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FIRE FFTY SY TEMS
AQUASA ETM FLOW 'LEST
VE FICATIOR
quaSAFE Flow Nest Verification
Company f3arw; lho U#ww �+ t
contact: ' c stud"" :
Fax Qkw of test orifice used:
P � wafer sr y first#
home or at shutoff:
t twurtte
Residual pr sure(flow `q at w"ter
City: supply into hone or at main
what of ywas the flow f taken?
For not ptxivieled by Uponor,mmkte the Sow test method used? ei U Flow fir'
favowhv i "wrmn.
R a Name: Sow test qw
How Quarry gallons of rter did re 4eshppredid
Cornwr ;.� �' as requ
Did the test meet or exceed d n aow? *<les No
1=ax: Mkh sprinider did yarn flow? rnber:
Is the wwarning sit permanea dy a close to the Location of hexad:
naln shutoff valve? U Yest3ate left in t rvice+ aft open: > - � )
Was this s erif mquired bycode?;eYee's NO
Tett tna 1 wE Yamw Ery;.
(l n e
AMM"SqWWWS a W Notes
d
L"W.;bm Tel,1 .321 V39
SWS 144 Street Mel fax 952.997.1781
Apple Vim+,MN 55124 USA Vik11