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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 S/N: <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# 082982 <br />LOCATION Building D Mechanical Room <br />MAKE Watts MODEL LF007M1QT S1zE 2" <br />TYPE RP RPDA ❑ RPDA-R ® DC ❑ DCDA ❑ DCDA-11 ❑ PVB [::] SVE ❑ AVB ❑ AG <br />HAZARD PROTECTED nPREMISES isoLATION ❑ utRIc mim ❑ FmE SYSTrm ❑ BOILER ® OT HBR Premise Bypass <br />APPROVED: ® ASSEMBLY ® INSTALLATION ® ORIENTATION El ARRGAP PIPE SIZE in wPp x WN in <br />REDUCED PRESSURE ASSEMBLY PVBA/SVBA INITIAL TEST <br />DOUBLE CHECK AIR INLET CIIECK VALVE PASSED <br />CHECK#1 CHECK#1 T'YPPn El PRPaspaa- <br />PRESS TKiHT © FAILED <br />DROP. <br />INITIAL MMSPSID 2.7 <br />TEST RELIEF VALVE LEAKED n MIN I Pam MINI PSID MM I PSID DATE 1 2-21 -23 <br />RESULTS oPRNno AT: OpgNEp <br />MINzrsm CHECK#2 FULLY FARED SYSTEMPSI 58 <br />RELIEF VALVE: TIGIiT ® DID NUT ❑ DETECTOR METER <br />PAsaw ❑ PAMM n 2.6 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 />PRF4s CHECK#I <br />DROP: _ TYPE. AIR INLET CHECK VALVE <br />REPAIR MIN S PSID TIGHT El OPIRIPDAT: PRESS DROP: <br />RESULTS RELIEBVAT.VE DATE <br />OPRNRD Al: CHECK #2 MM 1 PSID MM 1 Pam MM 1 Pan) <br />RRLn4FVA1,Va MINZPSm TIGHT �� PASSED <br />PASSIiD ❑ PAIIAD [j MMSPSm <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 />batmaster@backflowsetvice- <br />TESTER ADDRESS <br />BATMASTER / ABC Water Specialty <br />TESTER ADDRESS <br />EMAIL <br />COMPANY NAME <br />COMPANY NAWK <br />® WATER RES'rOR1iD7 <br />FOUND OFF, LEFT OFF <br />REPORT RECEIVED BY (REPRESENTATIVE OF OWNER) <br />REPORT RECEIVED BY 0NPRE9HN'1'ATIV13 OF OWNER) <br />