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� <br /> -� . <br /> �PE RAT1Q N <br /> � PNEUMATIC O ELECTRIC ❑ HYDRAULIC <br /> PiPING SUFERViSED ❑ YES [� Nfl DETECTiNG MEDIA SUPERVISED ❑ YES ❑ NQ <br /> DOES VALVE dPERATE FROM THE MANUAL 7RiP ANDlOR REMOTE CONTROL STATIONS ❑ YE$ ❑ N£J <br /> IS THERE AN ACCE5SIBLE FACILITY tN EACH CIRCU�T FOR TESTING iF NO,EXPlAIN <br /> DELUGE 8 ' <br /> PREACTION �YES C� NO <br /> VAIVES <br /> �Jq OOES rACN GRCUIT OPERdTE DdES EACH CIRCUIT pPERATE MAXIMUM T4ME 70 <br /> MAKE MODFL SUPFRVlSION LOSS ALARM7 VALV�RECERSE"7 pPERATE RELEAS6 _ <br /> YES Nd YES NO Mt�t. SEG. <br /> o a ❑ o <br /> HYDRO$_T,ATI,� Hydrostafic tests shaii be madB at not less than 2D4 psi(13.6 bars)fpr two hours or SO psi{3A bars)atrove static pressure in e3ccess of 150 <br /> ���T psi(t0.2 barsj ior Ewo hours Differeriia�dry-pip�vaive cla�pers shaA be IeR open dueing t�st to prevent damege.Ail aboveground pip;ng leahage shail tle <br /> DESCRIPTION stopped. <br /> PNEUMATIC- Estabiish 40 psi(2.7 barsi air pressure anci m�as�re tlr�p whieh shall nof exceed 1-1!2 psl(Q.1 kars}in 24 hours Test pressure ianks at normal <br /> water level and air rEssure and measure air rEssure dro wtuch shall not exceetl 1•112 si 0 1 bars in 24 hours. <br /> ALL PIPtNG HYDROSTRTICALLY TESTED AT 200 PSI FOR 2 HRS. IF Np,STATE REASON: <br /> DRY PIPING PNEUMA�TICALLY TESTED Q YES � NO � <br /> EQUIf�MENT C)PERATES PROPERLY �YES ❑ NO I <br /> DO YOU CERTIFY AS THE SPftINKLER CflNTt7HCTOR THAT ADDiTNES AND CORROSIVE CHEMICALS,SOC?tUM SMI.ICATE OR DERIVATIV�S OF <br /> SC)DIUM StLICATE,BRtNE,OR OTHER Cr�RRpStVE GHEMICALS WERE NOT USED FOR TESTING SYSTEMS QR STfJPPING LEAKS? <br /> TESTS X YES O NO <br /> DRAIN ftEADING OF GAGE LOCATED NEAR WATER SUPPLY TEST RESIC7UAL PRESSURE Wl7H VAL1(E IN TEST <br /> TEST CbNNECTiflN: � '� PS! CCJi3t+lECTICJN OPEN W1DE 7i ' PSi <br /> UNDERGROUNO MAIN AND l tN CONNECTiONS TO SYSTEM RISERS FLUSHEO BEFORE CONNECTION MADE TO 5PRiNKLER PIPING <br /> OTHER EXPLAIN <br /> VERif 1ED BY C�PY OF TNE t3 FORM NO.856 (�YES ❑ NO <br /> FLUSHED BY INSTALLEft C}F UNDER- <br /> GROUND SPRINKLER PIPlNG �YE& ❑ NC) <br /> BLANK NUMBfR USED LQGATtONS: �1UM88R REM6VED <br /> TESTiNG NIA <br /> GASKETS <br /> WELDED PlPING �YES Np <br /> IF YES .. <br /> DO YOU CERTIFY AS THE 5PRINKLER CONTRACTOR FHAT WELDING PF2OCE�Uf2ES COMPtY <br /> WITN THE REQUIREMENTS OF AT LEAST AWS D10 8,IEVEL AR-3? �YES C] tJ0 <br /> DO YpU CERTiFY THAT 7HE WELDING WAS PERFORP�ED BY WElDER5 DUALIFlED IN <br /> W��p��� COMPLIANCE WITH THE REQUIREMENTS QF AT LEAST AWS D1fl.9,IEVEL AR-3? �YES � NO <br /> DO YOU CERTIFY THAT WELQING WAS CARRlEp OUT IN COMPLIANCE WITH A DpCUMEIVTED <br /> QUALITY CONTftOL PROCEDt}RE 70 IMSURE THAT ALL DISCS ARE RETRIEVEO,THAT OPEtVINGS <br /> tN PI#�ING ARE SMOOTH,THAT 5fAG AND OTHER WELDING RESIDItE AfdE REMQVED,ANp THAT <br /> THE iNTERNAI_D(AMETERS OF F�IPING ARE NOT PENETRATFD� �YES ❑ <br /> NO <br /> CUTOUTS DO YOU GERTIFY THAT YOU HAVE A CONTR�I.�EATURE TO EFfSURE THAT AlL <br /> DfSCS CUTOUiS(DISCS)ARE RETRIEVED? �YES ❑ NO <br /> HYORAULlC NAME PVSTE PRt}ViDED iF NO,EXPLAIN: <br /> DATA <br /> NAMEP�ATE �YES ❑ NO <br /> �ATE LEFT 1N SERViCE WITH ALL CONTROL VAIVES OPEN: <br /> REMARKS <br /> NAME OF SPRINKLER CONTRACTOR: <br /> SE.RVdCE F1RE PROTECT70N <br /> TEST&WITNESSED 8Y <br /> FOR PRQPERTY CYWNER{SfGNE�} Y(TLE DATE <br /> SIGNATURES <br /> F4RSP..&liJKLERG,QNTRAC�7U/R(StGNE } ��� TjTLE ` 6 `TE jCy �� ( <br /> — � c <br /> OCAU SHA 0 TITL DATE ,,�'` <br /> OR RESP SIBLE MAN IN EMPLOYEE{SIGN£0) � ��tT� � � /��1A�� <br /> � <br /> AflDITIONAL EXPIANATtON AND NOTES (��K1 <br />