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..„ FIRE SAFETY SYSTEMS
k " . AQUASAFETM FLOW TEST
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VERIFICATION
' FORM
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AquaSAFFT'f Flow Test Verification Form
...d,-,, Important:Installing contractor must submit this
t -r in 1<. ! t- completed form. Failure to do so nullifies the
}/ system warranty. E-mail or fax completed form
Csimp ',arm, gfrri i top# ri_Z.- ,t""` to the Uponor Fire Safety Design Department
(-_,:-.1:..i..-..: Z? :---r n c,•-Z. at technical,services@uponor.com or 952.997.1731.
S`�'' For questions,contact Uponor Technical Services at
----- 888.594.7726 or technicalservices@uponor.com.
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Test Witnessed and Verified by:
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Additional Explanations and Notes
Uponor,Inc. _. __ __
.I:,: - c';':'-: ... Web:www.uponor-usa.com