Report (20) , , op. a slOflOf
1 .4 -,,,,
t - , FIRE . FETY SYSTEMS
' AQUAS " FEnt FLOW TEST
V IFICATION
i ORy
y
E F00 `e t Ver .. .cation F .
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heist sititttlit
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this
ID:member rc ptr Jnr. to *moo itto
Company Name: i �" .lam r
totillitteld tows
l1yttettarbriest
._.+ to Safety - .
Contact 'iJet
�+ feats contactT�Stilettos at
l�ltortt
' �Vk e.-b'§3,-..r. "1 .x "E, s.734
fax „ Cola of test orifice used. C'Cw !,
Job Name: Vi'#„ , `' C' a44 Pressure.toot flowing)r lnconring
Project Nuri: • "' water supply into home or at n shutoff; ,r,
Job Address: ii
al pressure f ) , et incomWrg wvat
G '-1,7..t:fa(ee.-51,0tk.,1:itriartiAlitait'fielfstio
C IJ su y into home or at main ... 6'4.
AP: 7 3'
��o€ °. ta ? �
for dem not ' et! Upornor,completethe Row test method used? j� > a t*!Flair'Met
following irtfotawtion.
Designer's Name. t st gra*
i14of tr many ga ttf Crater#*, d t predict
. .#1 as required? 147
> -. "" * ., Did the tmeet orceed# ,#rt flow? V s l Efir
Far Wilich smiler dins yru+now'? ° miser.
44 4r4r 0. "" ' Is thesign attached dose to the Location of h « r+
i.main sleita f valve? l Yes l No
Date left in ice with all v- ,open: '''-'17.,','.-. I't
wAPas this systerrr required bycodeBa Na
'des
Test Witnessed and" d
Name signature occupation Date
Q
R
IAdOt "Nags
Ir
(lp r,Inc. Tel:x.321. 39
5925 148th fitted West. Foc M.997.1731
Apple Valley MN 5.5124 USA Web wwwti corn