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`�'j '-` AACRA Backflow Testing and Repair, �nc. BACKFLOW PREVENTION ASSEMBLY TEST REPORT <br />'^--����'l (360) 668-1117 <br />WA"I'GR PURVGI'OR Everett ACCOUNT# <br />��.. <br />4SSEI�16L1" ID/FILL. #/I�TILI"I'l UE�'ICG # N1eter # 606088gf) <br />NAM� O� NRENIISL The TO�vns Commercial I_] Residential ❑N �� � <br />SER�'ICE:�I)l)RESS 1 1217 19th Ave. SE Everett ZIP 98204 <br />CON�'.aCT I�I�:RSON Tannon Rocheloau PHO�vE (425) 766-0208 <br />Loc,aT�on oF.assEn�a�� NW Corner Bld�. 9 <br />DOVb'NSTREANI PROC�SS Domestic Water ncvA '� RPBA ] PVBA !J OTHER <br />NE��' INST.aLL � EXISTING REPLACEi1�lENT RE��IO�'ED � OLD SER.# <br />APPROVED ASSEMBLY? YES ���%� NO �__� PROPER INSTALLATION? YES (�I NO � I <br />N�,�hE oF .assEn�ia��� Conbr�co/Apollo ;�,�opF� DCLF4A SERi�� No. 651795 SizE 1.5" <br />INITIAL DCVA / RPBA I)CVA / RP13A RPB.A PV[3A / SVBA <br />CHGCK VALVE NO.1 CHECI� VAL�'1�: N0.2 AIR INLET <br />TEST oPI�;���:i�:��r PSID <br />C'LOSED TICHT I 1 CLOSL.D TICHT __; OI'I?NED A'I' PSID <br />PASSED LGAKGD LEAKED - #I CIII�:CK_ PSID <br />FAILGD �,� 0.0 PSID �•! 1 SlD �>��� No7' oPH;iv ❑ <br />� V R G:�N OI:? <br />CLEAN REPLACE PART CLEAN REPLACE PART QEAN REPLACE PART CIIECK VALVE <br />NEW � - `� — -- - ' � i�r.i.n.aT PSID <br />PARTS '-- — � t.�:�KED ❑ <br />AND : - - <br />_ _ __ i CLE.4NCU ❑ <br />REPAIRS � <br />REPA[RED <br />�r►�:sr :�FTI�:a CLOSED TICHT �_ CLOSGD TIGHT � Rv E�GRCISED . nia �vLG�r PSID <br />Rf?P.aIRS — — <br />LCAKED '_ LEAKED — oi���r��:�r NSID <br />PASSED � <br />I.6 PSID 1.7 PSID ai cHrch PSID cuh v;u.��H: PSID <br />FA 1 LE D — ----- <br />AIR G.aP INSNGCTION: SUPNLI` PIPC DIAI�I�TER �__ �� SGPARATION P;�SS�_ t�:Ul,i ,I <br />DGT'GCTOR M19GTF.R RG.4DING <br />LC1�"f SER�'I(,C AS PUI�ND I.tiolation ��:�h�c: Opcn ;,�'�, Closcd I I SOV#I Opcn �✓� CloscJ I � SOV#2: Open ;�J Closed � J <br />RG�7:�RKS: <br />LINE PRL:SSURG 95 PSI CONF[NED SPACE? NO � <br />TESTCRS SIGNATURG: ����� cEa��. �o. B5601 DATE 9/12/2015 <br /><� _:. <br />;,s _v �I <br />TESTERS N:�I�IE PRIN"I'ED Carv� L. Bro�� n TEST[?RS PHONE #(360)668-1117 <br />REPAIRED Bl : Gary L. Brown �t� �p. BROWNGL909Q pATE 09-12-2015 �` <br />,. <br />Fi�:�� TEs�r H� : Gary L. Brown CERT. NO. B5601 DATE 09-12-2015 <br />CALIBR.aT10N D:aTE I1-2�-2014 C;aUGE# 030�09�3 MODEL i�iidwest8�i SERVICE RESTORED YES [� NO ❑ <br />I certify that this report is accurate, and I have used WAC 24G-290-490 approved test methods and test equipment. <br />� , � <br />� <br />