6920 SEAWAY BLVD 2019-09-24 - Laserfiche WebLink

Y � BATMASTER BACKFLOW PREVENTION ASSEMBLY TEST REPORT ' (425)397-0275 WATER PURVEYOR Everett ACCOUNT# ASSEMBLY ID/FILE#/UTILITY DEVICE# Meter# NAME OF PREMISE Fluke Building Commercial ❑ Residential ❑ SERVICE ADDRESS 6920 Seaway Blvd. Everett ZIP 98203 CONTACT PERSON Dan Cronenwett PHONE (425) 348-1789 LOCATION OF ASSEMBLY FRONT LEFT CORNER OF BLDG IN VAULT DOWNSTREAM PROCESS Fire Sprinkler System DCVA ❑ RPBA ❑ PVBA ❑ OTHER DCDA NEW INSTALL O EXISTING ❑ REPLACEMENT ❑ REMOVED ❑ OLD SER.# APPROVED ASSEMBLY? YES Eli NO❑ PROPER INSTALLATION?YES [] NO ❑ MAKE OF ASSEMBLY Watts MODEL 774DCDA SERIAL NO. 1003730416 SIZE 12" INITIAL DCVA/RPBA PCVA/RPBA BMA F.321/3331/1 CHECK VALVE NO.I, CHECK VALVE NO.2 AIR INLET TEST OPENED AT ASID CLOSED TIGHT E CLOSED TIGHT LI OPENED AT PSID PASSED LEAKED ii LEAKED ❑ #1 CHECK PSID FAILED ❑ 2.8 pSID 2.8 PSID AIR GAP OK? DID NOT OPEN ❑ CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW ❑ ❑ ❑ ❑ ❑ Cl HELD AT PSID PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED [] AND ❑ E7 C7 E7 ❑ ❑ ❑ ❑ ❑ ❑ Li CLEANED ❑ REPAIRS REPAIRED ❑ TEST AFTER CLOSED TIGHT ❑ CLOSED TIGHT ❑ RV EXERCISED ❑ AIR INLET PSID REPAIRS LEAKED ❑ LEAKED ❑ OPENED AT PSID PASSED ❑ FAILED ❑ PSID PSID #1 CHECK PSID CHIC VALVE PSID AIR GAP INSPECTION: SUPPLY PIPE DIAMETER SEPARATION PASS ri FAIL 0 DETECTOR METER READING LEFT SERVICE AS FOUND Isolation valve: Open [.i] Closed ❑ SOV#1 Open [1 Closed [] SOV#2: Open ❑ Closed [] REMARKS: LINE PRESSURE 90 PSI CONFINED SPACE? YES TESTERS SIGNATURE: 64L--- 4 CERT.NO. B6362 DATE 9/28/2016 TESTERS NAME PRINTED Adam Aquino TESTERS PHONE# (425)397-0275 REPAIRED BY: LIC NO. DATE FINAL TEST BY: CERT. NO. DATE CALIBRATION DATE 02-24-2016 GAUGE# 03051796 MODEL 845 SERVICE RESTORED YES Li NO [] I certify that this report is accurate,and I have used WAC 246-290-490 approved test methods and test equipment.