PRIVATE HYDRANT

FLOW TEST/INSPECTION FORM

Contractor Info Test Hydrant Basic Info Date:       Time:      

Hydrant # : P      
_      P       New Installation FSYS            
Contractor Name Hydrant # Permit # Main Size

_                 

Address Address # Street

_                    

City State Zip Cross Street

_(   )            

Bonnet Color      

Phone # Hydrant Location on Property (select from options in Fig. A)
Fig. A
_(   )       Test Hydrant
Fax #
Property Line Left Center Right
Make:       Rear Rear Rear
_     
Left Center Right
Lic. # Year:       Center Center
Left Center Right
_      Coef:       Front Front Front
Property Owner/Tenant
Street of Address
Flow Hydrant Basic Info

N/A (If conducting a one hydrant test) Flow Hydrant

Hydrant # :       Address # :       Street:       Make:      

Year:      
Cross Street:      
Coef:      
Hydrant Location on Property:_     
(select from options in Fig. A)
Test Data

Static:       Flow GPM (Pitot) Calc:       GPM Color

> 1500 Light Blue
1000 1499 Green
Residual:       Test Hydrant GPM Calc:       500 999 Orange
< 500 Red
Pitot:       Bonnet Color:      
Inspection/Maintenance
Chk Conditions/Issues Chk Conditions/Issues
    Hydrant Accessible     Caps in place
    5’ Clearance     Gasket Seals in place
    Back Flow Preventer in place     Chains in place
    Freeze Protection in place     3” white stencil “P” and Hydrant #
    Isolation Valve in place and accessible     Barrel painted (red)
    Protective Collar in place     Bonnet painted (correct color code)
    El Paso Spec Threads on Steamer Connection     Barrel Drains Properly
    Outlet Couplings Solder Joints secure     Hydrant leaks
    Other     Hydrant Operative (If no, must notify F.M.O.)
Remarks
     
     
     
     
Inspector

                 

Signature Print Name Unit/ID #
e-mail to: Fire Marshal’s Office, FD-Hydrants@elpasotexas.gov Rev. 08/14