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Home My WebLink About264 Evergreen Way - Life Safety System T May 02 12 02:49p Tri-City Fire Protection 8608723473 p,1 TRI-CITY FIRE PROTECTION, LLC 67 MEADOWOOD RD TOLLAND, CT. 06084 F-A-X C-O-V-E-R L-E-T-T-F R Date: 5/2/12 Time: 2:00 P.M. Number Of Pages Including Cover Sheet: 3 To: WALTER SUMMERS-FIRE MARSHAL-SOUTH WINDSOR Fax Number: (860) 644-7280 From: David J.Fusco Message: ENCLOSED,PLEASE FIND 200LB TEST REPORT FOR SEPHORA AT EVERGREEN WALK. THANK YOU DAVID FUSCO—860-836-8194/CELL 860-872-3473/OFFICE/FAX 860-870-5183 P.M./EMERGENCY 860-871-4983 If There Are Any Problems With This Transmission,Please Call Sender At 860- 836-8194—Cell 860-872-3473-Office. Thank You, Tri-City Fire Protection,LLC F1-40324 May 02 12 02:49p Tri-City Fire Protection 8608723473 p,3 ydrostatic:Hydrostatic tests shall be made at not less than 200 psi(13.6 bar)above static pressure in excess of 50 psi(10.2 bar)for 2 hours.Differential dry-pipe valve clappers shall be left open during the test to prevent amage.All aboveground piping leakage shall be stopped. [de7sc:riptionneumatic.Establish 40 psi(2.7 bar)air pressure and measure drop,which shall not exceed 1'h psi (0.1 bar)i 4 hours.Test pressure tanks at normal water level and air pressure and measure air pressure drop,which shall not exceed 1Y:psi(0.1 bar)in 24 hours. All piping hydrostatically tested at 200 psi 1�bar)for 2 hours If no;state reason Dry piping pneumatically tested N/A Yes No Equipment operates properly Yes X 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? Yes X No Tests Reading of gauge located near water supply test Residual pressure with valve in test Drain test connection:_psi bar) N/A connection open wide:_psi C_ bar) Underground mains and lead in connections to system risers flushed before Other,explain connection made to sprinkler piping N/A Verified by the copy of the U Form No.85B Yes No Flushed by installer of underground sprinkler piping Yes No If powder driven fasteners are used In concrete,has representative sample testing If no,explain been satisfactorily completed? Yes X No Blank testing Number used N/A Locations N/A Number removed NIA gaskets Welding piping Yes No X If yes... Do you certify as the sprinkler contractofthat welding procedures comply with the Yes No requirements of at least AWS 82.17 Do you certify that the welding was performed by welders qualified in compliance with Welding the requirements of at least AWS B2.1? Yes No Do you certify that the welding was carried out in compliance with a documented quality control procedure to ensure that aft discs are retrieved,that openings in piping Yes No 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 Yes X No (discs) retrieved? Hydraulic Nameplate provided If no,explain data Yes X No nameplate Remarks Date left in service with all control valves open: Name of sprinkler contractor TRI-CITY FIRE PROTECTION, LLC Tests witnessed by For property owner(signed) Title Date Signatures For sprinkler contractor(signed) Title Date MEMBER 5/1/2012 dditional explanations and notes: May 02 12 02:49p Tri-City Fire Protection 8608723473 p2 Contractor's Material and Test Certificate for Aboveground Piping TRI-CITY FIRE PROTECTION, LLG F4-40324 860-836-8194 Upon completeion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owners representative.All defects shall be correcledand system left in service before contractors personnel finatly 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 owners representative's signature in no way prejudices any claim against contractor for faulty material,poor workmanship,or failure to comply with approving authority's requirements or local ordinances. Property name:SEPHORA-EVERGREEN WALK DATE:5/1/2012 Property address:601 EVERGREEN WAY,SOUTH WINDSOR,CT.05074 Accepted by approving authorities(names):TOWN OF SOUTH WINDSOR-FIRE MARSHAL'S OFFICE Address: 1540 SULUVAN AVE,SOUTH WINDSOR,CT 06074 Plans Installation conforms to accepted plans Yes X No Equipment used is approved If no,explain deviations Yes X No Has person in charge of fire equipment been instructed as to location of control Yes X No valves and cane and maintenance of this new equipment? If no,explain? instructions Have copies of the following been left on the premises? Yes X No 1.System components Instructions Yes X No 2.Care and maintenance instructions Yes X No 3. NFPA 25 Yes X No Location of Supplies buildings SEPHORA system Make Model Yr.of manufacture Orifice size Quantity Temp.rating VICTAULIC concealed 1650 2010 '/", 5.6 1550 Sprinklers Pipe and Type of pipe BLACK STEEL fittings Type of fittings CAST IRON Maximum time to operate through test Alarm valve Alarm device connection or flow Type Make Model Minutes Seconds indicator Dry valve Q.O.D. Make Model Serial no. Make Serial no. Dry pipe operating Time totnp ed test through test Water-Pressure Air pressure Trip pressure e air Time water reach@d test outlet Alarm opera! properly connection Without Q.O.D. min. sea With Q.O.D. mn. sea If no,explain