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Report (43) I NSAUl — `1 , ., ,,,,,,, pal.-- 5 U ' :OflO( " FIRE ETY SYSTEMS AQUAS . °' E'' FLOW TEST T VE iFiCATION oR AgUaS `E Flow Test`' W icatiou F p rm .,...,..,r,. ., ,. ,,, ,..w., AliarIce •••�•; """"*•ttfrrlf 'rittiiiitiiiiiriiiiriiii tiiiii haps a Ffstallin9 •" • • ; SebMMit this member ID_-: + Pl d forst', to , ,so eters the ComPaijy gime. fill ILl0.1‘ n . or form {/��•• t y.._ ./s 7 to the t safety r ,;"' DiwittifTlitia Contact i if Ar 't * '"''' si +,} i +,t.a24 0.•aat . 1 L. Str''teel;at sTA? i�' S Si,6?t�+, •A s-5'".fak. Fa3c Cok1r of test orifi used . { �+.� Job hf rte: ` "",1 /1- - W at at s4/[i1L i�e\rices ilowk#rg}r".r".n iE Trico Project'tdun ..I r�into home or at ' n shutoff.' 74, Joh'Addrets, . ..,.. f ,." � Pressure { (�1y -• CIty. e�e.at Y13C- ©wingf' ` ' g at inc8 9 water - suPPhr into home or at main sh`.ff: : � State,-2i13: a+.*Zp.,t3,. Fordeet trot" What trate of day was the flaw , taken?„ 9hs provlt eed by upotter,coma fete the following ii fomtattorr. Flow test rnet#tud used?,fit Bri•`et C Row Meter signer's Maine t N 'a► Flow testgpm 1 Company: How marry gas w relit 'dem Pr's Phone: as zitaireci? Did the test meet or exceed. " tiow? 1Yes O`No Fax; ,' ,... : 1A itch sprinkler did you flow? ?tuber .I ` tv,t is die warning sign Perrriatierttiy tacked close to t hem d,t 2.. tkain shutoff�? Utes am() ; Ws this systetu requked,byr vada?At yt,t tri into Mite left in service with all Italy open' 5"-sq-11 'T RIF V Y bf; 1 144r t sixa 11 Date I Additional t stanations and Notes tit#oluiti lows. Tel.i 2i• 47 5925"148th Sl e ettt ax952". .1731 AprieMN 551241115A