Appendix_J,_DA_Form_4005_-_Automatic_Sprinkler_&_Standpipe_Equipments_In....pdf

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Attached to
Fire Suppression IT&M Federal contract opportunity
Solicitation number
W911PT-18-Q-0046
Issued by
Department of the Army Materiel Command TACOM Life Cycle Management Command

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Appendix J

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172120002_(SOW).docx DOCX document
SCSL_15-4143_REV_9.pdf PDF
W911PT-18-Q-0046.pdf PDF

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Text version

AUTOMATIC SPRINKLER & STANDPIPE EQUIPMENTS INSPECTIONS & TESTS

For use of this form, see TM 5-695; the proponent agency in The Chief of Engineers.

REMARKS (Use reverse side if necessary)

B U

IL

D

IN

G

N O

S Y

S T

EM

N O

P.

I.

V

O T H

ER

M

A

IN

C O

N T R O

L V

A

LV

ES

A

LA

R M

C H

EC

K

V A

LV

ES

(P re ss ur e)

W A

T

ER

A

IR

PR

ES

S U

R E

V A

LV

E

N O

R M

A L

R

ES

ID

U

A L

LO

C

A L

C

EN

T R A

L

PR

ES

S U

R E

PRESSURE

QUICK OPEN-

ING DEVICE PRESSURE

H O

S E

H O

S E

V A

LV

ES

N O

Z Z

LE

S

FI

R E

D

EP

T

C O

N N

EC

T

IO

N S

C H

EC

K

V A

LV

ES

S

PR

IN

K

LE

R S

PI

PI

N G

H A

N G

ER

S

INSPECTOR

SHEET NO.

LOCATION

INSTALLATION

OUTSIDE

SOURCE

GRAVITY

TANKS

PRESSURE

LBS. / SQ. INCH

LEVEL

FEET

FIRE

PUMP

PERFORM-

ANCE

WATER SUPPLIES

DRY PIPE VALVES

MAIN DRAIN

VALVE

ALARMS STANDPIPES CONDITION

DATE

RESERVOIRS

(1) (2) (3) (4)

(5) (6) (7) (8)

(9) (10) (11) (12) (13)

DA FORM 4005, JAN 73 REPLACES DA FORM 5-119, 1 APR 47, WHICH WILL BE USED. USAPPC V1.00

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