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Dry Riser Hydraulic Test & Commissioning Certificate CLIENT DETAILS Client:

H&V Serviceplan Ltd

Address:

62-64 High Street Caterham Surrey CR3 5UB

SITE DETAILS Site:

c/o Durkan

Address:

Union Road - Block A Clapham London SW4 6JP

TESTING / COMMISSIONING DETAILS PASS OR FAIL:

PASS

ENGINEER:

M. Gerrard

DETAILS Pressure Test

Water

Number of Outlets Test Duration

Outlet Valves Check Inlet Box Check Air Release Valve Check Valve Seals Check Plugs / Caps Check Inlet / Outlet Signs Check

12

6

Top Floor Pressure (Bar)

10.6

15 Minutes

Location Within Building

Block A

P P P P P P P

Inlet Valve Check

Inlet Pressure (Bar)

Condition

Satisfactory

Condition

Satisfactory

Condition

Satisfactory

Condition

Satisfactory

Condition

Satisfactory

Condition

Satisfactory

Condition

Satisfactory

FLOW TEST DETAILS Flow

N/A

Litres per minute @ 8 bar

N/A

CONTRACTOR DETAILS Contractor:

Nationwide Dry Risers Ltd

Address:

74 Bottom O'th Moor Horwich Bolton BL6 6QF 01204 412598

Telephone No:

CERTIFICATE OF COMMISSIONING I/We being the competent person(s) responsible (as indicated by my/our signatures below) for the commissioning system, particulars of which are set out above certify the said work for which I/we have been responsible to the best of my/our knowledge and belief in line with BS9990:2015, except for the variations, if any, stated in this certificate.

For the commissioning of the system:

Name:

G. Kenyon

Signature:

Position:

Director

Date:

Registered in England & Wales Reg. No: 8173450 Email: [email protected] Web: www.nationwidedryrisers.co.uk

06/05/2015