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f..._., �.-_.,. <br />�'Y '� AACRA Backflow Testing and Repair, Inc. �������� �'�����T'�� A��EMB�Y TEST f�EPO�'T <br />;..� ,. <br />�—��--�' (360) 668-1117 <br />WATER PURVEYOR Silver Lake <br />ASSEMBLY ID/FILE #/UTILITY DEVICE # <br />NAME OF PREMISE The Towns <br />SERVICE ADDRESS 1 1217 l9th Ave. SE <br />CONT.ACT PERSON Tannon Rocheloau <br />LOCATION OF ASSEMSLY SW Corner of B1dQ. 6 <br />ACCOUNT# <br />Meter # 60599853 <br />Commercial ❑ Residential ❑,i <br />Everett ZIp 98204 <br />PHONE (425) 766-0208 <br />DO�VNSTREAM PROCESS Domestic Water DCv.� ;�I RPBA ❑ PVSA __' OTHER <br />NGW INSTALL ,� EXISTING REPL,.ACEMENT '____ RENIOVED I_] OLDSER.# <br />APPROVED.4SSEMBLY? YI�S �' NO __ PROPER INSTALLATION? YES i.ij NO <br />MAKE OF ,4SSEMBLY Conbraco/A 011o �qODEL DCLF4A SEK�A� �vo. 636680 SIZE 1.5" <br />INITIAL nCVA / RPBA DCVA / RPBA RPBA PVBA / SV$A �; <br />TEST �-HECK VALVE NO.1 CHECK �'.ALVE N0.2 AIR INLET � <br />OPEtiEU A'i' PSID a <br />CLOSED TIGHT '�' CLOSED TIGHT �d! OPENED AT PSID � <br />PASSED ,-�! LEAKED - LEAKED __. #t cHECK PStD <br />FAILED �; 1.6 PSID 1.6 PSID �IK GAP OK? <br />DID NOT OPEN � <br />CLEAN REPLACE PART CLEAN REPIACE PART CLEAN REPLACE PART CHECK VALVE <br />NEW '_� �,� _ _ =j ❑ HELD AT <br />' PSID <br />PARTS ❑ I�' -- — '� C1 <br />LEAKED � <br />AN D '-1 I__i � _ ;-_; i ! <br />; . �_� -- � _ �r� CI.E.ANED i� <br />REPAIRS <br />aEY.aikH;� �� <br />T'EST:�F"i'ER CLOSED TIGHT CLOSED TIGHT � RV EXERCISED ['. -J <br />REP.aIRS �_ J AIR INLET PSID <br />LEAKED __, LEAK�D _:� orE��En.aT PSID <br />PASSED [,� <br />FAILED �_j PSID PSID #� �►��CK PSID CFIK VALVE PSID <br />AIR G.4P INSPECTION: SUPPLY PIPE DIA�9ETER � SEPARATION __ PASS� j FAILn <br />llL:'1'EC f0}t NIE7 L:R It�AU1N(; <br />LEFT SERVICE .AS FOUND �solation �al�e: Open �, Ciosed `—' SOV#1 Open i,i1 Closed � SOV#2: O�en ❑,� Ctosed !,� <br />RGM.aRKS: <br />LINE PRESSURE gF PSI CONFINED SPACE? NO <br />TESTERS SIGNATURE: �,���� CERT. NO. 85601 DATE 5/30/2015 <br />TESTERS NAME PRINTED Gary L. $rown TESTERS PHONE #(360)668-1117 <br />REPAIRED BY: LIC NO. DATE <br />FINAL TEST BY: CERT. NO. DATE <br />CALIBRATION DATE 11-25-2014 GAUGE # 030�09�3 �10DEL Midwest 845 SERVICE RESTOREll YES u NO `' <br />I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipment. <br />