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BACKFLOW PREVENTER INSPECTION & FIELD TEST REPORT <br />ACCOUNT# 878-B ALWAYS TESTING INC. NgV,rIrlStall <br />65ol 227th St. SW, MOUNTLAKE TERRACE, WA 98043 <br />(208)718E378 (425)6724345 <br />taco name owruucne <br />SERVICE ADDRESS 1010 Broadway <br />CITY <br />__I....._. _._. <br />Everett ZIP <br />98201 <br />CONTACT PERSON Shane Otter Plumbing I <br />Phone/ Email: 702 576 - 5817 <br />Hazard Ty f known) Comb! Oven <br />Cold Filter DCVA ❑ <br />RPBAXPVBA <br />AG ❑ OTHER <br />nrerPhicalLocation&/#AhWltC.Combl OvenSTALL�y <br />EXISTING REPLACEMENT <br />❑ OLD SER # <br />Confined S?aw YESBLY <br />MAKE watts <br />E <br />MODEL LF 009 OT <br />SERIAL NO. -%' !J� SIZE <br />11v <br />roved YES <br />® No ❑ <br />Proper Install YES <br />NO E::] Proper Orientabon YES 0 <br />NO❑ <br />X❑ <br />r+ann Schnee _-.._ .vfv+144 <br />REPAIRED BY TESTERS PHONE # ( 205) 718 - 8378 <br />BAT Signature (after re -air------- -- - <br />DATE <br />CALIBRATION DATE 07/11/2024 --� CERT. NO. <br />04091223 ��DATE <br />�_ MODEL 835 SERVICE RESTORED? YESO <br />