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Contractor's Material and Test Certificate for Aboveground piping <br /> PROCEDURE <br /> Upon completion of work inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. <br /> All defects shall be corrected and system left in service before contractor's personnel finally leave the job. <br /> A certificate shall be filled out and signed by both representatives.Copies shall be prepared for approving authorities,owners and contractor. <br /> It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material,poor workmanship, <br /> or failure to comply with approving authority's requirements or local ordinances. <br /> PROPERTY NAME: Norris Residence DATE: <br /> PROPERTY ADDRESS: 460 Orchard Park Road, Orono,MN 55356 <br /> ACCEPTED BY APPROVING AUTHORITIES(NAMES): City of Orono <br /> ADDRESS: <br /> PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS H YES ❑NO <br /> EQUIPMENT USED IS APPROVED ❑✓ YES ❑NO <br /> IF NO,EXPLAIN DEVIATIONS: <br /> HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION H YES ❑NO <br /> OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? <br /> IF NO,EXPLAIN <br /> INSTRUCTIONS <br /> HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: H YES ❑NO <br /> 1. SYSTEM COMPONENTS INSTRUCTIONS 2 YES ❑NO <br /> 2. CARE AND MAINTENANCE INSTRUCTIONS 2 YES ❑NO <br /> 3. NFPA 25 Q YES ❑NO <br /> LOCATION SUPPLIES: <br /> OF SYSTEM <br /> MAKE MODEL S.I.N. ORIFICE QUANTITY TEMPERATURE <br /> SIZE RATING <br /> Reliable RFC-49 RA0616 '/2' 67 165°F <br /> PIPE AND Type of Pipe: Spears CPVC <br /> FITTINGS Type of Fitting: Spears CPVC <br /> ALARM DEVICE MAXIMUM TIME TO OPERATE <br /> ALARM VALVE THROUGH TEST CONNECTION <br /> OR FLOW TYPE MAKE MODEL MIN SEC <br /> INDICATOR <br /> DRY VALVE Q.O.D. <br /> MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. <br /> TIME TO TRIP TIME WATER ALARM <br /> THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED <br /> CONNECTION' PRESSURE PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY <br /> MIN SEC PSI PSI PSI MIN SEC YES NO <br /> DRY PIPE without <br /> OPERATING Q.O.D. <br /> TEST With <br /> Q.O.D. <br /> IF NO,EXPLAIN <br /> 'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS FULLY OPENED <br />