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45 TRADER WAY Building 30 Above Ground Sprinkler Test Certs PROCEDURE Contractor's Material and Test Certificate for Aboveground Piping Upon Completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative.All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives.Copies shall be prepared for approving authorities,owners,and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material,poor workmanship,or failure to comply with ap roving authority's requirements or local ordinances. Property name mm"aR r TRADERS WAY BUILDING 30 DatP - , Zg ZZ ted Property address Accepby approving authorities(names) SALEM FIRE DEPARTMENT Address SALEM, MA. � Installation conforms to accepted plans xJ Yes ]No Equipment used is approved Yes If no,explain deviations !^ 6 Has person in charge of fire equipment been instructed as EJ Yes No to location of control valves and care and maintenance of this new equipment? If no,explain i Instructions Have copies of the following been left on the premises? If No,Why 1. System components instructions L^__i Yes DNo 2. Care and maintenance instructions El Yes No 3. NFPA 25 El No Location Of BUILDING�. 30 � System d p`GT Ce rl" -5q�V" i Year of Orifice r Temperature Make Model size Quantity rating VIKING VK472 2021 1/2 308 155 Sprinklers VIKING VK3021 2021 1/2 73 155 VIKING VK484 2021 1/2 138 155 VIKING VK950 2021 1/2 130 200 VIKING VK682 2021 3/4 55u 200 Pipe& Type of pipe CPVC AND BLACK STEEL PIPE Fittings Type of fittings Alarm Maximum time to operate Valve Or Alarm device through test connection Flow Type Make Model Minutes Seconds Indicator FLOW SWITCH POTTER VSFR 38 p Dry valve Q.O.D. Make Model Serial no. Make Model Serial no. 1 I� Time to trip Time water Alarm through test Water Air Trip point reached operated Dry pipe connection pressure pressure air ressure C' operating Minutes Seconds si p test outlet properly p g p psi psi Minutes Seconds Yes No 4 test Without " Q.O.D. X With Q.O.D. If no,explain f Operation a i;1 E]Pneumatic DElectric E]Hydraulics Piping supervised r1 L_JYes [],NL_jDetecting media supervised []No J.-DYes Does valve operate from the manual trip,remote,or both Deluge& control stations? Yes ONo Preaction Is therean accessible facility in each circuit If no,explain Valves for testing? OYes EJNo circuit Operate——Does each i'circuit_ 7o�perate _Maximum time to Make Model supervision loss alarm? _—valve release? I _­--operate release Yes No Yes No T­ Minutes _T Seconds Location Make and Setting Static pressure Pressure Residual_pressure -Flow rate and floor Model (flowing ) ng) N/A N/A N/A —Inlet SI) Outlet(p Valve Test (psi) Outlet(psi) Inlet(psi) si Flow Hydrostatic: Hydrostatic tests shall be made at not less than 200 psi(13.6 bar)for 2 hours or_50psi(3A bar)above static pressure in excess of 150 psi(10.2 bar)for 2 hours. Differential dry-pipe valve clappers shall be left open during the test to prevent damage. Test All aboveground piping leakage shall be stopped. Description Pneumatic: Establish 40 psi(2.7 bar)air pressure and measure drop,which shall not exceed 1.5 psi(0.1 bar)in 24 hours.Test pressure tanks at normal water level and air pressure and measure air pressure drop,which shall not exceed 1.5 psi(0.1 bar)in 24 hrs. All piping hydrostatically te;t7d at 2(7'pisi bar)for 2 hours If no,state reason Dry piping pneumatically tested [:]No Equipment operates property Yes [:]No Do you certify as the sprinkler contractor that additives and corrosive chemicals,sodium silicate or derivatives of sodium silicate,brine,or other corrosive chemicals were not used for testing systems or stopping leaks? E]YesNo Dirain e-adin-g-o—f--gage-Id-c—ated near Wa—ter( esi 1 3 pressure Tests test supply test connection: psi connection open wide: psi bar) Underground mains and lead-in connections to system risers flushed before connection made to sprinkler piping Other Explain Verified by copy of the Contractor's Material and Test ElYes, Certificate for Underground Piping. ®No y Flushed by installer of underground sprinkler piping Existing undergound piping was previsoul =Yes ONo connected to sprinklers stem If powder-driven fasteners are used in concrete, �Yes E]No If no,explain has representative sample testing been d Existing concrete satisfactorily completed? I Blankt. Testing Nurrib---r e-d—'- Gaskets N/A e use Locations LAM" N removed Welding piping No Elyes LL�` If ves Do you certify as the sprinkler contractor that welding procedures comply II with the requirements of at least AWS B2/1? E]Yes [:]No Welding Do you certify that the welding was performed by welders qualified in EjYes No compliance with the requirements of at least AWS B2/1? Do you certify that the welding was carried out in compliance with a DlYes DNo documented quality control procedure to ensure that all discs are retrieved,that openings in piping are smooth,that slag and other welding residue are removed,and that the internal diameters of piping are not penetrated? cutouts Do you certify that you have a control feature to ensure that �Yes (discs) all cutouts(discs) you No Hydraulic Name plate provided If no,explain Data x, -Yes No Nameplate Date eft in service with all control_,21 valves open Name of sprinkler contractor New England Fire Systems, Inc Test Signatures For property owner(signed) Title Date Fo prink—ler con actors ' Title Date. ,�dditiunai explanations ot Meg ................. PROCEDURE Contractor's Material and Test Certificate for Aboveground Piping Upon Completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative.All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives.Copies shall be prepared for approving authorities,owners,and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material,poor workmanship,or failure to comply with approving authorit 's requirements or local ordinances. Property name TRADERS WAY BUILDING 30 Date 4-2S-Z� Property address Accepted by approving authorities(names)SALEM FIRE DEPARTMENT �= Address SALEM, MA. Installation conforms to accepted plans Yes No Equipment used is approved El x Yes i .� No If no,explain deviations -- Has person in charge of fire equipment been instructed as Yes 72 No P11 to location of control valves and care and maintenance ox of this new equipment? If no,explain Instructions Have copies of the following been left on the premises? If No,Why 1. System components instructions Yes No 7 2. Care and maintenance instructions z ., Yes L No 3. NFPA25 x� Yes No Location Of , s Stem BUILDING 30 Garage Dry Only Year of Orifice Temperature Make Model size Quantity rating VIKING VK472 2021 1/2 155 Sprinklers VIKING VK3021 2021 1/2 155 VIKING VK484 2021 1/2 155 VIKING VK950 2021 1/2 200 VIKING 069 2021 u Pipe& Type of pipe CPVC AND BLACK STEEL PIPE Fittings Type of fittings Alarm Maximum time to operate Valve Or Alarm device through test connection Flow Type Make Modeler Minutes Seconds Indicator FLOW SWITCH _ POTTER VSFR 38 _._ ... W__.._.., ... e... . Dry valve Q.O.D. - Make Model JMake Model Serial no. Serial no. Time to trip Time water Alarm through test Water Air ' Trip point reached operated ,. Dry pipe connection pressure pressure air pressure test outlet properly t' operating Minutes Seconds psi psi psi test Without p Minutes Seconds Yes No Q.O.D. With X Q.O.D. If no,explain Operation DPneumatic Electric OHydraulics Piping supervised DYes E]NO Detecting media supervised OYes E]No Does valve operate from the manual trip,remote,or both Deluge& control stations? Yes 0No Preaction Is there an accessible facility in each circuit -f no,explain Valves for testing? ~ Y e s F--]No des eac circuit operate Does each circuit operate maximum time to Make Model supervision loss alarm? valverelease? operate release Yes Yes No Minutes----rSeconds — Pressure Location Make and Setting Static pressure Residual pressure Flow rate Reducing and floor Model (flowing) Valve Test —------ Outlet(psi- Inlet(psi) N/A N/A NIA -Inlet(psi) Hydrostatic: Hydrostatic tests shall be made' t not less than 200 psi(13.6 bar)for 2 hours or 50 psi(3A bar-above Static pressure i excess of 150 psi(10.2 bar)for 2 hours.Differential dry-pipe valve clappers shall be left open during the test to prevent damage. Test All aboveground piping leakage shall be stopped. Description Pneumatic: Establish 40 psi(2.7 bar)air pressure and measure drop,which shall not exceed 1.5 psi(0.1 bar)in 24 hours.Test pressure tanks at normal water level and air pressure and measure air pressure drop,which shall not exceed 1.5 psi(0.1 bar)in 2L4hrs. All piping hydrostatically tested at 20 bar)for 2 hours --- state reason Dry piping pneumatically tested OxYes ®No Equipment operates properly [E]Yes [:DNo Do you certify as the sprinkler contractor that additives and corrosive chemicals,sodium silicate or derivatives of sodium silicate,brine,or other corrosive chemicals were not used for testing systems or stopping leaks? E]Yes EJNo Drain JlReadingoT§age located near water esidua test Tests test Isupply test connection: psi( bar) on open wide: — connection I Psi bar) Underground mains and lead-in connections to system risers flushed before connection made to sprinkler piping Other Explain Verified by copy of the Contractor's Material and Test ElYes No Certificate for Underground Piping. Flushed by installer of underground sprinkler piping =Yes ONo Existing undergound piping was previsouly connected to sprinklers stem If powder-driven fasteners are used in concrete, =Yes ONo If no,explain has representative sample testing been satisfactorily completed? Existing concrete 91M Testin�g Locations Gaskets N/A Number removed 0 0 Welding piping Eyes No If yes. . . Do you certify as the sprinkler contractor that welding procedures comply Yes No with the requirements of at least AWS 132/11? El Welding Do you certify that the welding was performed by welders qualified in compliance with the requirements of at least AWS 132/1? E]Yes No Do you certify that the welding was carried out in compliance with a documented quality control procedure to ensure that all discs are retrieved that E]Yes No openings in piping are smooth,that slag and other welding residue are I removed,and that the internal diameters of piping are not penetrated? Cutouts Do you certify that you have a control feature to ensure that (discs) all Do �(discs)are retrieved? 11 x Yes No Hydraulic I Nameplate provided It no,explain Data x iYesNo Nameplate Date left in service with all control valves open Remarks Name of sprinkler contractor New England Fire Systems,Inc Test witnessed by Signatures For property owner(signed) Title Date F prnklercon actors Title Date Additional explanations otes CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR ABOVEGROUND PIPING Standpipe System NFPA 14 PROCEDURE Upon completion of work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and the system left in service before the contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives.Copies shall be prepared for approving authorities,owners,and contractor. It is understood that the owner's representative's signature in no way prejudices any claim against the contractor for faulty material,poor workmanship,or failure to comply with the approving authority's requirements or local ordinances. Property name ip 1�1i�S.'+%J Q t►-W t t3(tl 'ZR Q Date A—2-8-Z, Property address 45 TRADERS WAY,SALEM,MA. Accepted by approving authorities(names) SALEM FIRE DEPARTMENT Address Plans SALEM,MA. Installation conforms to accepted plans? i Yes ❑No Equipment used is approved or listed? 0 Yes ❑No If no,explain deviations, ❑ Automatic dry ❑ Automatic wet ❑ Semiautomatic dry Type of ❑ Manual dry System ❑ Manual wet W Combination standpipe/sprinkler If other,explain. Fire pump data Water Supply Manufacturer N/A Model Data Used for Design and As r Ype; ❑ Electric ❑ Diesel ❑ Other(explain) Shown on Plans Rated,gpm Rated,psi p Shutoff,psi Water Supply iiiii Public waterworks system 1736 (gal) ❑Storage tank (gal ❑ Gravit tan Source Capacity, ) Y kV_(gal) ❑ Open reservoir (gat) Gallons ❑ Other(explain) If Public Static,psi 76 Residual,psi 73 Flow, 1736 Waterworks gpm System: Have Copies kll System components instructions G Care and maintenance of system Ii NFPA 25 of the Following Been Lefton W Copy of accepted plans ri Hydraulic data/calculations the Premises? Supplies Main waterflow shutoff location SPRINKLER RISER ROOM Building(s) Number of standpipe risers 2 Do all standpipe risers have base of riser shutoff valves? Q Yes ❑No Valve ❑ Locked open ❑ Sealed and tagged W Tamperproof switch ❑Other Supervision If other,explain. Pipe and Type of pipe BLACK STEEL PIPE Fittings Typeoffittings GROOVED END AND THREADED Hose Hose threads have been verfied for compliance with local fire department it Yes t3 No Threads Backflow Double check assembly Size 6" Make and model AMES C-200 Preventor ❑ Reduced-pressure device O 2015 National Fire Protection Association NFPA 14(p.1 of 3) I CONTROL VALVE DEVICE Type Size Make Model BUTTERFLY 6" VIKING Time to trip through remote hose valve Min Sec Water pressure Air pressure Time water reached remote hose valve outlet Min Sec Trip point air pressure psi Alarm operated properly? ❑Yes O No If no,explain. Time water reached remote hose valve outlet Min Sec Hydraulic activation ❑Yes Electric activation D Yes Pneumatic activation ❑Yes Make and model of activation device Each activation device tested? ®Yes ❑ No If no,explain. Each activation device operated properly? ❑Yes ❑ No If no,explain. PRESSURE-REGULATING DEVICE Nonflowing(psi) Flowing(psi) Location&Floor Model Inlet outlet Inlet Outlet gpm N/A All hose valves on system operated properly? W Yes ❑No If no,explain. ©2015 National Fire Protection Association NFPA 14(p.2 of 3) Hydrostatic: Hydrostatic tests shall be made at not less than 200 psi(13.6 bar)for 2 hours or 50 psi(3.4 bar)above static pressure in excess of 150 psi(10.2 bar)for 2 hours.Differential dry pipe valve clappers shall be left open during test to Test prevent damage.All aboveground piping leakage shall be stopped. Description Pneumatic: Establish 40 psi(2.7 bar)air pressure and measure drop,which shall not exceed 1'%psi(0.1 bar)in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop,which shall not exceed 1'/2 psi(0.1 bar)in 24 hours. Hydrostatic Test—Pressure at top of standpipe(s) STP# Pressure (psi)(-----_bar)STP# Pressure (psi)( bar) STP# Pressure (psi)( bar)STP# Pressure (psi)(—bar) STP# Pressure (psi)(—bar)STP# Pressure (psi)(_bar) All piping hydrostatically tested at psi( bar)for hrs If no,state reason. Dry piping pneumatically tested? ❑Yes ❑ No Equipment operates properly? ❑Yes ❑No Tests Do you certify as the standpipe contractor that additives and corrosive chemicals, sodium silicate,or derivatives of sodium silicate,brine,or other corrosive chemicals were not used for testing systems or stopping leaks? 9 Yes ❑ No Drain Reading of gauge located near water Residual pressure with valve in test test supply test connection 78 psi( bar) connection open wide 73 psi(_bar) Underground mains and lead-in connections to system risers flushed before connection made to standpipe piping. Verified by copy of the underground test form? ❑Yes ❑ No ❑ Other(explain) Flushed by installer of underground standpipe piping? ❑Yes ❑ No Rowwaterfrom the hydraulically most remote standpipe outtet(s). Flow Test Record: Static pressure:76 psi(_bar) Residual pressure:73 psi(_bar) Nozzle diameter:2.6 in.(_cm) Pitot pressure:1736 psi(_._bar) Total flow: gpm(,L/min) Blank Testing Number used o Locations NIA Number removed o Welded piping iiii Yes ❑ No If yes... Do you certify as the standpipe contractor that welding procedures comply with the requirements Q Yes ❑No of at least AWS D10.9,Level AR-3? Welding Do you certify that the welding was performed by welders qualified in compliance with the ❑Yes ❑No requirements of at least AWS D10,9,Level AR-3? Do you certify that welding was carried out in compliance with a documented quality control ❑Yes ❑No procedure to ensure that all discs are retrieved,that openings in piping are smooth,that slag and other welding residue are removed,and that the internal diameters of piping are not penetrated? Cutouts Do you certify that you have a control feature to ensure that all cutouts(discs)are retrieved? ii Yes ❑ No (Discs) Hydraulic Nameplate provided? ii Yes ❑ No ❑ If no,explain. Data Nameplate Remarks Date left in service with all control valves open: Name of Name of contractor NEW ENGLAND FIRE SYSTEMS Sprinkler/ Address 196 SOUTH MAPLE STREET BELLINGHAM MA Standpipe Contractor State license number(if applicable) sC-006008 System Property owner Title Date Operating Test Sprinkler/standpipe contractor Title PRESIDENT Date Witnessed by Approving authorities Title Date Additional Explanation and Notes 0 2015 National Fire Protection Association NFPA 14(p.3 of 3)