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� � <br /> P 1 of 3 <br /> Contractor's Materiai and Test Certificate for Aboveground Piping <br /> PROCEDURE <br /> Upon completion of work,inspedion and tests shall be made by tl�e contractor's represer�tative and witnessed by an oMmers <br /> representative. All defects shall be cort�ected and systern left in servioe before c�ntradors personnel finally leave the job. <br /> A certificate shall be filled out and signed by both representatives_ Copies shall be prepared fw approving authorities,owners,and <br /> contrador. it is understood the owners representative's signature in no way prejudices any dain�ainst coMractor for faultp material; <br /> poor workmanship,or failure to wmply with approving authority's requiremerrts or bcal ordinances. <br /> PROPERTY NAME Minn�onka Center for tl�e Arts DATE "Z_'z2..p'L <br /> PROPERTY ADDRESS 2240 N.Shore Drive,Orono,MN 55391 <br /> ACCEPTED BY�APPROVING AUTHORITIES(NAMES) <br /> ADDRESS <br /> PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS �YES ❑NO <br /> EQUIPMENT USED IS APPROVED �YES ❑NO <br /> IF NO,EXPLAIN <br /> DEVIATIONS: <br /> HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN �YES ❑NO <br /> INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND <br /> CARE AND MAINTENANCE OF THIS I�W EQUIPMENT? <br /> IF NO, <br /> EXPLAIN: <br /> INSTRUCTIONS HqVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? �YES ❑NO <br /> 1. SYSTEM COMPONENTS INSTRUCTIONS �YES ❑NO <br /> 2. CARE AND MAINTENANCE INSTRUCTIONS �YES ❑NO <br /> 3. NFPA 25 �YES ❑NO <br /> LOCATION SUPPUES BUILDINGS: <br /> OF SYSTEM <br /> YEAR OF ORIFICE TEMPERATURE <br /> MAKE MODEL �UFACTURE SIZE QVA��N RATING <br /> Reliable F1FR 2001 1/2" 222 155/200 <br /> SPRINKLERS Reliable G4FR 2001 1/2" 37 155 <br /> PIPE AND TYPE OF PIPE: S10,S40,Aqied Dynaflow and AINed E�ccel <br /> FITTINGS NpE�FIITINGS: Cast Iron-Scxewed,Dudile Iron-Grooved ` <br /> ALARM VALVE MAXIMUM TIME TO OPERATE <br /> OR FLOW ALARM DEVICE THROUGH TEST CONNECTION <br /> INDICATOR N� MAKE MODEL MiN SEC <br /> � " <br /> WA <br /> DRY VALVE Q.O.D. <br /> MAKE MODEL SERIAL NO. NIAKE MODEL SERIAL NO. <br /> DRY PIPE -�E TO TRIP TIME WATER AIARM <br /> OPERATING T}�ROUGH TEST WATER AIR TRIP POINT REACHED TEST OPERATED <br /> TEST CONNECTION' PRESSURE PRESSURE AIR PRESSURE OUTLET' PROPERLY <br /> without <br /> . U.O.D. <br /> � <br /> Q.O.D. <br /> N/A IF NO,EXPLAIN: <br /> 'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS OPENED. <br /> 1996 Edition <br />