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BACKFLOW PREVtn I `^ ALWAYS TESTING INC. r1eW install <br />ACCOUNT # 878-B 6501 227th St. SW. MOUNTLAKE TERRACE. WA 98043 <br />(206) 718-8378 (425) 672.4345 --------- <br />Ice <br />Y <br />Zee <br />112" <br />INITIAL CHECK VALVENO- 11 Relief Valve 3 .� sid/ Not Open ❑ OPENED A' PSID <br />TEST Opened P <br />Leaked ❑ psid DID NOT OPEN ❑ <br />PASSED Check Valve 2 Leaked Opened Fully Yes ❑ No <br />® CHECK VALVE NO. 2 Closed Tight <br />Check Valve _psid <br />FAILED Leaked ❑ paid Check Valve 1 Paid ❑ Leaked ❑ <br />Aparoved Alr Gao VES F ' <br />ra urn REPIACED <br />Air <br />CLEANING <br />REPAIRS <br />& PARTS <br />TEST CHECK VALVE NO. 1 RELIEF VALVE AIR INLET VALVE _psid <br />Leaked ❑ paid Opened at paid Opened at_ paid <br />:D ❑ CHECK VALVE NO. 2 Check Valve 2 Opened Fully Yes ENo ❑ <br />D ❑ Closed Tight ❑ <br />Leaked❑ psid Check Valve 1 16 Check Valve _ paid <br />Air Gap Inspecttort Pass ❑Fail ❑ Supply Pipe Diameter jAir Gap Separation <br />aFMARKS: Line Pressure PSI io <br />Meter Reading <br />By this 1. 1 personally Inspected and field-tested the backfiow assembly using field test procedures meeting WAC <br />signature,1 246-290490 and test equipment meeting WAC 246-292-034; or I personally Inspected the air gap or AVB. <br />certify: 2. The Information In this re Is true, complete, and accurate. <br />TESTERS SIGNATURE -��- CERT. NO. 3822 DATE 09/04/24 <br />TESTERS NAME PRINTED Darin Schnee TESTERS PHONE # ( 206 ) 718 - 8378 <br />REPAIRED BY DATE <br />BAT Signature (after repatr) CERT. NO. <br />DATE CALIBRATION DATE 07/1112024 GAUGE # 0409 1223 MODEL 835 SERVICE RESTORED? _ YE pNS <br />