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.� �ar �u u3 1�: 43p B�OTH�RS FiRE 7634415010 p, l <br /> , -- - _ _ <br /> - -._ __. _. <br /> � __ __ <br /> Contractor's Material and Test Certificate for Aboveground Piping � ' f <br /> PROCEpURE `��G� <br /> Upon complellon of work,inspecUan end tests shafl bo mada by tha conUactor's representethro and w;tnessed by an owner's represemalHe. <br /> qu delects sha11 be corracted and system leh In seMce belore contractor's personnet finally leave the jub, <br /> A cerlificate sha�l be lilled out ead signed Uy both reprosenhtiv6s.Coples shefl be prepar�{a�apy�a,���auUrorllies,owners,and <br /> contractoc If is understood Ine owner's represenlative's elgneture In no way prejcrdk:eg eny claim epeinst contraclar lo�laulty materJal,poor <br /> workmanshlp,or lalturo to comply ovt�h epproving Qulhorlry's reqWre,��or�,y adnences. <br /> Proporty neme - <br /> _ C',9L1//+LJ /2F_Sr3YTEk'i�l�lJ C2tIU�i Fi Ci� U.eU/�f0 oaae-S�f-�,..,t_`��.3 <br /> ProErerty addrass `— <br /> I'77�Cc_r� r�t- D,�'liJC GC�nitiG�7�eE /�'�N _5535"E <br /> �Accepietl by apprwing evthorities(names) <br /> ___ �'i 7"V ��r �� �.�lr) <br /> aad�ass 1� / /1 7 _ <br /> Plans ' .7SL) T���l��t t,}p-�� ' l..r J�r�3t����4/�t �J�L� <br /> �Inatalletlan conforms to accepted plans � Yea [� No <br /> Equlpmenl used Is approvad �' Ves �] Ho <br /> II no,explaln Aevietlons <br /> Has person In charpe of(Ire equlpment baen inslrocted as <br /> lo locet7on ol conlrol valves antl caro and maintenance � Yes [] No <br /> �ol this naw oqulpmenll <br /> 11 no,explain7 <br /> Instruciions <br /> Have copies o!the foilowinq besn leR on the premises? � Yes <br /> 7. System componente Inslructbns � l.� No <br /> ?C� Yes 0 No <br /> 2. Care and mainlena�ce instruciione � Yes � No <br /> 3. NFPA25 <br /> Locatbn of � Yes (� � <br /> syslem � Suppkes buliWngs <br /> T- Yeer ol OAHce 7empereture <br /> Make Model manulaclure size <br /> I�F� �f�j:��f Ovanti� _rating <br /> /_/!_� .-HrC ilfl� { 2 ' -t• ,c-� <br /> Sptinklers �� i `y. _ <br /> �--- `!-!2 �35 ' <br /> 2�U <br /> — _ a 'I��r—__'��S/>GC/ I ��.. , !,_`. <br /> E C' ' l'N/e i� 3 � . , �r.. <br /> Pfpe and TYPe o!plpe �',,: s`� _�i� 9�•,.1�- l'N��U . l`j - /"- '}�� (c xisl_-�--_ <br /> ru�n `-�---4— <br /> � Type ot fit�ings �( {___. ('•n`r,� ---- <br /> Alarm Maxrmum tirhe lo operale <br /> Atarm dev{ce <br /> valve or ---- _ through iest connectlon <br /> Ilow TYPe Maka Model Minutes Seconds <br /> lndicaror �c E i�u'T7FIE ' '�� -- <br /> — o��a,�a o.o o. <br /> Make �Vlodel Seriai no. Make 7v�p�1 Serial no. <br /> �/f� , - - _-��__ T----_ _ <br /> Dry plPe � T1me lo trtp � -- <br /> �me welor Alarm <br /> oporaling 1hro�rph iesi Waler Ak Tr�po(M reach� operated <br /> t�sl �o�neclion� prossure ressure airargy�e festou�le(� <br /> ---kiinui—e q onds. — properiy <br /> �S� PS� psi .fAlnutes Saconds Yea � No <br /> Wilhoul <br /> O.O.D. <br /> With ----- -- — --- <br /> 1(no,explain � <br /> Dperetlon <br /> L_; Pneumatic +,=7 Eieciric Q Hydrpull� <br /> f'ipinp suRervlsed �] yos � No Detsqlnp medie supeMsed <br /> � /� D�Ive operele hom ihe manuai trip,remoce,or bolh � YeB � Nfl <br /> coNrol stauons'T �] Yes � No <br /> Oeluge end - � <br /> preaclion Is there an accesslhfe(aCUity in each circuil � It no,ettplain <br /> v�ives �or tBstk�g? <br /> � Yes [] �lo <br /> ; Does each c;rcuit operate � Does coch dreuR operate Maximum tkne to <br /> Ntako � Maiel supervi�i�bsa eterm4. 1 velve reioase? <br /> I operate release <br /> � _ i Ye5 No Yes No Minules Saconds <br /> i <br /> i <br />