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1 <br /> BATMASTER BACKFLOW PREVENTION ASSEMBLY TEST REPORT <br /> (425)397.0275 <br /> WATER PURVEYOR Everett ACCOUNT# <br /> ASSEMBLY ID/FILE#/UTILITY DEVICE# Meter# <br /> NAME OF PREMISE Fluke Building Commercial ❑ Residential ❑ <br /> SERVICE ADDRESS 6920 Seaway Blvd. Everett ZIP 98203 <br /> CONTACT PERSON Dan Cronenwett PHONE (425) 348-1789 <br /> LOCATION OF ASSEMBLY VLT NXT TO HYDRNT SW CRNR OF INT OF MERRILL CRK PKWY/SEAWAY B <br /> DOWNSTREAM PROCESS Fire Sprinkler System DCVA ❑ RPBA ❑ PVBA ❑ OTHER DCDA <br /> NEW INSTALL l 1 EXISTING ❑ REPLACEMENT ❑ REMOVED ❑ OLD SER.# <br /> APPROVED ASSEMBLY? YES [l NO❑ PROPER INSTALLATION?YES [ ] NO ❑ <br /> MAKE OF ASSEMBLY Watts MODEL 774DCD SERIAL NO. 1003811416 SIZE 12" <br /> INITIAL DCVA/RPBA DCVA/RPB.4, RPBA 'VBA_,/SVGA <br /> CHECK VALVE NO.1. CHECK VALVE NO.2 AIR INLET <br /> TEST OPENED AT PSID <br /> CLOSED TIGHT ❑ CLOSED TIGHT ❑ OPENED AT PSID <br /> PASSED ❑ LEAKED 0 LEAKED ❑ #1 CHECK PSID <br /> FAILED 0 0 PSID PSID <br /> AIR GAP OK? DID NOT OPEN E] <br /> CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE <br /> NEW 0 ❑ DISC ❑ El ❑ El HELD AT PSID <br /> PARTS Lel Li 0-RING ❑ El 0 Li LEAKED L1 <br /> AND [i ❑ SEAT ❑ 0 El El <br /> El ❑ ❑ ❑ ❑ 0 CLEANED L] <br /> REPAIRS REPAIRED ❑ <br /> TEST AFTER CLOSED TIGHT 0 CLOSED TIGHT Cl RV EXERCISED ❑ MR INLET PSID <br /> REPAIRS LEAKED ❑ LEAKED ❑ OPENED AT <br /> PSID <br /> PASSED 0 <br /> FAILED Li2.4 PSID 2.8 PSID #1 CHECK PSID CHIC VALVE PSID <br /> AIR GAP INSPECTION: SUPPLY PIPE DIAMETER SEPARATION PASS❑ FAIL❑ <br /> DETECTOR METER READING <br /> LEFT SERVICE AS FOUND Isolation valve: Open [] Closed El SOV#1 Open ❑ Closed 0 SOV#2: Open El Closed [] <br /> REMARKS: <br /> LINE PRESSURE 94 PSI CONFINED SPACE? No <br /> TESTERS SIGNATURE: CERT.NO. B4594 DATE 6/30/2016 <br /> TESTERS NAME PRINTED Thomas C.Gamman TESTERS PHONE# (425)397-0275 <br /> REPAIRED BY: Thomas C. Gamman LIC NO. GAMMATC952L DATE 0640-2016 <br /> FINAL TEST BY: Thomas C. Gamman CERT. NO, B4594 DATE 06-30-2016 <br /> CALIBRATION DATE 10-29-2015 GAUGE# 01100930 MODEL Midwest 845 SERVICE RESTORED YES ❑ ►. <br /> . I certify that this report is accurate,and I have used WAC 246-290-490 approved test methods and test equipment. �.� <br />