Attachment_C_Sprinkler_System_test_form.docx

DOCX document 33 KB Posted

Attached to
Fire Suppression, Fire Alarm, Fire Sprinkler Systems Inspection, Testing & Maintenance, JBLM, WA
Solicitation number
W911S8-16-R-0006
Issued by

About this file

Attachment C Sprinkler System Inspection Form

View the file

Other files

File Type Posted
W911S8-16-R-0006_0004_Fire_Suppression.pdf PDF
W911S8-16-R-0006-0004.pdf PDF
Attachment_E_PWS_W911S8-16-R-0006__Fire_Supp_6_March_2017.docx DOCX document
Amendment_3_-_W911S8-16-R-0006_Fire_Kitchen_Suppression_ITM_3-7-17.pdf PDF
TE_3_-_Revised_3-6-17.xlsx XLSX spreadsheet
Amended_QA_W911S8-16-R-0002_JBLM_Fire_Suppression_6_Mar_2017.docx DOCX document
QA_W911S8-16-R-0002_JBLM_Fire_Suppression_3_March_2017.pdf PDF
W911S8-16-R-0006-0002.pdf PDF
Pre-proposal_Conf_Slides_W911S8-16-R-0006_JBLM_Fire_Suppr_(7Feb2017).pptx PPTX presentation
Site_Visit_Attendee_List_2-7-17.pdf PDF
16-R-0006-0001.pdf PDF
TE_3_-_Revised_1-31-17.xlsx XLSX spreadsheet
Attachment_A_Fire_Alarm_Inspection_&_Testing_form.docx DOCX document
Attachment_E_PWS_W911S8-16-R-0006__Fire_Supp.docx DOCX document
Attachment_B_Kitchen_hood_suppression_form.doc DOC document
Attachment_D__Fire_Pump_test_form.docx DOCX document
Technical_Exhibit_3_Contractor_Proposal_Data_Matrix.xlsx XLSX spreadsheet
Technical_Exhibit_1_Facilities_List.xlsx XLSX spreadsheet
Attachment_F_WD_15-5539_Rev_2_-_Pierce_County_1-23-17.docx DOCX document
Attachment_A2_Fire_Alarm_continuation_form.docx DOCX document
Exhibit_1_Daily_Inspection_Report.docx DOCX document
W911S8-16-R-0006_JBLM_Fire_Suppression_ITM.pdf PDF
Attachment_G_WD_15-2569_Yakima_County_-_1-23-17.docx DOCX document
Technical_Exhibit_2_Fire_Systems_Building_Devices.xlsx XLSX spreadsheet
Show all 24

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

SYSTEM #

WET FIRE SPRINKLER SYSTEM

UFC INSPECTION AND TESTING REPORT

Date
Building Name
Time
Address
Inspector
City, State, Zip
Contact
Phone

Monitoring Entity

Company

Phone

Account

Authority Having Jurisdiction

Name
Phone

Service: |_| 2YR |_| 5YR |_| 10YR |_| 20YR |_| 50YR

Yes
No
N/A
2 YEAR, Control Valves, operate valve through entire travel to verify function.
|_|
|_|
|_|
2 YEAR, Control Valves, lubricate valves and stems to ensure operability.
|_|
|_|
|_|
5 YEAR, Alarm Valve, clean and inspect internally to verify condition.
|_|
|_|
|_|
5 YEAR, Anti-Freeze Loops, confirm correct solution mixture.
|_|
|_|
|_|
10 YEAR, Gauges, recalibrate or replace gauges.
|_|
|_|
|_|
20 YEAR, Fast Response Sprinklers and Extra High Temp Sprinkler, test a sample to verify response characteristics
|_|
|_|
|_|
50 YEAR, Standard Sprinkler, replace or test a sample to verify response characteristics.
|_|
|_|
|_|
System riser location
Size
Make
Model
Waterflow test results
Main Drain Size
Static
Residual
Restore
Antifreeze system solution test results?
Degrees

Problems Found:

Corrections Made:

Comments:

This Testing Was Performed In Accordance With Applicable Standards

Inspector

Certificate

Date
Time

Inspector Signature

Site Representative
Date
Time

Signature

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