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BATMASTER / ABC Water Specialty <br />425-397-0275 <br />2918 Cavalero Rd <br />Lake Stevens, WA 98258 <br />BACE FLOW H <br />EXISTING. REMOVED <br />PREVENTERREPORT NEW REPLACED <br />REPAIRED OLD SIN: <br />PROPERTY NAME Four Corners Apartments PHONE 253-537-8900 <br />CONTACT NAME Matt Reichel PHONE <br />MAILING ADDRESS 8102 Evergreen Way <br />CITY Everett STATE WA zip 98203 <br />PREVENTF.RADDRESS 8102 Evergreen Way Everett, WA 98203 _ <br />WATERSUPPI.IER Everett SERIAL# WL-2174 <br />LOCATION Building D Mechanical Room <br />MAKE Watts MODEL 757 SIZE 4" <br />TYPE RP RPDA ❑ RPDA-R ® DC ❑ DCDA ❑ DCDA-11 ❑ PVB 0 SVF ❑ AVB ❑ AG <br />HAZARD PROTECTED ® PREMISES ISOLATION ❑ IRRIGATION ❑ FIRE SYSTEM ❑ BOILER ❑ OTFIER <br />APPROVED: ® ASSEMBLY ® INSTALLATION ® ORIENTATION El ARROAP PIPE SIZR in _,,;&a in <br />REDUCED PRESSURE ASSEMBLY PVBA/SVBA INITIAL TEST <br />DOUBLE CHECK AIR INLET CIIECK VALVE PASSED <br />CHECK#1 CHECK#1 T'YPF111 rwEnmD Ar: ra��snRa- <br />PRESS TKiHT © FAILED <br />DROP. <br />INITIAL MINSPSID 3.4 <br />TEST RELIEF VALVE LEAKED n MIN I Pam MINI PSID MW I PSID DATE 1 2-21 -23 <br />RESULTS oPRNno AT: OpgNEp <br />MIN2Psm CHECK#2 FULLY FARED SYSTEMPSI 58 <br />RELIEF VALVE: TfoliT ® DID MOT ❑ DETECTORMETER <br />PAssm El PAMM n 3.7 OPEN C.J READING: <br />LEAKED ❑ MIN I PSID <br />NOTES <br />REPAIRS <br />PARTS <br />REDUCED PRESSURE ASSEMBLY PVBASVBA TEST <br />CHECK #1 DOUBLE CHECK AFTER REPAIRS <br />PREM CHECK #I <br />DROP: _ TYPE. AIR INLET CHECK VALVE <br />REPAIR MIN S PSID TIGHT El OP124MAT: PRESS DROP: <br />RESULTS RELIEBVALVE DATE <br />MRNRD Al: CHECK #2 MIN 1 PSID IBN 1 P81D MIN1 PRn) <br />RRLn4FVA1,VR MINZPSm TIGBT �� PASSED <br />PASSIiD ❑ PAIIAD [j IAINIPSm <br />GAUGE SIN 02062045 MAKE/MODEL MIDWEST 845-5 CALIBRATION DATE 08-15-2023 <br />In completing and submitting this test report, the tester certifies that the assembly was tested and maintained in accordance withal] applicable <br />rules. laws, codes and reeulatioos Of the slate and water system using approval testinR equipment and approved testing procedures. <br />6482 <br />TESTER SIGNATURE <br />TESTUR CERT # <br />CWy, a oMfT <br />425-397-0275 <br />TESTER NAME (PRINTED) <br />TESTER NAME (PRINTED) <br />PHONE # <br />2918 Cavalero Rd Lake Stevens, WA 98258 <br />bannaster@backflowsetvice- <br />TESTER ADDRESS <br />BATMASTER / ABC Water Specialty <br />TESTER ADDRESS <br />FMAIL <br />COMPANY NAME <br />COMPANY NAME <br />® WATER RES'rOR1iD7 <br />FOUND OFF, LEFT OFF <br />REPORT RECEIVED BY (REPRESENTATIVE OF OWNRRI <br />REPORT RECEIVED BY (INPRESmdTATNE OF OWNER) <br />