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` ;:_; AACRA Backflow Testing and Repair, �nc. ���'��4-�� PRE�/ENTION QSSEIUIBLY TEST REPORT <br />'����`� l (360) 668-11'f 7 <br />WATER PL1R�'El'OR Everett ACCOUNT # <br />ASSE:�IBLY" 1D/FILE #/UTIL[TY DEVICE # Meter# 60608896 <br />N,�1�1E OF PREMISE The To�vns Commercial ._, Residential � <br />SEKVICE :�DDrtEss 1 1217 19th Ave. SL Everett z[P 98204 <br />CONT:ICT PERSON Tannon Rocheloau PHONE (42�) 766-0208 <br />LOC.�TION OF:�SSEIIBLY SE Corner Bld�,. 18 <br />DO�i'NS"I�RLAil1 PROCESS Domestic Water DC�'.a � RPBA J PVBA �_ OTHER <br />NE��' INST:�LL � ESISTING _ REPLACEb7L:NT .__ REn10VED [� OLD SER.# <br />APPRO�'CD .4SSE�1BLti'? 1'GS � NO .— PROPER INSTALLATION' YES (� NO �_ <br />�b9��I:G OF .aSSEtiI[3Ll' Conbraco/Apollo ��ODEL DCLF�A SERIAL NO. 626379 SIZE 2�� <br />INITIAL <br />TEST <br />PASSED :� <br />FAILED — <br />NEW <br />PARTS <br />AND <br />REPAIRS <br />DCVA / RP13A <br />CHECK VAL�'E NO.1 <br />CLOSED TIGHT '� <br />LEAKED - <br />� •6 PSID <br />CLEAN REPLACE PART <br />- [J <br />l.. � <br />11 <br />- �� <br />DC�'A / RPBA <br />CNECK VAL�'E N0.2 <br />CLOSED T1GHT ���i <br />LEAKED � <br />� •� PS[D <br />CLEAN REPLACE PART <br />_. _.... <br />_ J <br />f_- � <br />I2PSA <br />�PE\ED AT PSID <br />#1 CHECK PSID <br />alK GAP OK? <br />CLEAN REPLACE <br />_ LJ <br />_ r_ � <br />_ L <br />� il <br />PVBA / SVBA <br />AIR I�'LET <br />OPE'�EDAT PS[D <br />DID NOT OPE1 [; <br />PART CHECK �'ALVE <br />HELD AT PSID <br />LEAKED ❑ <br />CLF,ANED ❑ <br />REPAIRED ❑ <br />T[�:S'1'.�I�'fGR CLOSED TIGHT _ CLOSED T1GHT __ RV E�ERCISED �� AIR INLET PSID <br />R P.P:U RS _— -- <br />LEAKED _. LCAKED '� ope�Fn.aT PSID <br />PASSGD - <br />FAILF..D - <br />PSID PSID #t C}►ECt: PSID CHK V,�[,vE PSID <br />-- -- --- - -- -- - <br />AIRC.4P INSPEC'TION: SUPPLY PIPE DIA�fETLR SEPARATION P.aSS; _; Fa1L�_� <br />DETECTOR METER READING <br />LEFT SERVICE AS FOUND �solation �ah�e: Open ';il Closed _- $QV#1 Open i.i; Closed � I SOV#2: Open d; Closed j__] <br />RENIARKS: <br />TESTERS S[GNATURE: �x���J <br />TESTERS NAME PRINTED Gary L. Brown <br />REPAIRED BY: <br />FIN.4L TEST Bl': <br />CALII3R.ATlON DATG 11-25-201-� GAUGG # 030.509_53 <br />- LINE PRESSURE 93 PS[ CONFINED SPACE? NO <br />C�uT. vo. B5601 _ pATE 9/12/2015 <br />;�- <br />TESTERS PHONE # (360)668-1117 <br />! <br />LIC NO. DATE <br />- ,, , <br />CERT. NO. DATE � : <br />. .:� <br />'VIODEL IVlidwest 845 SERVICE RESTORED YES ❑� NO ❑ <br />. r, <br />t certify that this report is accurate, and I have used YVAC 246-290-490 approved test methods and test equipment. �, <br />������ <br />