Laserfiche WebLink
EVERETT ID: <br /> � Certified Backfiow Testing, Inc. <br /> (425)427-8889 • (20�601-5550•(888)484FLOW•(425) 427-9242 fsx�`` " �I I���/�I� �' <br /> WWW.CBTINC.COM � �= `���— � � ��' <br /> ,� <br /> �' ��' q;;�, �9 '�u�1 -�- <br /> BACKFLOW PREVENTlONASSEMBLYTEST REPORT <br /> ,100057 '-{ ✓ ` t''. ���. i.� `�'t..?I:;;� <br /> NAME: AUTO ZONE " Commercial I ��"' /���—i'V�-� nw���Z -ficZ <br /> I " <br /> sertv�Ce nu�a�ss: 11308 HWY 99 EVERETT. WA 98204_ <br /> CONTACT PERSON: YELLOW IRON CONTRUCTION ROBERT PHONE: 425322.8123 FAX: <br /> LOCAT[ON OF ASSEMBLY: VAULT[N PARKING LOT <br /> DOWNSTREAM PROCESS: FIRELINE BY-PASS ASSE11iBLY TYPE: DCVA <br /> INSTALLATION: NEW PROPERINSTALLATION?YES <br /> MAKE OF ASSE�18LY: WILKINS ntone[.: 950XLD SEtt�a�L#: 3356930 SIZE: 0.75 <br /> DCVA/RPBA DCVA/RPBA RPBA PVBA/SVBA <br /> INITIAL CHECK VALVE NO.1 CHECK VAWE N0.2 AIR[NLET <br /> TEST: OPENED AT: PSID <br /> CLOSED T[GHT CLOSED TIGHT OPENED AT: PSID <br /> #1 CHECK: PSID OPENED FULLY? <br /> ASSE Z_9 PSID 2_6 PSID pIR GAP OK? <br /> CHECK.VALVE <br /> NEW HEI.D AT: PSID <br /> PARTS <br /> AND Plense see unles helow Plense see nntes be%w Pleuse see nntes below <br /> REPAIRS <br /> TEST AFTER PSID PSID <br /> REPAtRS: OPENED AT: PSID AIR INLET: PSID <br /> CHK VALVE: PSID <br /> kl CHECI:: PSID <br /> n�a c.�P INSPECTION:Requircd minimum air gap? Detector Meter Reading: 00000 <br /> I2EMARKS: <br /> TESTERS SIGNATURE: ��"`-� 13AT#: B-J103 TEST DATE: S/25/2011 LINE PSI: 8H <br /> TESTERS NAME PRINTED: Loren :. Hanson COriPANY PHONE# please see top oftest report <br /> REPAIRED I3Y: DATE: <br /> FINAL 1'EST 13Y: BAT#: DATE: <br /> CALIBRATION DATE: 1/I8/2011 KIT#: 12101758 MODEL: MIDWF.ST 835-5 SERVICE RESTORED? YES <br /> !cenij�rlmr rhis report is accurare,nnd I lmve used IVaC Ia&290-190 appruved rest me�hads and test equipmenL I ;l <br /> , J <br />