TE-AA Fire Pump Test Checklist.xlsx

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Fire Protection Services
Solicitation number
W91151-22-R-0002
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TECHNICAL EXHIBIT AA

TECHNICAL EXHIBIT AA
FIRE PUMP TEST CHECKLIST
Location Inspected:
Street:Inspector's Name:
CityZip
Attn:Inspection Date:
PhoneFaxInspection ContractPageOf
ShaftManufacturerApprovedShop or Serial No.Model Number
HorizontalYes
Pump InformationVerticalNo
GPMRated Head/Ft.PSIRated RPMCity SupplySize Conn.Tank SupplyTank Height
Feet
ManufacturerApprovedShop or Serial No.Model NumberHorse PowerRated RPM
Yes
DriverNo
ElectricRated VoltsOper. VoltRated AmpsAmps @ 150PhaseCyclesServ. Factor
MotorPhaseHz.
ManufacturerApprovedStartPsiStopPsiJockey Pump
Yes
ControllerNoManualManualNO
Shop or Serial No.Model NumberPressure DropAutoOn
AutoOff
RevolutionsDischargeSuctionNetStreamsGPM%VoltageAmp. ReadingMain relief valve
Per/minutePressurePressureNo.SizePitot#Ph1Ph2Ph3Ph 1Ph2Ph3
RPMPsiPsiPsiVac.
RPMPsiPsiPsiVac.
RPMPsiPsiPsiVac.
55233482
5059
40

Additional Comments:

Signature of owner or owners representative Date

Duplicate to
Street
CityStateZip
Attn:

Fire Pump Performance Test Discharge Pressure Gallons Per Minute

Pressure

File details come from the government source that posted it. Updated .