Title Page
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Business Name
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Location
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Date of Inspection
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Inspector
Plans / Drawings
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The approved plans / drawings are on-site or are available to the contractor.
Visual Inspection
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Located within 100’ of a fire hydrant and is visible and accessible from the fire lane.
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Piping, joints, and valves are uncovered.
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Size and type of piping match approved plans.
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Piping is manufactured in accordance with NFPA 24, Table 10.1.1.1 (Manufacturing Standards for Underground Pipe).
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Table 10.1.1.1 Manufacturing Standards for Underground Pipe
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Piping is rated for the maximum system working pressure to which the piping will be exposed (not rated less than 150 psi).
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Depth of piping is sufficient for protection from freeze and mechanical damage.
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Depth of Piping (minimum 30" from top of the pipe to final grade; minimum of 36" under driveways/roads; minimum of 4' below railroad tracks or under large piles of heavy commodities or subject to heavy shock and vibrations).
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Direction changes and thrust blocks or restrained joint systems match approved plans.
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Corrosion resistance, such as coating and wrapping, is installed where necessary.
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The tightness of bolted joints is verified by bolt torque or other methods approved by the manufacturer.
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All bolted joint accessories are cleaned and thoroughly coated with asphalt or other corrosion retarding material after installation.
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Where metal pipes of dissimilar metals are joined, they shall be insulated against the passage of an electric current using an approved method.
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Bedding and backfill material on-site match the approved plans, do not exceed 3/4" particle size, and contain no ashes, cinders, refuse, organic matter, or other corrosive materials.
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Backfill material is tamped in layers or in puddles under and around pipes to prevent settlement or lateral movement.
Hydrostatic Test
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Trench is backfilled between joints.
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The gauge is located at the lowest elevation or portion of the system being tested.
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Starting pressure is minimum of 200 psi or 50 psi in excess of the system working pressure, whichever is greater.
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Pressure pumps disconnected after initial pressurization.
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The test lasted a minimum of two (2) hours; resulting in less than five (5) psi of pressure loss.
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The pressure was relieved from the system and the gauge returned to zero (0) psi.
Line Flush
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Flow through a minimum of 4" hose or pipe.
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Hose or pipe is restrained prior to flowing water.
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Observe flush or swab until clear of all debris.
Final Acceptance
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12" x 12" x 4" concrete pad at the base of the FDC.
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4' all-weather pathway from fire lane to remote FDC.
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Signage that indicates which area, building, or address is served by the remote FDC.
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The center of all hose outlets are located between 18 and 48 inches above final grade.
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2-1/2" Siamese or 5" Storz connection provided.
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Locking Knox Caps installed.
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Check valve and ball drip installed at appropriate location.
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Physical impact protection provided where appropriate.
Documentation
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Contractor's material and test certificate(s) are received.
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https://www.tdi.texas.gov/forms/sfmfireindustry/sf042sprundergd.pdf
Inspection Status
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Inspection Status
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Next Inspection
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Owner / Representative
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Phone #
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Email Address