Specifications - State of Delaware

SECTION 232114 - OUTDOOR GEOTHERMAL PIPING: continued
FORM 1
GROUND HEAT EXCHANGER (GHX) INSPECTION AND TEST REPORT
NOTE: Use separate form for each GHX loop system.
Building: ______________________________ Inspection Date: ______________________________
Ground Heat Exchanger No. or Description: ________________________________________________
Does the ground heat exchanger have a Well Construction Permit?
Does the ground heat exchanger have an approved well permit?
Permit No.?
Permit No.?
List the WSHP Unit No.'s served by this GHX: ______________________________________________
Ground Heat Exchanger Design Water Flow - _______ gpm
Calculated purging flow and press to achieve 2 feet/sec
Purging: Flow_______ gpm Head ______ psi Duration of test ______ min.
Hydrostatic test pressure ______ psi
Duration ________ min.
Did the system pass the pressure test? ___________
Is antifreeze required in system? _________ If yes, was antifreeze measured? __________
Has a dimensioned drawing been prepared, completely and accurately showing the layout of the ground
heat exchanger? ___________
Does the layout differ substantially from the contract documents? __________
If so is the deviation approved? ___________
Depth of installed vertical loops is _________ feet. (Design is ________ feet.)
Depth of horizontal piping is _____________ feet. (Design is ________ feet.)
Are the trenches clear of sharp bends, rocks, or other sharp objects that could restrict flow? ___________
Are all joints heat fused (butt-, socket-, or saddle-fusion)? ___________
Do the joints have the proper amount of roll-out? __________________
Has the piping material been cut-out and properly removed from saddle-fusion tees? ________________
Grout Manufacturer? ____________________________ Percent of solids used in grout? ____________
DEAN232114.DOC 232114-11