /> IF NO,EXPLAIN <br /> � INSTRUCTIONS <br /> HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: <br /> 1.SYSTEM COMPONENTS INSTRUCTIONS � YES � NO <br /> 2.CARE AND MAINTENANCE INSTRUCTIONS � YES ❑ NO <br /> 3.NFPA 25 � YES ❑ NO <br /> LOCATIONOF SUPPLIESBUILDINGS ENTIRE BUILDING <br /> SYSTEM <br /> � DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY <br /> I Reliable QR chrome pendent F1 FR56 2016 1/2" 155 F 62 <br /> Reliable QR brass pendent F1 FR56 2016 1/2' 155 F 18 <br /> i Reliable QR brass sidewall F1 FR56 2016 1/2' 155 f Z <br /> SPRINK�ERS <br /> � <br /> PIPE 8 FITTINGS PER NFPA <br /> ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST <br /> ALARM VALVE CONNECTION <br /> OR FLOW TYPE MAKE MODEL MINUTES SECONDS <br /> INDICATOR VANE P�TTER VSF-R <br /> DRY VALVE Q.O.D. <br /> MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. <br /> TIME TO TRIP' WATER AIR TRIP POINT TIME WATER REACHED ALARM OPERATED <br /> THROUGH TEST CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY <br /> MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO <br /> DRYPIPE WITHOUT <br /> OPERATING Q.O.D. <br /> TEST WITH <br /> Q.O.D. <br /> IF NO,EXPLAIN <br /> `MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION IS OPENED. <br />