Report (2) m5T,zv17- 0oocj9
01101
.. ;,:,:., .. 1
,' `.E SAFETY SYSTEMS
AQ SAFETM FLOW' TEST
a
VERIFICATION
I a- FE Flow Test er ficatz
oo . Form
Member ID: coorsileted firma. a #.a ,. must malinsit tills
se otdRiles the
..,...
Company Name. /t 1 GNLSC ell +1 8P A1C r
tO ille tip ',Ire • S L108011111taria
ri s. a . Dowser iltedodat tieiviees at
Fay Color of test orifice ' r ref ,$ S
Job Name: _ Stati'c ( reading
Project, water�into aE at main shutoff:
Job Address: 13e› 6 s 1 "
i Residual'pressure(ft.. a;,)reading at 1 v• +water
Oty: --rN ci,ci suppiy'ftto hone or at in shutoff: .M'
C 7
What time of day was '.<flow test taken? +3
fall o not by UPor orr the low test method used s'''r-° . Cl Flow Meterowa�g information.
Designat's Name; Flew test glom. I
Company: How marry gall°n '°.,- dld the demon predict
as required'?
line; -9.77—.�33
Did the test meet or d,;: .design flow? Yes D No
Fax-
' Which sprinkler did , , ?i ber-
fs the warning sign permanently attached dose to the Locadcn of head: ✓, 9
� 11 *-- sfa�#"lye? D Yes Jer"'- I'7
Date left ft sc+e � .= a. es9 .�.
O Was this"stein by code?, Yes D No
I + Nra.k. K♦ ren lr a rr • ♦ arr .. 3. r }' e
Tot
nessedand verified
sJ
Name S *• .1.,1.0_.1 J Date
lit cr.-00\0,1,k
I
o
ldit�itt tttoes
14
.Inc Tel:800321.4739
5925148th>Street West Fax:952.997.1731
Apple Valley,MN 55124 USA wets 14%W4upollorim€oro °`