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! _ �...�.�. � <br />r` '= AACRA Backflow Testing and Repair, Inc. �������� �'����N'T'O�! �► SSEMBLY TES'P REP9�Q��' <br />i, <br />�-�-i: (360�668-1117 <br />WATER PURVEYOR Silver Lake ACCOUNT# <br />ASSEMBLY ►D/FILE #/UTILITY DEVICE # Meter # 60599853 <br />NAME OF PREMISE The Towns Commercial ❑ Residential 0 <br />SERVICE ADDRESS 1 1217 19th Ave. SE Everett <br />zIP 98204 <br />CONTACT PERSON Tannon Rocheloau PHONE �4�5� 7f)�-�20g <br />LOCATION OF ASSE�9BLY SW Corner of Bld�. 6 <br />DOWNSTREAM PROCESS Domestic Water DCVA i,il RP[3A L_; PVSA _' 07'HER <br />NEW INSTALL :.�� EXISTING REPI.ACEMENT ' REMOVED ❑ OLD SER.# <br />APPROVED .4SSEMBLY? YES �' NO _ PROPER 1NSTALLATION? YES �.ij NO ' <br />MAf:E OF ,4SSEMBLY Conbraco/Apollo �qODEL DCLF4A SER�A� �vo. 636680 SIZG 1.5" <br />INITIAL DCVA / RPBA DCVA / RPBA RPBA PVBA / SVBA ", <br />TEST ��HECK VALVE NO.I CHECK VALVE N0.2 AIR INLET <br />oPE�Eu.a�r PSID <br />CLOSED TIGHT �' CLOSED TIGHT .�'I OPENED AT PSID ', <br />PASSED ,-�: LEAKED - LEAKED - #1 Ct�ECK PSID <br />FAILED ;; 1.6 PSID 1•6 PSID '��K GAP OK? DID NOT OPEN � <br />CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE <br />NEW __� [; __ _i �j ❑ HELDAT PSID <br />PARTS !�� I� = � LEAKED � <br />AND '-1 i. i , ,_-' !� <br />�� rl -- - - ;—� CLEA\'ED I� <br />REPAIRS --' <br />uEY.aiuH,n � <br />TLST:IFT[:R CLOSED TIGHT � CLOSED TIGHT ��'� RV EXERCISED [' <br />REP.IIRS __ AIR I1LET PSID <br />LEAKED J LEAKED � OPE��ED AT <br />PASSED f -, PSID <br />FAILED �` PSID PSID #r c►iEr.x PSID CFIK �:aLVE PSID <br />llE'I'�C"l�OK itiIETER REAUIIVG <br />LEFT SERVICE .AS �OUND �solation cal�e: Open =�, Closed '' SOV#1 <br />RE1�9;�RKS: <br />SEPARATION P.aSSr-j FAIL(� <br />Open j,il Closed [; SOV#2: O�en � Clos�d '.( <br />LINE PRESSURE g6 PSI CONFINED SPACE? NO <br />TESTERS SIGNATLIRE: �,x��� CERT. NO. g5601 DATE 5/3O/2(?15 <br />TESTERS NAME PRINTED Gary L. Brown TESTERS PHONE #__(3C)O)66H-1117 <br />REPAIRED BY: LIC NO. DATE <br />FINAL TEST BY: <br />ER'T. YO. <br />DATE <br />CALIBRr1T10N DATG 11-25-2014 GAUGE # 030�09�3 ��10DEL Mid�vest 845 SERVICE RESTORED YES [�j NO r <br />I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipmenf. <br />