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3_�� 1PRINKLFR SYtiTEM� <br /> OVEHATION �pNEUMATIC ❑ELECTRIC ❑HYORAULIC <br /> v�PINGS� RVIS`EO OYES QNO OETECTIN6MEOIASUGERVISED QYES ONO <br /> OOES vAIVE OPERATE i NUAL TRIP At�O/OR REMOTE CONTAO � YE <br /> DELUGE d�, �S THERE AN ACCESSIBLE FACIUTY IN EACH CI O IF NO,E%PLAIN <br /> PREACT�ON Q YES '°�< <br /> VAL V ES ppEs EqU/pRQ11T OPERA7E OOES EAG�UR 7'^�,E. �MXIMUf.1 TME TO . <br /> SI�PERV WON IO�SS AIAWd OPERATE VALVE R LEAS�`�e..,.. OfEi3ATE RFi FntF <br /> M MOOEL VES NO VES NO MIN, SEC. <br /> HYORQ�TATIC: Hydroiu[ic uw�h�ll ba mW��t not I�u tA�n 400 psi(13.6 b�nl tor two Aoun or 50 pu(1.4 b�n)�H�utic <br /> p�euur�m exceit of 150 pu(10,2 banl for two hours, Differ�nti�l dry�ip�wlw clrppu��hdl W I�h op�n durinp�nt to pr�vent d�tnp�. <br /> All eboveground pipiny le�kape�h�ll b�stopp�d. <br /> P HIN : flow tha requirad nta until watu it N��r u indiut�d by no coll�ttion of fm�ipn mu�rld in burl�p bp��t outl�ts iuch q <br /> DESCRIPTION hy rants a blowoll�. Flu�h st Ilow��ot less th�n 400 GPM(1614 Umin►for�•inch O�a.�GPM 122)t llmin)tor 5-inch pip�, <br /> 750 GPM(2839 L1min)�or 6�nch pip�,1000 GPM(3785 L/min)for Btinch pi�,1500 GPM I5678 L/m�nl for t0inch pip��nd 2000 <br /> GPM(�570 l/min)lor 12•incA piPa. Wh�n�upply un�ot Produt�uipu4ud low r�t�f,obuln maRimum w�il�bl�. <br /> p►����q��� E�t�blish 40 p�i 12.7 bsn)�ir prown�nd m�aur�drop wAiG+Mall not�xu�d 1•1ti pu(0.1 b�n{in 24 noun. T��t <br /> preuura t�n���t�o�mN w�tar levet and�ir pr�uur�u�d m�nur�sir Pn�wr�drop wAich Ma�l not�xc��d t-1l p�I 10.1 b�nl in 24�ow�. <br /> AlL PIPING HYOROSTATICAILY TESTEO AT � PSI fOfl 'Z MRS. �F NO,STATE REASON . <br /> ORV PIPIN6 PNEVMATICAILV TESTEO YES QNO <br /> EqVtPMENT OPERATES PFlOPERLY YES Q NO , <br /> �� REAOING OF aAGE LDC/�TE�NEAR WATER SUPPI.V TEST PIPEi RES�OIWL.Pf�ESSUfi WRH VALVE IN TEST P�PE OPEN W I OE <br /> TEST STATIC PRESSURE: PSI -�� P51 <br /> TESTS � <br /> , Und�ryround m�in��nd lead in oonn�ction�to iy�t�m riNn fluih�d b�for�conn�ction m�d�to�prinkl�r pipinp. <br /> VERIFtEO BY COPY OF THE U FORM NO.SSB ❑YES ❑NO OTHER EXPLAIN <br /> FLUSHED BY INSTALI.ER Of UNOER• � /f°����S <br /> OROUNO SPRINKLER PIPING ❑VES ❑NO �J J <br /> NUMBER USED LOCATIONS � NUMBER HEMOVEO <br /> BLA11M(TESTItJ� , <br /> GASKETS <br /> WELDED PIPING YE$ ❑NO <br /> IF YES... <br /> DO YOU CERTIFV AS THE SPfi1NICLER CONTRAC70R THAT WELD��va PROCEDUHES COMPLY �YES ❑NO <br /> WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL A{i•� <br /> � 00 YOU CERTIFY THAT THE WELDINC WAS PENFORMEO 8Y wE�0ER5�UAl.IF1ED Ir� IG�YE$ ❑NO <br /> WELDING COMPI.IANCE wITH THE ttEDU1REMENTS OF AT LEAST AWS 010.9,IEVE�AR•J y� <br /> DO VOU CERTIFY TMAT WELOING WAS CARRIED OUT IN�OMPLIANCE WITH A <br /> DOCUMENTED QUALITY CONTROL PROCEOUHE TO INSVRE T►�nT ALL DISCS AfiE <br /> RETRIEVEU�TMAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG ANO OTHEQ <br /> . WELOING RESIDUE ARE REMOVED,ANO THAT THE INTERNAL OIAMETERS OF ES ❑NO <br /> � PIPING ARE NOT PENETRATEO <br /> HYDRAUIIC NAMEPLATE PROVIDED IF NO,EXPLAIN <br /> DA7A �.ES ❑NO <br /> NAMEPIATE <br /> DATE�EFT IN SERVICE WITH A�l COwTROI.vAl,VES OPEN� • - � <br /> _ ..>F._�j <br /> REMARKS <br /> NAME OF SPRINKLER CONTRACTOR � <br /> .y �' � <br /> V 'f �"J;e' <br /> ' TES WITNEtSED 9Y <br /> SIGNATUfiES FOR PROPE fiTV OWNER(51GNED) TI tLE OATE , ,f�' <br /> �'-..�-� �s- l`: �'�IQI/' -' �at.� � -,s- �' ( <br /> FOR SPRItVKLER CONTRACTOR(51GNE0) TITLE � OATE <br /> . n. �-�1ri � - �.,U � . <br /> AOOITIONAL EXPLANA O NOTES <br /> ... . ! <br /> I <br /> OSA BACK <br /> Contnctor's Ma�crial&Tcat Certific�te for Abovearound Pipi�g <br /> FORM H-4 <br />