Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Report (6)
$a, $'6 k .>.Lr - I< up ,..b ,„I--: , On01 :( t ( FIRE SAFETY SYSTEMS ..'•:...q-A2_.,.4.,..45,-' ' n - f i'r.. AQUASAFETM FLOW TEST `, VERIFICATION of�f 1NP„ , ws FORM47 �� d � ,a AquaSAFETM Flow Test Verification Form Alliance Important:Installing contractor must submit this Member ID: completed form.Failure tor do so nullifies the ©� 11414464, � system warranty. E-mail or fax completed form Company Name: to the Uponor Fire Safety Design Department Contact: f� ' 1. at technical.services@uponor.com or 952.997.1731. �7 1235 oSo�-1 For questions contact Uponor Technical Services at Phone: 888.5943726 or technical.services@uponor com. Fax: ae C ,,,, �J1�" Color of test orifice used: Job Name: N gave" T �/ Static pressure(not flowing)reading at income j ?) Project Number: 22 water supply into home or at main shutoff 2 Job Address: 1Gg37 Sw�olorr►Gi� Ln n?/ Residual pressure(flowing)reading at incomin waterl ��( �/ City: atil 4172�� supply into home or at main shutoff: ��pS) State,ZIP: What time of day was the flow test taken? �0Pµ For designs not provided by Uponor,complete the following information. Flow test method used? ([?Bucket ❑Flow Meter Designer's Name: Flow test gpm: 11 How many gallons of water did the design predict Company: as required? i� Phone:Fax: Which sprinkler did you flow? Number: 1 2 Is the warning sign permanently attached close to the Location of head: main shutoff valve? ❑Yes No Date left in service with all valves open: Was this system required by code?❑Yes ❑No Test Witnessed and Verified by Na e Syna ere cups ion a e ��23 a` A n, 0 O a Additional Explanations and Notes 0 E s� Uponor,Inc. Tel:800.321-4739 5925 148th Street West Fax:952.997.1731 s Apple Valley,MN 55124 USA Web:www.uponor-usa.com C