Fire Hydrant/Fire Pump Flow Test Request Test Type(Required) Fire Hydrant Flow Test (FM16) Fire Pump Flow Test (FM12) Reason(Required) To determine water supply for fire protection system design Confirm fire flow rates for firefighting purposes Requested Test Date(Required) MM slash DD slash YYYY Requested Time Hours : Minutes AM PM AM/PM For hydrant flow test only. Facility/Business Name Address (closest address for hydrant flow test)(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Requesting Company Name(Required) Requesting Company Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Contact Name(Required) First Last Primary Contact Email(Required) Primary Contact Phone(Required)Additional information(Required) I understandA representative from the Fire Marshal's office is required to be present for all fire hydrant flow tests. The primary contact listed will receive a phone call or email to confirm the date and time requested. There is a fee to perform these tests. The fee is $125.00 for in-city tests and $160.00 for out-of-city tests that utilize city water. The fee is due prior to performing the test. A check payable to "The City of Salisbury" may be submitted to the office of the Fire Marshal at 325 Cypress Street. Or, for hydrant tests, a check may be submitted to the representative on site. To pay by credit card, after submitting this form, call the office of the Fire Marshal at 410-548-3120. Be sure to submit the results of all in-City fire pump flow tests to the Fire Marshal via The Compliance Engine.
