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Br1 CKFLOW PREVENTIONASSEMBLY TEST REPORT <br /> Pnge _�o.f I <br /> Advar:ce Testing 8c Serv�c� <br /> PO BOX I485, Everet[, i�A 98206 ���I U�v -G�3 <br /> P/eone: 425-337-4I75 Fax: 360-G59-434G Enxail: a7sbackflowna aol.co�s: <br /> N�1b11i OFPX2AflSE GinseBmrk 1V�� A�jv 1 �canutercinlOResldeitlin! <br /> SERVlCEADDRESS 4900Evcrgrecn IVay CITY Everet( Z/P 98204 <br /> CONTACT J C� f ���N pI)ONE( ) FAX( ) <br /> I,OCATION OP ASSEtI i117.l' V�1 f j�V ��OV'n / D�P.�'��N 91 �!�M�/ <br /> DOIf4\'ST/tEAdI PItOC6SS ��'Zm l � ip DCVA ❑NP6A ❑DCDA []Other <br /> � NEII'INSTi1LL ❑EXIST/NG QRF.YLACEAILN7' OLOSER. N P1tOPLR INSTilLLA7701� YES NO <br /> n�.�heoresscn�ucr W A� S n�oor:c pp�7M l sceinLrvo. �ag��� sizc 1.0 <br /> l�C[�A/RP1Si1 DCVi1/RPI3A RPIJA PVBA/.SVI3A <br /> IA�ITIA/, CFIECK VALVE n'O.l CHECK f!9LV6 A'0,2 A/R 1NLLT <br /> TL•ST ClosedTlght � ClosedTight � OPCf�LD�;T PSI <br /> 1'ASSED OPEA'EU dT PSID <br /> � LEAKEU ❑ LGAtiBD � tl!1 C::�Cti PSID <br /> R DID NOT OPBN <br /> FA7LLD J , 1S PSID �D P57D AIR CAP OK? <br /> ❑ <br /> CHr;CK V�fLVB <br /> NL•IP CI.GAA'REPLACE ��RT CLEANREPLACE PART CLEANRF.PLACE PART p�LUAT PSID <br /> PAR7S LL•nKL•D <br /> AND <br /> Rl PAIRS CLl:'ANED <br /> R8PA7RED <br /> 7'EST�F773R ClosedTight ❑ ClosedTight ❑ <br /> !tliPA/RS �CAIiLU � LL•'AKED' ❑ OPENCD AT PSID AlR INLET PS! <br /> I'ASSED <br /> pA��j,rU �'S1U PSID #I G�eck PSID PSI <br /> ❑ �— <br /> AIR GifP IA'SPL•'CT/ON:Reqrrirerl uiininn�ui nir gnp sepnrarion provided? Ycs 11'a De�eclor Aleter Renrting <br /> RF.dIARRS: LING PRESSURE��'S!D <br /> CONF/NED SPACC <br /> ^ <br /> T/iSTGRS SIG�\'A7'URB�_������� CGRT. NO.84320 DAT'L•5/IG/II <br /> 7ZSTCRSA'�1DJEPRIn'76U:Brar!lep1111ri�gs TESTCltSP!lONE# (425) 337-4175 _ <br /> RIiP�11RCD 11Y: UATL• <br /> F/A'A(. TEST B]': CERT. NO. 8�320 D�f TE <br /> C 17./URA7I0�\'DATC 01 /IS/II GAUCLi� 0504044J AIODIL Alidmes!845 SERV/CE RCSTORED� NO <br /> Clt�� Ciq�i�jErerclt Fax# 425-15T-8882 <br /> l ccr(ifj�Om(tliis repar(js nccumtc,nmf 16m�c usrd 11'AC?J6-190-490 app�orrd(es(u�rfhads mid(es(eqi�tpme�rt. <br />