HomeMy WebLinkAbout2a. 679 Monterey St. Fire Service Inspection Report (ENCR-0050-2018)UNDERGROUND FIRE LINE INSPECTION RECORD
Business Name/Project City Job No. Permit No. rip-Cs�g
Address Cross St._ x.�i1 i rG
Contractor '
Phone Number`pp�}c
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Line Size_ IY Make/Model of Backflow device. C�
Serial Number S Meter Reading ,�I Installation Date_c�-
*Bypass meters are installed on Backflow Devices only when on -site fire hydrants are provided.
*Forward bypass meter information to Finance after installation
Installations shall be in accordance with NFPA 24 and 13 and the approved set of plans. Installations shall be
tested and inspected by the authority having jurisdiction. The installing company shall provide a Contractor's
Material and Test Certificate countersigned by the property owner or representative prior to final acceptance.
Approved plans are required to remain at job site at all times and shall be presented to the inspector upon
request.
SYSTEMS INSTALLED WITHOUT AN APPROVED SET OF PLANS WILL RESULT IN THE ISSUANCE OF A STOP WORK ORDER
AND POSSIBLE FINES.
TEST/INSPECTION PASS FAIL DATE
Backflow location per approved plans _
Conduit for Valve Tampers, Tracer Line
Depth of bury
Thrust Blocks Ix
Trench Compaction Test
Chlorine residual (more than 50 ppm/30 hours)
Line Flushed, 100MM @ 390 GPM, 150MM @ 880 GPM b[ +
Chlorine residual (less than 1 ppm)
Bacterial Test sampled (after 24 hours)
Bacteria Test DK
Bacteria Re -Test
Pressure Test 1.38MPa (200 psi) for 2 hours
Trench Paving and valve collar
Valve opened
Underground Test Certificate
Limits of pipe tested: Fromyh`k � ,,� to ; q Total length of pipe1!57r
Type of pipe installed:
Ale -
Final Acceptance By:
Comments:
Continued other side
Date:
2 1
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Original to File Copy to Fire Dept. Copy to E
Date:
Location Sketch T
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619 7 q 1"bA
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ng r ord drawings
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