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BACKFLOW ASSEMBLY TEST REPORT <br />BATman Testinci,N <br />BACKFLOW ASSEMBLY TESTING AND REPAIR <br />OJSTOMER/tAO KAME <br />OYrtAR/DWNR FUME. <br />WATER wPVfYOM <br />EVERETT PUBLIC WORKS <br />The Reserve at Everett LIH <br />NEW OONSIRUCIIOM A55@ Y/Ell TUMERIDR <br />WOKE NUMBER fA%NUMBDt <br />wRVEYDR COMAOT NAME <br />®y ❑N <br />r <br />Tim Markham <br />SFPVIQ ADDRESS/METER NUMBER <br />=OMER/OWNOR/CONTAETM UNGADDfUM <br />MRVEYOR FAX NUMBER ' <br />8920 Evergreen Wa <br />425 257-8882 <br />aTv/ELATE <br />nP moE <br />a*'r/sraTE <br />av mDE <br />wavEYw EMAIL Ao0RII5 <br />Everett WA <br />98208- <br />tmarkham@everettwa.gov <br />ASYFIBIY MAMIFK R <br />WATTS <br />MODEL <br />LF009M3 T <br />SERUI XUMBFA <br />47289 <br />TYPE <br />RPBA <br />StE <br />3/4" <br />DOMISIAEBPB W00[S <br />POOL / SPA <br />L TION OF ASSEMBLY <br />mxFIXED SPROE <br />❑YES ®NO <br />Mechanical room outside spa <br />INAZ TYPE PRMDLLS MAl2I MDDEL/ SOE /SERIAL NUMBER <br />STAU <br />OR <br />OElFRN REM <br />N/A <br />R New ❑ Existing ❑ Replacement <br />DOH APWOVEO ASBENBLS'(BEPT IBIR UST) <br />® YES ❑ NO <br />ORIEMAnON <br />H <br />PMCfu INBTMIAnON <br />® YES ❑ NO <br />WA1FF111"E 011ES4AE <br />70 PSIG <br />VNVE r6�itONSPNOR TO TESTING <br />SOV#1 ®ON ❑OFF <br />SOV42 ®ON []OFF <br />INITIAL TEST RESULTS <br />TEST AFTER REPAIRS/CLEANING <br />CHECK VALVE N I CLOSED TIGHT ® <br />CHECK VALVE# I CLOSED TIGHT ❑ <br />LEAKED ❑ <br />LEAKED ❑ <br />RELIEF VALVE OPENED AT 4.8 PSID <br />RELIEF VALVE OPENED AT PSID <br />FAILED TO OPEN ❑ <br />FAILED TO OPEN ❑ <br />CHECK VALVE #2 CLOSED TIGHT ® <br />CHECK VALVE #2 CLOSED TIGHT ❑ <br />RPBA <br />LEAKED ❑ <br />LEAKED ❑ <br />ACTUAL PRESSURE DROP <br />8_1 PSID <br />ACTUAL PRESSURE DROP PSID <br />VALVE #1 <br />ACROSS CHECK VALVE #I <br />ACROSS CHECK <br />PASSED TEST ®YES [:]NO <br />PASSED TEST ❑YES []NO <br />CLEAN / REPAIR: ❑ see remarks <br />APPROVED AIR GAP ®YES ONO <br />APPROVED AIR GAP ❑YES [:]NO <br />CHECK VALVE #1 CLOSED TIGHT PSID <br />CHECK VALVE #1 CLOSED TIGHT PSID <br />LEAKED ❑ <br />LEAKED ❑ <br />Dr —VA <br />CHECK VALVE #2 CLOSED TIGHT PSID <br />CHECK VALVE 42 CLOSED TIGHT PSID <br />LEAKED ❑ <br />LEAKED ❑ <br />PASSED TEST DYES []NO <br />PASSED TEST OYES ❑NO <br />CLEAN / REPAIR: ❑ see remarks <br />uwRAs <br />vavE Famo"z arTm T61ING <br />SOV#1 ®ON []OFF SOVN2 ®ON ❑OFF <br />1r5TFA 1YNE <br />BAT QATInunOM <br />GNIGE MARE <br />r✓JK2NoDr1 <br />TEST WUQ:HRU NmU <br />GMftr WfEONOAn <br />Jason A. Moe <br />B4536 <br />Mid -West <br />[*Mir <br />845-5 <br />03051790 <br />01/08I2015 <br />RLPAWEO BY <br />EOMPN NARE <br />WOKE NUMBER <br />N/A <br />FINAL 1fST BY <br />B T n"WION <br />TESTGAUGEMAXE <br />GMGE MODEL <br />(SIMPAWY NAME <br />BATman Testing <br />WOKE NUMBER <br />206 228-1618 <br />N/) <br />DATE OF FINAL TEST <br />05/13/2015 <br />LIE' Rf <br />MEREDY CERTIFY THAT I USED WAC 746390i90 APPROVED, USC 10^ ELltlon TEST METHDDS AND DIFFERENTUIL PRESSURE TEST EQUIDMENT (-0R THE ABOVE LEST RESULTS) — <br />ulz <br />