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Contractor's Material and Test Certificate for Aboveground Piping
PROCEDURE
Upon completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's
representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and
contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material,
poor workmanship,or failure to comply with approving authority's requirements or local ordinances.
PROPERTY NAME JEM TECHNICAL DATE -Lc{
PROPERTY ADDRESS 450 OLD CRYSTAL BAY RD
ACCEPTED BY APPROVING AUTHORITIES(NAMES) CITY OF ORONO
ADDRESS
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS ®YES ❑ NO
EQUIPMENT USED IS APPROVED ®YES ❑ NO
IF NO,EXPLAIN
DEVIATIONS:
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN ®YES ❑ NO
INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND
CARE AND MAINTENANCE OF THIS NEW EQUIPMENT?
IF NO,
EXPLAIN:
INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? ®YES ❑ NO
1. SYSTEM COMPONENTS INSTRUCTIONS ®YES ❑ NO
2. CARE AND MAINTENANCE INSTRUCTIONS ®YES ❑ NO
3. NFPA 25 ®YES ❑ NO
LOCATION SUPPLIES BUILDINGS:
OF SYSTEM
YEAR OF ORIFICE UANTITY TEMPERATURE
MAKE MODEL MANUFACTURE SIZE QRATING
TYCO EC-25 2015 V. 225 214
SPRINKLERS TYCO FRB 2015 3/4 4 286
TYCO FRB 2015 1/2 35 155
PIPE AND TYPE OF PIPE: STEEL SCH 07-GROOVED XL-THREADED
FITTINGS TYPE OF FITTINGS: VICTUALIC
MAXIMUM TIME TO OPERATE
ALARM VALVE ALARM DEVICE THROUGH TEST CONNECTION
OR FLOW TYPEMAKE MODEL MIN SEC
INDICATOR
VANE POTTER VFR
DRY VALVE Q.O. D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
DRY PIPE TIME TO TRIP TIME WATER ALARM
OPERATING THROUGH TEST WATER AIR TRIP POINT REACHED TEST OPERATED
TEST CONNECTION' PRESSURE PRESSURE AIR PRESSURE OUTLET' PROPERLY
without
Q.O.D.
with
Q.O.D.
N/A IF NO,EXPLAIN:
'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS OPENED.
1996 Edition
OPERATIONPae 2 of 3
❑ PNEUMATIC [:1 ELECTRIC El HYDRAULIC
PIPING SUPERVISED ❑ YES ❑ NO DETECTING MEDIA ❑ YES ❑ NO
SUPERVISED
DOES VALVE OPERATE FROM THE MANUAL TRIP, REMOTE,OR BOTH
CONTROL STATIONS? ❑ YES ❑ NO
DELUGE AND IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUI;FOR=
PRERATIONTESTING?VALVES ❑ YES ❑ NO
DOES EACH CIRCUIT OPERATEDOES EACH CIRCUIT MAXIMUM TIME TO
MAKE MODEL SUPERVISON LOSS ALARM? OPERATE VALVE RELEASE? OPERATE RELEASE
N/A YES NO YES NO MIN SEC
PRESSURE LOCATION MAKE SETTING RESIDUAL PRESSURE FLOW RATE
&FLOOR &MODEL STATIC PRESSURE
REDUCING (FLOWING)
VALVE TEST INLET OUTLET INLET OUTLET FLOW RATE
PSI PSI PSI PSI
N/A
HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi(13.6 bars)for 2 hours or 50 psi(3.4 bars)
above static pressure in excess if 150 psi(10.2 bars)for 2 hours. Differential dry-pipe valve clappers shall be left
TEST open during the test to prevent damage. All aboveground piping leakage shall be stopped.
DESCRIPTION PNEUMATIC: Establish 40 psi(2.7 bars)air pressure and measure drop,which shall not exceed 1'/ psi(0.1 bars)
in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop,which shall
not exceed 1 Yz psi(0.1 bars)in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT:
200 PSI ( BARS ) FOR 2 HOURS IF NO,STATE REASON:
DRY PIPING PNEUMATICALLY TESTED ❑ YES ® NO WET SYSTEM
EQUIPMENT OPERATES PROPERLY ® YES ❑ NO
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,
SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE,BRINE,OR OTHER CORROSIVE CHEMICALS
WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS?
®YES ❑ NO
TESTS READING OF GAUGE LOCATED NEAR RESIDUAL PRESSURE WITH VALVE IN TEST
DRAIN WATER SUPPLY TEST CONNECTION: CONNECTION OPEN WIDE:
TEST PSI ( BARS ) PSI ( BARS )
UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION
MADE TO SPRINKLER PIPING
VERIFIED BY COPY OF THE U FORM NO.858 ❑ YES ❑ NO OTHER, EXPLAIN:
FLUSHED BY INSTALLER OF UNDERGROUND ® YES ❑ NO
SPRINKLER PIPING
BLANK NUMBER USED LOCATIONS NUMBER REMOVED
TESTING
GASKETS
WELDED PIPING ® YES ❑ NO
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING ® El
COMPLY WITH THE REQUIREMENTS OF AT LEAST YES NO
AWS D10.9,LEVEL AR-3?
WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS ® ❑
QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST YES NO
AWS D10.9,LEVEL AR-3?
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE
WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ® El
THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS IN PIPING ARE YES NO
SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED,
AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED?
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO Y YES E](DISCS) ENSURE THAT ALL CUTOUTS(DISCS)ARE RETRIEVED? NO
1996 Edition
Page 3 of 3
HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN:
DATA
NAMEPLATE ® YES ❑ NO
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
REMARKS
NAME OF SPRINKLER CONTRACTOR: ESCAPE FIRE PROTECTION
TESTS WITNESSED BY
SIGNATURES
OPERT OW D) TITLE DATE
SPRINKLER CONTRACTOR(SIGNED) TITLE DATE
ADDITIONAL EXPLANATION AND NOTES:
1996 Edition