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CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PiPING <br /> PROCEDURE <br /> Upon comom on of work,inspecow and teas snam be made oy the conte Jos repreeerrrattvr and wrMesNd by an ownerseepreserriative,All dehas shall be corrected and <br /> ayatam Jett in sarvco before eontrac urs peraonnM finally leave the Job. <br /> A eerdf—snw be flow out and signed by both nwesemabves.Copies anau be oreoww tar approving audtorrt s&owners and comracwr it is understood the owners <br /> npmsentatives signature in no way prsludices any claim against convacti r for taWty material.poor worKmaronlp,or tadure to comply with approving authontys requirements <br /> or focal ordinanoea <br /> PROPERTY N&ME PATE <br /> � <br /> cJv A m s ScAoo /6 <br /> PROPERTY ADDRESS <br /> 30000 L4,)e>f OACZZ,41,9 SJV01 ORONO <br /> ACCEPTED BY APPRCWNG AUTHORITIES(NAMES) <br /> ADDRESS <br /> PLANS <br /> INSiALLATiON CONFORMS TO ACCEPTED PLANS WYES a NO <br /> EQUIPMENT USED IS APPROVED 5QYES C NO <br /> IF NQ EXPLAIN DEVIATIONS <br /> MAS PERSON IN CHARGE OF FiRE EQUIPMENT BEEN INSTRUCTED AS TD LOCATION p9'YES C NO <br /> OF CONTROL VALYES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT <br /> IF NQ EXPLAIN <br /> INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES %YES C NO <br /> 1.SYSTEM COMPONENTS INSTRUCTIONS -',YES C NO <br /> 2 CARE AND MAINTENANCE INSTRUCTIONS t7KYES C NO <br /> 3 NFPA13A Z YES C NO <br /> LOCATION SUPPLIES BUILDINGS <br /> OF SYSTEM <br /> MAKE MODEL I MANUFACTURER CTURER ORIFICEAR OF SiZE QUANTITY Iq NG RE <br /> 18 <br /> SPRINKLERS k r.0 <br /> IBRAu rlo 5)sw...,4 Z I _I— <br /> C iff A-)-I"A 4 L <br /> CeA-)-I"R4L 04ss t4,04 i' AIf-1 <br /> PIPE AND TYPE OF PIPE C!i/ /0 <br /> FrMNGS TYPE OF FITTINGS V 1-Ic/ Cl_r* <br /> ALARM DEVICE MAXIMUM TiME TO OPERATE THROUGH TEST <br /> ALARM CONNECTION <br /> VALVE TYPE I MAKE ( MODEL I MIN. I SEG <br /> OR FLOW <br /> INDICATOR v t v S w,c 4 L, P ,e I (A)FD - O 3 Q <br /> DRY VALVE O.O.D. <br /> MAKE MODEL SERIAL VQ I MAKE MODEL I SERIAL NO. <br /> TIME TO TRIP' WATER AlR TRIP POINT TIME WATER ALARM <br /> THROUGH TEST PRESSURE PRESSURE AIR PRESSURE REACHED OPERATED <br /> CONNECTION I TEST OUTLET' PROPERLY <br /> MIN. SEG PSI I PSI PSI MIN. I SEC. YES I NO <br /> WITHOUT <br /> DRY Pipe O O D <br /> OPERATING <br /> TEST WITH <br /> O.O.D. <br /> IF NQ EXPLAIN <br /> *MEASURED FROM THE TiME INSPECTOR'S TEST CONNECTION IS OPENED. <br /> WA(8.69) PRINTED IN THE U.&A.FOR NATIONAL FIRE SPRINKLER ASSOCIATION,INC,P.O.SOX 1000,PATTERSON,N.Y. 12563 (OVER) <br />