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(/ <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 PRONE (425)348-1789 <br /> LOCATION OF ASSEMBLY FRONT LEFT CORNER OF BLDG IN VAULT <br /> DOWNSTREAM PROCESS Bypass-Fire Sprinkler System DCVA C? RPBA ❑ PVBA ❑ OTHER <br /> NEW INSTALL [� EXISTING Cl REPLACEMENT ❑ REMOVED ❑ OLD SER.# <br /> APPROVED ASSEMBLY? YES Ee NO❑ PROPER INSTALLATION?YES L7 NO ❑ <br /> MAKE OF ASSEMBLY Watts MODEL 0 7 2 T SERIAL NO. 21589 SIZE •75« <br /> INITIAL DCVA/RPBA KCVA/RPBA BM FVBA/SVB <br /> TEST CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET <br /> OPENED AT <br /> CLOSED TIGHT V CLOSED TIGHT 0 PSID <br /> OPENED AT PSID <br /> PASSED ❑Ei LEAKED ❑ LEAKED ❑ #1 CHECK PSID <br /> FAILED ❑ 2.6 PSID 2.8 PSID <br /> AIR GAP OK? DID NOT OPEN ❑ <br /> CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE <br /> NEW ❑ ❑ ❑ ❑ ❑ ❑ HELD AT PSID <br /> PARTS ❑ El ❑ ❑ ❑ ❑ LEAKED [I] <br /> AND ❑ C._] ❑ [I ❑ El <br /> ❑ ❑ ❑ ❑ Li L] CLEANED LI <br /> REPAIRS REPAIRED CI <br /> TEST AFTER CLOSED TIGHT ❑ CLOSED TIGHT ❑ RV EXERCISED ❑ AIR INLET PSID <br /> REPAIRS LEAKED ❑ LEAKED ❑ OPENED AT PSID <br /> PASSED ❑ <br /> FAILED ❑ PSID PSID #1 CHECK PSID CHK 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 ❑ SOV#1 Open ❑ Closed [ SOV#2: Open ❑ Closed j ] <br /> REMARKS: <br /> LINE PRESSURE 90 PSI CONFINED SPACE? YES <br /> TESTERS SIGNATURE: g CERT.Na B6362 DATE 9/2$12016 <br /> TESTERS NAME PRINTED Adam Aquino TESTERS PHONE# (425)397-0275 <br /> REPAIRED BY: LIC NO. DATE <br /> FINAL TEST BY: CERT. NO. DATE <br /> CALIBRATION DATE 02-24-2016 GAUGE# 03051796 MODEL 845 SERVICE RESTORED YES ❑ Lel <br /> I certify that this report is accurate,and I have used WAC 246-290-490 approved test methods and test equipment <br />