REQUEST FOR MECHANICAL TEST F - ABCD - 43FLBLDG - 38b

TYPE YOUR PROJECT NAME

PROJECT : DATE :
CONTRACTOR : RPST NO. :
CONTRACT TITLE : _____________________________ SEQ. NO. :

I. AREA TO BE TESTED (Please see Attached Plan )

Floor Level :
Grid Line :
II. SYSTEM (Please Check )
Sanitary Sewer Line Cold Water Distribution Line Ductworks
Sanitary Vent Line Hot Water Distribution Line LPG Line
Storm Drainage Line Condenser Pipe Fuel Line
Fire Protection Chilled Water Pipe Others (Specify)

III. FORM OF TESTING

Gravity Light Test Others (Specify )
Hydropneumatic Blower Test
Smoke Sound Test
IV. TESTING CRITERIA
Liquid Level __________ Velocity __________ Others (Specify )
Pressure __________ Capacity __________
Visual __________ Sound Level _________
V. TIME DURATION HRS.
VI. TESTING EQUIPMENT

VII. READING
INITIAL READING TIME
FINAL READING TIME
VIII. REMARKS

PLUMBING CONTRACTOR: QC :

REQUESTED BY : (Print Name) _____________________________ INSPECTED BY : (Print Name) _________________________

SIGNATURE : _______________ POSITION : ___________________ SIGNATURE : _______________ POSITION : ___________________

ACCEPTED REJECTED

OPERATIONS: OWNER / OWNER'S REPRESENTATIVE :

REQUESTED BY : (Print Name) _____________________________

SIGNATURE : _______________ POSITION :

ACCEPTED REJECTED

APRPOVED BY : NOTED BY :

BY : (Print Name)
VP-CONSTRUCTION OPERATIONS

Note : This From shall be submitted 24 hrs. before inspection and accompanied with Shop Drawings.

August 27,2019
Rev. 0