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Bacidlow�Assemblv Test Reoort , <br /> a�swmer name:G r<9 L�H 6e I I �� s.5 <br /> Conua: G.eg G�..6e�1 <br /> OwnaAddnss: r{-�.T B.e..�wa�/ <br /> �+�Y� Eva ree . State: Hlas A:,,9�eN tiP� 9 8�-.� I <br /> Loation/Desaiption: L�Ku�v�r roen sa.�}� waU <br /> DowoslramPmttss: � w�e�C�ca� �iftu:c <br /> 'Iype�Aasembly: RPBA,� D(�A_ DCVA_ PVBA <br /> Assem6ly Stadu: Existin� Replaameot New_� <br /> Is Assembly Frau Protated7 Aie thcr�unprotectcd uoss oonnoctionsT�Q <br /> Ars ConGnod Spsoe Pr000dures ' g FollowodT N A <br /> AssemblyWormation: Manufacturer:l�,lk;us Moa�a:97S'X� s�u: l %r� se�x�mn�:SS"42 <br /> Line Pcrssvrc at time of tal: 8,� p.s.i. Requiiod miniimun NG provided?��2 S <br /> Reduced Prcwrc Bac{diow A�embly Prctwre Vaaum Breakcr <br /> Daubk Check Valve Auy. Difkrendal <br /> Prawrc Air Check <br /> l�t Chak 2nd Chak Rdief V�Ive Inlet Vdve <br /> r��u,� aosea cio�a opeoea u o�oa ac oaoea� <br /> Tat DC-Tight_ Tight_ �?.en.c.i. _p.s.i. _p.s.i. <br /> RP-PrasueDrop g• 2 p.a.i. <br /> I.ealced_ i.eakcd_ Did NM Opcn_ Did Not Open_ I.eaked <br /> p.s.i, p.s.i.(Prawrc�for one hox metho� <br /> Clauing Clcancd Cleanod Cleaned Cleancd Clean�d <br /> Rep�in Replaoed_ Replaad_ Replaoed_ Rcplaood_ Replaaed_ <br /> Pin�l Gosod Goud Open�d at Opcned at Opened at <br /> Tat Tight Tight_ _p.s.i. _p.s.i. _p.a.i. <br /> RP-PnessvccDrop p.s.i. <br /> p.s.i. __p.s.i. (Pressuro for oue hox method) <br /> Have all shutoff valves bcen tumod back on? Y� 5 <br /> Commenis.l`✓�a155 � Ser;d� Nur.�i�v i5 e�;+'�': cw�'�" �'e RQ <br /> � <br /> The abovc rcport is arlitied to be We:� �G,,,:.,, <br /> Contacl: Initial Test By: V e rw,v a �< : M Date: 1�$ 2 3 AJ„��j g <br /> Repairai By: Datc: <br /> Young Kim Final Test By: Datc: <br /> j 1821 Broadway <br /> Suitc 7410 Wazhington Statc Certi[ication Number:B2417 <br /> Evcrctt, Wa.98201 <br /> 360-659-6973 <br />