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f <br /> GENERAL INFORMATION 13-9 <br /> CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING <br /> PROCEDURE <br /> Upon completion d work Inspection and tests shall be mads by Ahs contractors repre.entattw and witnessed by an owners repreunlallvs.All defects Mall be corn ectad and <br /> system leh In service Delors contractors personnel finally leave the lob. <br /> A cenllkals shal be filled out and signed by both reprsasntallves.Coples Oa!ba prepared be approving aulhorn les,owner,and contractor.h is urn.ntood Ma owners r.p- <br /> localatn.s signatureIn no way preludloes any dam agahal contractor for lauay rnaerul,poor workmanship,or Imlure to conpfy wall approving autnaeys rquirertnnI$or <br /> local aAnanps. <br /> PROPERTY NAME D� I�(J,© �j�� ��6.... <br /> l DATE / 8 <br /> PROPERTY ADDRESS 795 06_0 GrT'/3T.96_. / A4) <br /> ACCEPTED BY APPROVING AUTHORITIES(NAMES) /17/ Ofr. <br /> ADDRESS C)AJ0 <br /> PLANS <br /> INSTALLATION CONFORMS TO ACCEPTED PLANS <br /> EQUIPMENT USED IS APPROVED 'YES ONO <br /> ' IF NO,EXPLAIN DEVIATIONS 61'YES ONO <br /> VIAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION /` <br /> /1(YES ONO <br /> OF CONTROL VALVES AND CARE AND MAINTENANCE OF RIAS NEW EQUIPMENT? <br /> IF NO,EXPLAIN <br /> INSTRUCTIONS <br /> HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: �y <br /> i. SYSTEM COMPONENTS INSTRUCTIONS yr.YES ONO <br /> 2 CARE ANO MAINTENANCE INSTRUCTIONS 'AYES ONO <br /> 3. NEPA 13A YES ONO <br /> LOCATION 9�YES ONO <br /> OF SYSTEM SUPPLIES BUILDINGS g,( ?T/,� L/ 3 <br /> fYJ fit/ e,":31,2,(.....6 fr .. ,G)S <br /> YEAR OF ORIFICE TEMPERATURE <br /> MAKE MODEL MANUFACTURE SIZE ' <br /> SIZE QUANTITY I RATING <br /> I /GAS <br /> SPRINKLERS -31//'v <br /> _ J <br /> • <br /> _ <br /> PIPE Alto Type of Pp. ./6 i ec:7- � <br /> FITTINGS lyp.of Finings T2!4 N ' lp r� E <br /> • <br /> i li l— -rR DOCT/L _.i c_NN <br /> ALARM ALARM DEVICE MAXIMUM TIME TO OPERATE <br /> VALVE TYPE THROUGH TEST COtTNEG:ION <br /> OR FLOW MAKE MODEL MIN. SEC. <br /> INDICATOR �w yv.7,A,roic./rc�e Agree. - Vs,,:_7-f • <br /> DRY VALVE 0.0.0. <br /> MARE MODEL SERIAL NO. MAKE <br /> MODEL SERIAL NO. <br /> TIME TO TRIP <br /> T11RU TEST WATER TIME WATER ALARM <br /> DRY EAIR TRIP POINT REACHED OPERATED <br /> CONNECTION' PRESSURE PRESSURE AIR PRESSURE TEST CUTLET' PROPERLY <br /> OPER MG MIN. SEC. PSI <br /> 1 T _ PSI PSI MIN. I SEC. YES NO <br /> Without <br /> Q.O.D. <br /> With <br /> O.Q.D. <br /> IF HO.EXPLAIN <br /> 'MEASURED FROM TIME INSPECTORS LEST CONNECTION IS OPENED. <br /> OSA(1X00) PRINTED IN U.S.A. <br /> (OVER) <br /> Figure I-10.1(a) Contractor's Material and Test Certificate for Aboveground Piping. <br /> 1989 Edition <br />