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rs � AACRA Backflow Testing and Repair, �nc. ��CE'SFLOW P�EVENT101►� ASSEMBLY TEST REPORT :.. <br />,:..� <br />�� -�-�-1 (360) 668-1117 +� <br />�� <br />W.4TER PURVEYOR Silver Lake ACCOUNT# � <br />ASSENIBLY [D/FILE #/UTILITY DEV[CE # Meter # 60599847 <br />NAME OF PREMISE The Towns Commercial ❑ Residential [.i] <br />SERVICE ADDRESS 1 1217 19th Ave. SE Everett ZIP 98204 <br />CONTACT PERSON �Tannon Rocheloau PHONE (425) 766-0208 <br />LOCATION OF ASSEMBLY E. Side of Blda. 5 <br />DOWNSTREAM PROCESS Domestic Water �C'v:a ;�' RPE3A ;! PVE3A �__ OTHER <br />NEW INSTALL Gr EXISTING �_ REPL.ACEMENT `_ REMOVED i I OLD SER.# <br />APPROVED ASSEMBLY? YES i_�� NO L_i PI20PER INSTALLATION? YES !di NO '_� <br />MAKE OF ASSEMBLY Conbraco/Apollo ,�qOpE�, DCI,F4A SERIAL v0. 634808 SIZE 2�� <br />INITIAL DCV.A / RPBA DCVA ! RPBA RPBA PVSA / SVBA <br />CHECK VALVE NO.I CHECK V,ALVE N0.2 AIR INLET <br />TEST OPEVED AT PSID <br />CLOSED TIGHT �� CLOSED TIGHT d: OPEtiED AT PSID <br />PASSED �:. LEAKED C-i LEAKED ._- #� ��{�'�'h PSID <br />FAILED ;: ; 1.6 pSID � •6 PSID <br />.1fR GAP OK? DID NOT OPEN ❑ <br />CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE <br />NEW _. '���� '�-' -_ - L__� xE�n.aT PSID <br />PARTS — � ` .__ — -- t,EahEn ❑ <br />l_J �_, -- -, , _, <br />AND , ,_, - , - <br />-1 �_, _- --_. _� __ CLI�.:�NED I^i <br />REPAIRS - �-, <br />arP;�ikED <br />TESTAFTfR CLOSED TIGHT '�_ CLOSGD TIGHT __ RV EXERClSED � AIR I1"LET PSID <br />REP�IRS __ <br />LEAKED C� LEAKED _.: op�:�Lp:�T PSID <br />PASSED �� — <br />FAILED ; <br />PSID PSID #� Ct►ECh PSID CHK �'.�L�'E PSID <br />A{R CAP INSYLCTIUN: SUYPLY PIPE Ul,a�vl�:"1'Lk2 S1�=PAR<�I�ION i':�55: � r;a1L� -� <br />DETECTOR METER RE.4DING <br />LEFT SERVICE AS FOUND �solation valve: Open �;i Closed ,_ SOV#1 Open ',;i Closed ;__! SOV#2: Ope❑ [', Closed %j <br />RE1ViARKS: <br />LINE PRESSURE SS PSI CONFINED SPACE? NO <br />,�X..B�� ::�.�; <br />TESTERS SIGN.4TURE: CERT. :ti'o. 85601 DATE 5/30/2015 '�' :• � <br />TESTERS NAME PRINTED Gary L. Brown TES'I'E12S PFIOIVE #(360)668-1117 <br />REPA[RED BY: I,IC NO. DATE <br />FINAL TEST BY: CER"('. NO. DATE <br />CALIBRATION DAT'E 11-25-2014 GAUGE # 030�0953 1�tODEL lblidwest 845 SERVICE RES7'ORED YES !.i� NO ; <br />I certify that this report is accixrate, and I have vsed 4VAC 246-290-490 approced test methods and test equipment. <br />_. <br />