Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Report (65)
0 ji ," i'n 5T 06 3 01101 FIRE SAFETY SYSTEMS AQUASAFETm FLOW TEST ,,,,,f- �a� '),5 E-') VERIFICATION ;%,;','4°.',.'n FORM �.`,;,i7-'''''' AquaSAFE' Flow Test Verification Form Alliance Important:Installing contractor must submit this Member ID: completed form.Failure to do so nullifies the Company Name: A I I�wnc� P�InyN�7 n _ system warranty.E-mail or fax completed form ,p 5 to the Uponor Fire Safety Design Department I Contact: o ,e(+ Dtcbwta,n at technical.services@uponor.com or 952.997.1731. Phone: SOS-119 - by°1 o For questions,contact Uponor Technical Services at 888.594.7726 or technical.services@uponor.com. Fax. /� Color of test orifice used: SS Job Name: g-W-er Terrace- Static pressure(not flowing)reading at incoming,. Project Number: `e'f' `I.51 -7 water supply into home or at main shutoff: (yam Job Address: 13co 0 su(5e4(1,QI, 74.r. f Residual pressure(flowing)reading at incominwater City: Ti)w supply into home or at main shutoff: State,ZIP: ©K) q}a4_5 What time of day was the flow test taken? 23 so For designs not provided by Uponor,complete the Flow test method used? bBucket ❑Flow Meter following information. Designer's Name: f3,141Flow test gpm: Company: o Nor Now many gallons of water did the design predict q s)3o as required? �7 Phone: !S -99)- ..a�te� Did the test meet or exceed design flow?��t' s (�No Fax Which sprinkler did you flow?Number: 71-g x Is the warning sign permanently attached close to the Location of head: YLeU`,�`.—�- A-414A ,4 main shutoff valve? Ci Yes o -1 l� ,.�.,/ Date left in service with all valves open: / Was this system required by code?uer Yes J No 1 Test Witnessed and Verified by: Name Si natur Occupation Date 3. l�Cru INI� vw,10.tl �PItiwr- 7-11-/2 a 0 R0 Q Additional Explanations and Notes 4 ,,, mm O J Uponor,Inc. Tel:800.321.4739 1 5925 148th Street West Fax:952.997.1731 1 Apple Valley,MN 55124 USA Web:www.uponor-usa.com