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RE SAFETY SYSTEMS
AQ • SAFE'*" FLOW TEST
VERIFICATION
•
SFE Flow Test Ve fic do : Form
Memfirwortintt ' ......masts this
conerlated form. to daso rudders the
Company Nie. J � �. '"' ,�tA�,�j l + �► � or fax�form
5 to tire trporearThrs • Desists Deplatorert
Contact 12i* +" at
or 952.9f17.1731.
For Phone ` - aorb a T/2questions,
ar t}- Upiesor Technical Services at
Fax Color of test orifice 3r.5
lob Name: (7t .Se.x«""C _
static pressure knot marring at incomitrg
project Number: water supply Into • or at(rain<shutoff:
Job Address: fi ^� , a�c
i , �GrE( t at Inco n water
City: [ supply into home or at',' n shutoff: 0
Some,zip: t (Z. 9 722,3
What time of day was << flow test taken? g rtiAL
Fel' net
folio inform is n.
by t#Donor.Mete the , method used � Q Flowr Meter
Designer's Name: FlPw test gPs:
nY *''' Now many gallons of did the design predict
as required? 1
Phone: 9S2- 99 75-3-41.6Did the test meet or
design flonv?Atil_ lyes Ca No
Falc
Which sprinkler did � (Ado
Number:4 taw:: Is attached dose to.the of hoo dr p' V 4do t `,�
main shutoffvalve? Cf Yes !
system required by code?1 13 No Date left In service all valves operr
Was this
31
Test Wilnerssed and Verffied
M Sig t re a ,<k Date
- dilations!Explanations mid Notes -
t4sonor,bic. Tel:8i21.4?39
59251 West Fax:952:997,1731
Apple Val,;MN 55124 USA Witte issramegicitionnrancen