Contractor's Material and Test Certificate for Underground Piping

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1 UNDERGROUND PPNG Contractors Materal and Test Certfcate for Underground Ppng PROCEDURE Upon completon of work, nspecton and tests shall be made by the contractors representatve and wtnessed by an owners representatve. All defects shall be corrected and system left n servce before contractors personnel fnally leave the job. A certfcate shall be flled out and sgned by both representatves. Copes shall be prepared for approvng authortes, owners, and contractor. t s understood the owners representatves sgnature n no way prejudces any clam aganst contractor for faulty materal. poor workmanshp, or falure to comply wth approvng authortys requrements or local ordnances. Property name Property address Accepted by approvng authortes (names) Date Plans Address nstallaton conforms to accepted plans D Yes D No Equpment used s approved D Yes D No f no, state devatons Has person n charge of fre equpment been nstructed as to locaton o DYes No control valves and care and mantenance of ths new equpment? f no, explan nstructons Have copes of approprate nstructons and care and mantenance DYes D No charts been left on premses? f no, explan Locaton Supples buldngs Underground ppes and jonts Ppe types and class j Type jont Ppe conforms to standard D Yes n No Fttngs conform to standard D Yes D No f no, explan Jonts needed anchorage clamped, strapped, or blocked n DYes D No accordance wth f no, explan standard Test descrpton Flushng: Flow the requred rate untl water s clear as ndcated by no collecton of foregn materal n burlap bags at outlets such as hydrants and blow-ots. Flush at flows not less than 390 gpm (1 476 Umn) for 4-n. ppe, 880 gpm (3331 Umn) for 6-n. ppe, 1560 gpm (5905 Umn) for 8-n. ppe, 2440 gpm (9235 Umn) for 10-n. ppe, and 3520 gpm (1 3,323 Umn) for 12-n. ppe. When supply cannot produce stpulated flow rates, obtan maxmum avalable. Hydrostatc: Hydrostatc tests shall be made at not less than 200 ps (13.8 bar) for 2 hours or 50 ps (3.4 bar) above statc pressure n excess of 150 ps (1 0.3 bar) for 2 hours. Leakage: New ppe lad wth rubber gasketed jonts shall, f the workmanshp s satsfactory, have lttle or no leakage at the jonts. The amount of leakage at the jonts shall not exceed 2 quarts per hour (1.89 Uhr) per 1 DO jonts rrespectve of ppe dameter. The leakage shall be dstrbuted over all jonts. f such leakage occurs at a few jonts, the nstallaton shall be consdered unsatsfactory and necessary repars made. The amount of allowable leakage specfed above can be ncreased by 1 flud ounce per nch valve dameter per hr. (30 mu25 mm/hr) for each metal seated valve solatng the test secton. f dry barrel hydrants are tested wth the man valve open so the hydrants are under pressure, an addtonal 5 ounces per mnute (1 50 mumn) leakage s permtted for each hydrant. New underground ppng flushed accordng to r: Yes D No standard by (company)!f no, explan How flushng flow was obtaned Through what type openng Flushng D Publc water D Tank or reservor 0 Fre pump D Hydrant butt D Open ppe tests Lead-ns flushed accordng to standard by (company) D Yes! c No f no, explan How flushng flow was obtaned Through what type openng LJ Publc water Cl Tank or reservor D Fre pump D Y connecton to flange LJ Open ppe and spgot FGURE Sample of Contractors Materal and Test Certfcate for Underground Ppng Edton

2 13-98 NST/1.LL\.TON OF SPRNKLER SYSTEMS All new underground ppng hydrostatcally tested at Jonts covered Hydrostatc test ps for hours DYes D No Total amount of leakage measured Leakage gallons hours test Allowable leakage Hydrants Control valves Number nstalled gallons Type and make hours All operate satsfactorly DYes D Water control valves left wde open DYes D No no, state reason Hose threads of lre department connectons and hydrants nterchangeable wth DYes D No those of fre department answerng alarm No Date lett n servce Remarks Name of nstallng contractor Sgnatures For property owner (sgned) For nstallng contractor (sgned) Addtonafexplanaton and notes Tests wtnessed by J Ttle Ttle 1 Date 1 Date

3 NSTALLATON OF SPRNKLER SYSTEMS Contractors Materal and Test Certfcate for Aboveground Ppng PROCEDURE Upon completon of work, nspecton and tests shall be made by the contractors representatve and wtnessed by an owners representatve. All defects shall be corrected and system left n servce before contractors personnel fnally leave the job. A certfcate shall be flled out and sgned by both representatves. Copes shall be prepared for approvng authortes, owners, and contractor. t s understood the owners representatves sgnature n no way prejudces any clam aganst contractor for faulty materal, poor workmanshp, or falure to comply wth approvng authortys requrements or local ordnances. Property name Property address Date Accepted by approvng authortes (names) Plans Address nstallaton conforms to accepted plans 0 Yes 0 No Equpment used s approved 0 Yes 0 No f no, explan devatons Has person n charge of fre equpment been nstructed as 0 Yes 0 No to locaton of control valves and care and mantenance of ths new equpment? f no, explan nstructons Locaton of system Have copes of the followng been left on the premses? 0 Yes 0 No. System components nstructons 0 Yes 0 No 2. Care and mantenance nstructons 0 Yes 0 No 3. NFPA25 0 Yes 0 No Supples buldngs Make Mode! Year of Orfce manufacture sze!! Quantty Sprnklers Ppe and fttngs Type of ppe Type of fttngs Temperature ratng Maxmum tme to operate Alarm Alarm devce j through test connecton valve or Type Make Model : Mnutes Seconds flow ndcator! Dry valve Q.O.D.! Make Model Seral no. Make Model Seral no. Dry ppe Tme to trp Tme water Alarm! operatng through test Water Ar Trp pont reached operated connecton 1,2 ar pressure test outlet 1,2 test pressure pressure properly Mnutes Seconds/ ps ps ps Mnutes! Seconds \ Yes No Wthout Wth! O.O.D. J ll no, explan 1 Measured from tme nspectors test connecton s opened 2 NFPA 3 only requres the 60-second lmtaton n specfc sectons FGURE 16-1 Contractors Materal and Test Certfcate for Abovecround " P p na-. " 2002 Edton

4 1 SYSTEMS ACCEPTA...NCE Operaton D Pneumatc D Electrc 0 Hydraulcs Ppng supervsed D Yes 0 No Detectng meda supervsed D Yes 0 No Deluge and preacton valves Does valve operate from the manual trp, remote, or both control statons? s there an accessble faclty n each crcut for testng? Make Model D Yes D No f no, explan D Yes n No Does each crcut operate Does each crcut operate Maxmum tme to supervson loss alarm? valve release? operate release Yes No Yes No Mnutes Seconds Locaton Make and Settng Statc pressure Resdual pressure Pressure and floor, model reducng valve test Test descrpton (flowng) nlet (ps) Outlet (ps) nlet (ps) Outlet (ps) Flow rate Flow (gpm) Hvdrostatc: Hydrostatc tests shall be made at not less than 200 ps (13.6 bar) for 2 hours or 50 ps (3.4 bar) above statc pressure n excess of 150 ps (1 0.2 bar) for 2 hours. Dfferental dry-ppe valve clappers shall be left open durng the test to prevent damage. All aboveground ppng leakage shall be stopped. Pneumatc: Establsh 40 ps (2.7 bar) ar pressure and measure drop, whch shall not exceed -v, ps (0.1 bar) n 24 hours. Test pressure tanks at normal water level and ar pressure and measure ar pressure drop, whch shall not exceed 1 Y2 ps (0. bar) n 24 hours. All ppng hydrostatcally tested at ps (-bar) for hours Dry ppng pneumatcally tested DYes D No Equpment operates properly DYes 0 No f no, state reason Do you certfy as the sprnkler contractor that addtves and corrosve chemcals, sodum slcate or dervatves of sodum slcate, brne, or other corrosve chemcals were not used for testng systems or stoppng leaks? D Yes D No Dran Readng of gauge located near water Resdual pressure wth valve n test Tests test supply test connecton: ps ( bar) 1 connecton open wde: ps ( bar) Underground mans and lead-n connectons to system rsers flushed before connecton made to sprnkler ppng Verfed by copy of the Contractors Materal and Test D Yes D No Other Explan Certfcate for Underground Ppng. Flushed by nstaller of underground sprnkler ppng D Yes D No f powder-drven fasteners are used n concrete, D Yes 0 No f no, explan has representatve sample testng been satsfactorly completed? Blank testng Number used Locatons Number removed gaskets Weldng ppng DYes D No l yes... Do you certfy as the sprnkler contractor that weldng procedures comply n Yes CJ No wth the requrements of at least AWS 82.? Weldng Do you certfy that the weldng was pertormed by welders qualfed n D Yes [J No complance wth the requrements of at least AWS 82.1? Do you certfy that the weldng was carred out n complance wth a 0 Yes D No documented qualty control procedure to ensure that all dscs are retreved that openngs n ppng are smooth, that slag and other weldng resdue are removed, and that the nternal dameters of ppng are not penetrated? Cutouts Do you certfy that you have a control feature to ensure that LJ Yes LJ No (dscs) all cutouts (dscs) are retreved? FGURE 16.1 Contnued 2002 Edton

5 NST/1LLATON OF SPRlNKLER SYSTEMS Hydraulc Nameplate provded., f no, explan data nameplate 0 Yes 0 No Remarks Date lett n servce wth all control valves open Name of sprnkler contractor Sgnatures Tests wtnessed by For property owner (sgned) Ttle Date For sprnkler contractor (sgned) Ttle Date Addtonal explanatons and notes

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