Form Aes 2.3 - California Code Of Regulations - Title 19 Inspection, Testing, And Maintenance - Quarterly And Annual Report

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Dry Pipe
California Code of Regulations - Title 19
Quarterly and
1 of 3
Fire Sprinkler System
Inspection, Testing, and Maintenance
Annual Report
Property Information
Contractor or Licensed Owner Information
Building Name
Name
Address
Address
City
St.
Zip
License #
City
Phone
Contact Person
SFM
Job #
Phone
CSLB
Misc.
Riser Information
Main Drain Test (Annual)
Riser
Riser
Main Drain
Initial Static
Residual
Final Static
Location
P,F,N/A
No.
Diameter
Diameter
Pressure
Pressure
Pressure
Number of AES 2.9 forms attached:
This building has more than 5 risers. See additional AES 2.9 form attached
Quarterly Inspections
I = Inspection
T = Test
M = Maintenance
P = Pass
F = Fail
N/A = Not Applicable
Date
Date
Date
Date
NFPA 25 CA ed.
Item
Description
Reference
1.1
I
Control Valves – Identification Sign
13.3.1
1.2
I
Control Valves – Inspection
13.3.2
1.3
I
Waterflow Alarm Devices
5.2.5
1.4
I
Supervisory Devices
5.2.5
5.2.4.2, 5.2.4.3
Gauges (Dry Pipe Systems)
1.5
I
5.2.4.4
Pass = Normal Pressures
13.4.4.1.2
5.2.4.2, 5.2.4.3
1.6
I
5.2.4.4
psi
psi
psi
psi
Air Pressure
13.4.4.2.5.1
5.2.4.2
1.7
I
psi
psi
psi
psi
Water Supply Pressure
13.4.4.2.5.1
Hydraulic Design Information Sign
1.8
I
5.2.6
(for hydraulically designed systems)
General Information Sign
1.9
I
5.2.8
(not required for system prior to 2007 edition of NFPA 13)
1.10
I
Heat Tape
5.2.7
1.11
I
Spare Sprinklers
5.2.1.4
1.12
I
Fire Department Connections
13.7
1.13
I
Dry Pipe Valves – Exterior Inspection
13.4.4.1.4
1.14
I
Pressure Reducing Valves
13.5.1
1.15
Backflow Preventers
13.6.1
1.16
PRV – Fire Sprinkler Systems
13.5.1
Form AES 2.3
Sept. 3, 2013

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