Report (4).. L .,
Ili)°,1ri orV
1 IN 'br,f i f ( ',C7,r t PA',
AQUASAFEtu FLOW TEST
VERIFICATION
FORM
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iii . .,'N. I 1 , 1 1()AN lest, V( rtlicatiort Formy.i. y.Y:
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Important:Installing contractor must submit this li I
41)Cr i?...... ,., completed form. Failure to do so nullifies the
.1(:)/u system warranty.E-mail or fax completed form V
it
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to the Uponor lire Safety Design Department
• ' 6'i,?':;4' go...d.e"sevs., at technicalservicesopprior.c_orn or 952.997.1731. -
) /2i--/ For questions,contact Uponor Technical Services at
C3 ---- -- 888.594.7726 or 1,technicatservices@uponor.corm
Color of test orifice used: aikc ,
J 2,1s) 1.44._ i
f•\ . - Static pressure(not flowing)reading at incomiaq .
S-4:0__c!c, fl water supply into home or at main shctoft.
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Residual pressure(flowing)reading at Mc:coming water
).-'sh • it...61../attla___ . ______ supply into home or at main shutoff: 3 v ..._._. _
S'e.S' 7 : d.{7---
What time of day was the Flow test taker' , .,..q..p,,,...„_„.
:esagris not prchricied by Lipoimr, complete the
Flow test method used? D Bucket 4'7-IT&'Meter
L%L-Lq Lul'orr-arLor
Flow test gpm:_i. 3
. , tj.pd Ajax_ How many gallons or water did toe cles,go predict
''. ' . ' ' ' ' ------- -------• ' •-•-• as required' ...3
-2 2-d6-- Did the test meet or exceed design rice, _VC:T:„ -.1 fin
9?2 I 231--- Which sprinkler did you tlooLL2 Nir her 124 161
L, • L •',, u lied clue to the Location of head,._gg!).,1,--Grk.d.d-‘--,, V.).
Date left in service with all valves opeo.
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-;t1 Witnessed and Verified by:
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ditional Explanations and Notes , , _._„ .„ ..,, _______ 4 ,
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onot,int, t ctx 9',19')./ Ili I
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