HomeMy WebLinkAboutmaximum-system-flow-verification-form-ada 1131 Harbor Bay Parkway, Alameda, CA 94502 | Health.AlamedaCountyCA.gov/ACEHD | (510) 567-6700
Ronald Browder
Director
Maximum System Flow Verification Form
(Complete one form for each pump)
Facility Name: ________________________________Facility ID __________________SR#_____________
Address: ___________________________________________________________City___________________
Specify which body of water (pool, spa, men’s, women’s, etc.): _____________________________
Company _______________________Email ____________________________License#_______________
Name of person conducting test ________________________Phone #__________________________
Filter Type _________________Confirm filter is clean ☐ Clean pump baskets ☐ Clear Suction Drains ☐
100% flow from Main Drains (close skimmer/gutter valves) ☐ Close solar and heater valves ☐
Vacuum gauge, pressure gauge and flow meter installed properly ☐ (see figure 1)
Pump at maximum speed 3450 RPM ☐
Pump make, model and HP __________________________________________________________________.
If there is more than one pump, describe configuration:
Vacuum Reading on Pump __________inches Hg X 1.13 = ___________ TDH
Pressure Reading on Pump____________ PSI X 2.31 =_______________ TDH
Add the above or consult chart to determine Total TDH =____________
Correct for elevation: If pump is below or above the water level adjust the TDH by adding the elevation
difference if pump is higher or subtracting the elevation difference if pump is lower than the water level.
Pump _________Feet above water level. Pump ___________Feet Below water level.
Final/Adjusted TDH____________. Flow Meter Reading_________________.
Maximum system flow from pump curve __________________ GPM.
Print name _______________________Signature _______________________ Date ___________________
Submit this form with the Scope of Work if done prior to installation or with the AB1020 if done after
installation.
Office Only:
Field Verification date:
Inspector’s Name:
Notes:
Vacuum: ________Inch Hg X 1.13= ___________TDH
Pressure________ PSI X 2.31= ____________TDH
Total TDH ________Elevation difference___________FT
Final/Adjusted TDH _______________
Flow meter reading: ______________________GPM
1131 Harbor Bay Parkway, Alameda, CA 94502 | Health.AlamedaCountyCA.gov/ACEHD | (510) 567-6700
Figure 1
Table 1