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FIRE SAFETY SYSTEMS
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AQUASAFEn' FLOW TEST
VERIFICATION
FORM
AcuaSAFE ` Flow Test Verification Form
Alliance / Important:Instating contractor must submit this
Member ID: f411 I Ct.,. 1 `0 i ekes completed form.Failure to do so nullifies the
Company rki ��/ system warranty.E-mail or fax completed form
l �{S to the Uponor Fire Safety Design Department
Contact: r ri. at technicalservtcesOkrponorcotp or 952.997.1731,
Phone; ,. j -Ac f '+� For questions,contact Uponor Technical Services at
888.594.7726 or technicaLservicesup+orror eom.
Fax:
Color of test orifice used: b4 S
Job Name: 1c "re t•,C is c.
Static pressure(not flowing)reading atncomiy
Project Number., water supply into home or at main shutoff:
Job Address: j f%Sr,r p �6
k icese907 papressure(flowing)reading at incomin.9 water
City: l
� supply into home or at main shutoff: ,.....5State,ZIP: l , 7-Z,..
For designs not provided by Uponor,complete the What time of day was the flow test taken? rT'"�
following information. Flow test method used?,l Bucket 0 Flow Meter
Designer's Name: ;,/"tP_•l.;seu. (244 C `Z._ Flow test gpm:
Company: } > How many gallons of water did the design predict
1.�' - ' ` ^�^ a as required?
Phone: 5� .3
Did the test meet or exceed design flovv?-11 Yes fl No
Fax:
Which sprinkler did you flow?Number: a.
is the warning sign,perm ently attached close to the Location of head: i
main shutoff valve? Yes 0 Na ii,
Was this system required by code? es No Date left in service with all valves open:
Test witnessed and Verified b
Y:
Names Signature �
F2
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Additional Explanations and Notes
F9s
Uponor,inc Tel:800.321.4739
5925 148th Street West Fax:952.997.1731
Apple Valley,MN 551.24 USA Web:www.uponor-usa.com
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To: Whom it May Concern
From: Evan Benedict
Re: River Terrace, Uponor Project#19816F
Date: 11/11/16
The intermediate temperature sprinkler head shown on some plans in the mechanical room for River
Terrace are not necessary. With the intermediate sprinkler head taken out of the system, the system
will not be negatively affected.
According to the NFPA 13-D Standard Chapter 8.3 Location of Sprinklers
8.3.8 Sprinklers shall not be required in closets in garages and exterior closets(regardless of size)
located on exterior balconies, exterior breezeways/corridors, or accessed from outdoors where the
closet does not have doors or unprotected penetrations directly into the dwelling unit.
Plans that show the sprinkler head in the mechanical closet accessed from the garage, and without
negatively impacting the system with its removal, can be omitted.
Sincerely,
Evan Benedict
Design Technician—Fire Safety
Uponor North America Uponor, Inc. Uponor Ltd.
5925 148th Street West 2000 Argentia Rd., Plaza 1, Ste. 200
Apple Valley, MN 55124 Mississauga, ON L5N 1W1
T 800.321.4739 T 888.994.7726
F 952.891.2008 F 800.638.9517
W www.uponor-usa.corn W www.uponor.ca