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Home My WebLink AboutBuilding 3 - Underground Piping CertificationCONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR UNDERGROUND PIPING Procedure Upon completion of work, inspection and tests shall be made by contractor's representative and witnessed by an owners representative. All defects shall be corrected and system left in service before contractor's personnel finally leave 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 Jp��V� ( DATE_i/�, / o A /a PROPERTY ADDRESS Lo ( �- r ACCEPTEDa'?APPROVIN UTTHHO,ITY(')NAMES ADDRESS PLANS ({ f ! I,v -eN/Ri� "5.�1�(EJ INSTALLATION CONFORMS TO ACCEPTED PLANS ,YES ❑ NO NO EQUIPMENT USED IS APPROVED IF NO, STATE DEVIATIONS: HAS THE PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION -ETC'ES ❑ NO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT. IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS 4n"FE—S ❑ NO BEEN LEFT ON THE PREMISES. IF NO, EXPLAIN LOCATION SUPPLIES BLDGS3A CO (4{Up /I ,6 ,1 ��,� C✓ PIPE TYPES AND CLASS „. 1 LP,�. JOIt�/T�ly a S ( TYl�D� i PIPE CONFORMS TO AW I STANDARD 2-YtS ❑l NO UNDERGROUND FITTINGS CONFORM TO _A;p," k STANDARD 5-Y S ❑ NO PIPES IF NO, EXPLAINAND I ,�� JOINTS JOINTS NEEDING ANCHORAGECLAMPED, STRAPPED, OR BLOCKED IN CS ❑ NO ACCORDANCE WITH STANDARD IF NO, EXPLAIN N,ft FLUSHING: Flow the required rate until water is clear as Indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow -offs. Flush at flows not less than 400 gpm (16141/min) for 44nch pipe, 600 gpm (2271 I/min) for 5- inch pipe, 900 gpm (2839 1/min) for 6-Inch pipe, 1600 gpm (3785 Vmin) for 8-Inch pipe, 2440 gpm (56781/min) for 10-inch pipe, and 3520 gpm (7570 I/min) for 12-Inch pipe. When supply cannot produce stipulated flow rates, obtain maximum available. TEST HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.8 bars) for two hours or 50 psi (3.4 bars) above DESCRIPTION static pressure in excess of 150 psi, (10.3 bars) for two hours. LEAKAGE: New pipe laid with rubber gasketed joints shall, if the workmanship is satisfactory, have little or no leakage at the joints. The amount of leakage at the joints shall not exceed 2 qts per hr (1.89 I/h) per 100 joints irrespective of pipe diameter. The leakage shall be distributed over all joints. If such leakage occurs at a few joints the Installation shall be considered unsatisfactory and necessary repairs made. The amount of allowable leakage specified above may be increased by 1 fi oz Per in. valve diameter per hour (30 mU26 mm/h) for each metal seated valve isolating the test section. If dry barrel hydrants are tested with the main valve open, so the hydrants are under pressure, an additional 6 oz/min leakage is permitted for each Ed NW UNDERGROUND PIPING FLUSHED ACCORDING TO STANDARD El YES ❑ NO BY: (COMPANY) IF NO, EXPLAIN HOV,FLUSHING FLOW WAS OBTAINED THROUGH WHAT TYPE OPEN�IN . FLUSHING 2MUBLIC MAIN ❑ TANK OR RESERVOIR ❑ FIRE PUMP I ❑ HYDRANT BUTT 0 OPEN PIPE uu TESTS LEAD-INS FLUSHED ACCORDING TO�STANDARD OYES ❑ NO BY: (COMPANY) IF NO. EXPLAIN q,A P HING HO UBLIC MAIN F ❑ TANKSOR RE ERVOIR ❑ FIRE PUMP ( ❑ Y CONN TO FLANGE & SP GO OPENINOPEN PIP '" ~ HYDROSTATIC ALL NEW UNDERGROUND PIPING HYDROSTATICALLY TESTED AT TESTS Z�_ PSI FOR 2 HOURS TOTLL AMOUNT OF LEAKAGE MEASURED LEAKAGE GALS. OVER '!)„HOURS TEST ALLOWABLE LEAKAGE GALS. OVER,_„ HOURS NUMBER IJS ALLED TYPE AND MAKE ALL OPERATE SATISFACTORILY HYDRANTS � ❑YES ❑ NO WATER CONTROL VALVES LEFT WIDE OPEN 21 S ❑ NO CONTROL IF NO, STATE REASON VALVES HOSE THREADS OF FIRE DEPARTMENT CONNECTIONS AND HYDRANTS INTERCHANGEABLE WITH THOSE OF FIRE DEPARTMENT ANPWERING ALARM ES El NO DATE LEFT IN SERVICE REMARKS NAME OF INSTALLING CONTRACTOR TESTS WITNESSED BY SIGNATURES FOR PR ERTY OWNER (SIGNED TITLE �- DATE /� _ _ l p� t(/� l !TTwV•`^.- FNST�ALLING ONTTOR (SIGNED) DAD7f��_//�;�(/�/(/(// ��-- -' C1PM 44 � r ADDITIONAL EXPLANATIONS AND NOTES