Report (21) 0- ifzis -AUL
a
000
FIREAFETY SYSTEMS
''''44''':''',, AQUAS FE'C FLOW TEST
,� : 1 t ATlfl�ll
AquaS, 'E Flow Test erification ? i nn
Alnerltel'ttrill.Palter*to so-ritiNtfles the,
Member ID:
etlimfsieted
completed form
Carr eny Name:
, N. r xy - or
Cort; Lo t41e t safety. .x For qtiestions.,toiltitt ,,., ° n€t qqy�
;Sl
Job x Color of test orifice used: 10_
Static pressstre loot flowurgl . =ing at incoming
Project Number- /+ " water SLIP*#Tito hosne>or at ... shutoff'.
Job Adm; �. $ s t`
�" ......1 !"A y -Residual pressure(flowing) . ,at i -�--ter_t
water
intosupply home or at main sh,..-off:
Stater .' ."
What time of day was the flow << taken?
Uponor,cempkte the
ftti#owirig information, Flow method used ► ., t t�FtEw4r Meter
Designers 1 araae: Flow test gpm: '
CEmpany Ved How many gaNetns of water did des€gn piss
�required? 17 '
Fax;
Did the test meet or exceed d `'rt flow? l)(Yes C3 No
Is the wa %Nhida sprinkler did you flow? ber-.. ..
+ ° "' sign attached dose the L Eaf + '
Maio rain ign Yes
Was this hY Fate left lit service with a##valar.'open: t�""i "#
system required rade?1 Yes 0 No
I ' Vidttiessed and Verified
Name
bySiyrtatilre
� f�, v.I ,.EE a Qate
I
A
M `�aiatIolis�
6
hie Tel-'800.32.1.4739
592514 t Street i€ ; Fab 952,997,1731
APpleVJey,MN 55124 USA