Fire Hydrant Flow Test rr
FORTITUDE
FIRE PROTECTION
2430 University Blvd., West * Jacksonville, FL 32217 * 904-733-9008
www.fortitudefire.com
FIRE HYDRANT FLOW TEST
Owner: Owner Phone Number:
Owner Address:
Property Being Evaluated: Otter Run Apts
Property Address 1025 Assisi Ln Atlantic Beach 32233
Date of Work: 12/8/2020
All responses refer to the current work (inspection, testing and maintenance) performed on this date.
This work is (check one): 0 Annual 11 Fifth Year 0 Existing ❑Repaired ❑ New Device
Part‘-‘1 — Kassidy 12/8/2020Owner or owner
Owner or Owner Representative Grgsi/ ted Name Date ❑ Rep. Not Onsite
Part II — Inspector's Section
1. Location of Hydrant: Island at entrance
2. Make / Model of Hydrant: Waterous
3. Size of Hydrant: 4 1/2
4. Color of Hydrant: Red
5. Is Hydrant housing accessible? 0 Yes No ❑ N/A
6. Housing free of external damage? 0 Yes ❑ No ❑ N/A
7. Is the operating wrench available? ki Yes ❑ No El N/A
8. Does associated piping appear to be free of leaks? 0 Yes ❑No ❑ N/A
9. Do all the control valve(s) appear to be open? 0 Yes ❑ No ❑ N/A
10. Is isolation valve accessible? 0 Yes No ❑ N/A
11. Free of leaks (external)? 0 Yes ❑ No [ N/A
12. Operating nut is in good condition? 0 Yes ❑ No ❑ N/A
13. Threads of nozzles / caps in good condition? e Yes U No ❑ N/A
14. Gaskets on caps in good condition? 0 Yes ❑ No ❑ N/A
15. Is Hydrant in normal open / closed position? 0 Yes ❑ No ❑ N/A
16. Does operating nut appear to work thru full range? 0 Yes No ❑ N/A
17. Water flowed for 60 seconds or until clear? 0 Yes ❑ No ❑ N/A
18. Free from foreign material in barrel? 0 Yes ❑ No ❑ N/A
19. Does Hydrant drain in 60 minutes or less? 0 Yes ❑ No ❑ N/A
20. Hydrants requiring pumping identified? Yes No 0 N/A
21. Threads / caps / stems / plugs lubricated? Q Yes No N/A
22. Has a 5-year flow test been performed per NFPA 25? 0 Yes No El N/A
Part II — Comments(any"NO"answers,test failures or other problems found with the hydrant inspection must be explained here. Also,note here any products
noticed on the system that have been the subject to a recall or replacement program)
** See Diagram **
Part III — Recommendations (Not a part of the NFPA-25 inspection,the following items may need to be reviewed by a fire protection engineer)
Part IV— Inspectors Information
I state that the information on this form is correct at the time and place of my inspection and that all equipment tested at this time was left in operation conditional upon
completion of this inspection except as noted in part III above.
Date:
12/8/2020
Printed Name of Inspector: TJ Racer
Signature of Inspector:
License or Certificate Number (if applicable): FPI 18-000295
Color of Tag Placed on System: Red 0 Green El Yellow
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FORTITUDE
FIRE PROTECTION -.
2430 University Blvd., West * Jacksonville, FL 32217 * 904-733-9008
www.fortitudefire.com
FIRE HYDRANT FLOW TEST
Owner: Owner Phone Number
Owner Address:
Property Being Evaluated: Otter Run Apts
Property Address: 1025 Assisi Ln Atlantic Beach 32233
Date of Work: 12/8/2020
All responses refer to the current work (inspection, testing and maintenance) performed on this date.
This work is (check one): EAnnual ❑ Fifth Year Existing ❑Repaired ❑ New Device
Part I — C147111141i4. Kassidy Grove 12/8/2020Owner or Owner
Owner or Owner Representative Printed Name Date ❑ Rep.Not Onsite
Part II — Inspector's Section
1. Location of Hydrant Island front of building 12
2. Make / Model of Hydrant: Waterous
3. Size of Hydrant: 4 1/2
4. Color of Hydrant: Red
5. Is Hydrant housing accessible? 0 Yes ❑ No ❑ N/A
6. Housing free of external damage? 0 Yes ❑ No ❑ N/A
7. Is the operating wrench available? 0 Yes ❑ No ❑ N/A
8. Does associated piping appear to be free of leaks? 0 Yes ❑No ❑ N/A
9. Do all the control valve(s) appear to be open? 0 Yes ❑ No ❑ N/A
10. Is isolation valve accessible? 0 Yes ❑ No ❑ N/A
11. Free of leaks (external)? 0 Yes 9 No ❑ N/A
12. Operating nut is in good condition? 0 Yes 9 No 9 N/A
13. Threads of nozzles / caps in good condition? 0 Yes ❑ No 9 N/A
14. Gaskets on caps in good condition? 0 Yes 9 No 9 N/A
15. Is Hydrant in normal open / closed position? 0 Yes 9 No ❑ N/A
16. Does operating nut appear to work thru full range? 0 Yes 9 No ❑ N/A
17. Water flowed for 60 seconds or until clear? 0 Yes 9 No ❑ N/A
18. Free from foreign material in barrel? Yes 9 No ❑ N/A
19. Does Hydrant drain in 60 minutes or less? 0 Yes 9 No ❑ N/A
20. Hydrants requiring pumping identified? 0 Yes 0 No 0 N/A
21. Threads / caps / stems / plugs lubricated? ✓E Yes No N/A
22. Has a 5-year flow test been performed per NFPA 25? 0 Yes No D N/A
Part II — Comments(any"NO"answers,test failures or other problems found with the hydrant inspection must be explained here. Also,note here any products
noticed on the system that have been the subject to a recall or replacement program)
** See Diagram **
Part III — Recommendations (Not a part of the NFPA-25 inspection,the following items may need to be reviewed by a fire protection engineer)
Part IV— Inspectors Information
I state that the information on this form is correct at the time and place of my inspection and that all equipment tested at this time was left in operation conditional upon
completion of this inspection except as noted in part Ill above.
Date:
12/8/2020
Printed Name of Inspector: TJ Racer
Signature of Inspector:
License or Certificate Number (if applicable): FPI 18-000295
Color of Tag Placed on System: 0 Red 0 Green [ Yellow
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FORTITUDE
- FIRE PROTECTION —®
2430 University Blvd., West * Jacksonville, FL 32217 * 904-733-9008
www.fortitudefire.corn
FIRE HYDRANT FLOW TEST
Owner: Owner Phone Number:
Owner Address:
Property Being Evaluated: Otter Run Apts
Property address: 1025 Assisi Ln Atlantic Beach 32233
Date of Work: 12/8/2020
All responses refer to the current work (inspection, testing and maintenance) performed on this date.
This work is (check one): E Annual ❑ Fifth Year E Existing Repaired ❑ New Device
Part I - Kassidy 12/8/2020
Owner or Owner
Owner or Owner Representative GTOY ed Name Date ❑ Rep. Not Onsite
Part II — Inspector's Section
1. Location of Hydrant: Building 4
2. Make / Model of Hydrant: Waterous
3. Size of Hydrant: 4 1/2
4. Color of Hydrant: Red
5. Is Hydrant housing accessible? 0 Yes ❑ No ❑ N/A
6. Housing free of external damage? 0 Yes No ❑ N/A
7. Is the operating wrench available? 0 Yes ❑ No ❑ N/A
8. Does associated piping appear to be free of leaks? 0 Yes ❑No ❑ N/A
9. Do all the control valve(s) appear to be open? 0 Yes No ❑ N/A
10. Is isolation valve accessible? 0 Yes ❑ No ❑ N/A
11. Free of leaks (external)? 0 Yes ❑ No ❑ N/A
12. Operating nut is in good condition? 0 Yes ❑ No ❑ N/A
13. Threads of nozzles / caps in good condition? 0 Yes ❑ No ❑ N/A
14. Gaskets on caps in good condition? 0 Yes ❑ No ❑ N/A
15. Is Hydrant in normal open / closed position? 0 Yes ❑ No ❑ N/A
16. Does operating nut appear to work thru full range? 0 Yes ❑ No ❑ N/A
17. Water flowed for 60 seconds or until clear? 0 Yes ❑ No ❑ N/A
18. Free from foreign material in barrel? 0 Yes ❑ No ❑ N/A
19. Does Hydrant drain in 60 minutes or less? 0 Yes 0 No ❑ N/A
20. Hydrants requiring pumping identified? ❑ Yes ❑ No 0 N/A
21. Threads / caps / stems / plugs lubricated? ✓❑ Yes ❑ No 11 N/A
22. Has a 5-year flow test been performed per NFPA 25? 0 Yes 0 No 0 N/A
Part II — Comments(any"NO"answers,test failures or other problems found with the hydrant inspection must be explained here. Also,note here any products
noticed on the system that have been the subject to a recall or replacement program)
** See Diagram **
Part III — Recommendations (Not a part of the NFPA-25 inspection,the following items may need to be reviewed by a fire protection engineer)
Part IV— Inspectors Information
I state that the information on this form is correct at the time and place of my inspection and that all equipment tested at this time was left in operation conditional upon
completion of this inspection except as noted in part Ill above.
Date: 12/8/202
0
Printed Name of Inspector: TJ Racer
Signature of Inspector:
License or Certificate Number (if applicable): FPI 18-000295
Color of Tag Placed on System: ❑ Red 0 Green ❑ Yellow
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FORTITUDE
- FIRE PROTECTION -A•
2430 University Blvd., West * Jacksonville, FL 32217 * 904-733-9008
www.fortitudefire.com
FIRE HYDRANT FLOW TEST
Owner: Owner Phone Number:
Owner Address:
Property Being Evaluated: Otter Run Apts
Property Address: 1025 Assisi Ln Atlantic Beach 32233
Date of Work: 12/8/2020
All responses refer to the current work (inspection, testing and maintenance) performed on this date.
This work is (check one): 0 Annual ❑ Fifth Year 0 Existing ❑ Repaired ❑ New Device
Part I — cOtgl Kassidy 12/8/2020Owner or Owner
Owner or Owner Representative G raNeed Name Date ❑ Rep.Not Onsite
Part II — Inspector's Section
1. Location of Hydrant: Between building 9&10
2. Make / Model of Hydrant: Waterous
3. Size of Hydrant: 4 1/2
4. Color of Hydrant: Red
5. Is Hydrant housing accessible? 0 Yes ❑ No ❑ N/A
6. Housing free of external damage? 0 Yes ❑ No ❑ N/A
7. Is the operating wrench available? 0 Yes ❑ No ❑ N/A
8. Does associated piping appear to be free of leaks? 0 Yes ❑No ❑ N/A
9. Do all the control valve(s) appear to be open? 0 Yes ❑ No ❑ N/A
10. Is isolation valve accessible? 0 Yes ❑ No ❑ N/A
11. Free of leaks (external)? 0 Yes ❑ No ❑ N/A
12. Operating nut is in good condition? 0 Yes ❑ No ❑ N/A
13. Threads of nozzles / caps in good condition? 0 Yes 0 No 0 N/A
14. Gaskets on caps in good condition? 0 Yes ❑ No ❑ N/A
15. Is Hydrant in normal open / closed position? 0 Yes ❑ No ❑ N/A
16. Does operating nut appear to work thru full range? 0 Yes ❑ No ❑ N/A
17. Water flowed for 60 seconds or until clear? 0 Yes ❑ No ❑ N/A
18. Free from foreign material in barrel? 0 Yes ❑ No ❑ N/A
19. Does Hydrant drain in 60 minutes or less? 0 Yes 0 No ❑ N/A
20. Hydrants requiring pumping identified? El Yes Ei No 0 N/A
21. Threads / caps / stems / plugs lubricated? Q✓ Yes 0 No 0 N/A
22. Has a 5-year flow test been performed per NFPA 25? 0 Yes 0 No 0 N/A
Part II — Comments(any"NO"answers,test failures or other problems found with the hydrant inspection must be explained here. Also,note here any products
noticed on the system that have been the subject to a recall or replacement program)
** See Diagram **
Part III — Recommendations (Not a part of the NFPA-25 inspection,the following items may need to be reviewed by a fire protection engineer)
Part IV— Inspectors Information
I state that the information on this form is correct at the time and place of my inspection and that all equipment tested at this time was left in operation conditional upon
completion of this inspection except as noted in part Ill above.
Date: 12/8/2020
Printed Name of Inspector: TJ Racer
Signature of Inspector:
License or Certificate Number (if applicable): FPI 18-000295
Color of Tag Placed on System: 0 Red 0 Green 0 Yellow
11111 11111111