ps-2011-00070_0001 (2).tif OPERATION
PNEUMATIC ELECTRIC HYDRAULIC
PIPING SUPERVISED _ YES _ NO DETECTING MEDIA SUPERVISED _ YES _ NO
DOES VALVE OPERATE FROM THE MANUAL TRIP AND /OR REMOTE CONTROL STATIONS _ YES NO
DELUGE & IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN
PREACTION YES NO
VALVES
MAKE MODEL DOES EACH CIRCUIT DOES EACH MAX TIME TO
OPERATE SUPERVISION CIRCUIT OPERATE OPERATE RELEASE
LOSS ALARM VA. RELEASE
YES NO YES NO MIN SEC„
HYDROSTATIC Hydrostatic tests shall be made at not less than 200psi (13.6 bars) for two hours or 50psi (3.4 bars) above
static pressure excess of 150psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during the
TEST
test to prevent damage. All above ground piping leakage shall be stopped.
'
DESCRIPTION PNUEMATIC Establish 40psi (2.7 bars) air pressure and measure drop which shall not exceed 1- 1 /2psi (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 -1/2 si 0.1 bars in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR _2_ HOURS IF NO, EXPLAIN
DRY PIPING PNUEMATICALLY TESTED _x YES NO
EQUIPMENT OPERATES PROPERLY _x YES NO
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM
SILICATE OR DERIVATIVES OR SODIUM OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE
TESTS NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? _x_ YES NO
DRAIN READING OF GAUGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST
TEST SUPPLY TEST CONNECTION PSI CONNECTION OPEN WIDE PSI
UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE
TO SPRINKLER PIPING. OTHER EXPLAIN
VERIFIED BY COPY OF THE U FORM 85B _x YES NO By Others
FLUSHED BY INSTALLER OF UNDERGROUND
SPRINKLER PIPING _x YES NO
BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED
GASKET 0
WELDED PIPING _x — YES NO
IF YES....
-DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH
THE REQUIREMENTS OF AT LEAST AWS D10.0. LEVEL AR -3 _X YES
NO
-DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE
WITH THE REQUIREMENTS OF AT LEAST AWSD 10.9 LEVEL AR -3 X YES
NO
-DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED
QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS
IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED AND THAT
THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED _X YES
NO
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS ARE RETRIEVED?
(DISCS) _X — YES NO
HYDRAULIC NAME PLATE PROVIDED IF NO, EXPLAIN
NAME PLATES X YES NO
REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
ASSOCIATED FIRE PROTECTION
TESTS WITNESSED BY:
F ROPERTY OW ER: TITLE: DATE:
C
SIGNATURES
FOR P INKLE ONT TO TITLE: DATE:
ADDITIONAL EXPLANATIONS AND NOTES 0 TTACHED SHEET