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BACKFLOW ASSEMBLY TEST REPORT <br />BATman Testing,. <br />BACH FLOW ASSEMBLY TESTING AND REPAIR <br />41STOMER / FAOL[lY RARE <br />mT[TACT f OWNUt MANE <br />WARR PURVEYOR <br />The Reserve at Everett LIH <br />EVERETT PUBLIC WORKS <br />NEW raNSMXTION ASSEMBLY/UbTONER IDP <br />PHONE NUMBER HUMBER <br />TAR <br />PURVEYDR OMACI NAME <br />®Y ON <br />- <br />Tim Markham <br />5[AWER AODRFSS/METER XUMBEA <br />Q Ut I DwNER/ rDMACI MAILING ADDRESS <br />MRVEYOR FAX NUMBER <br />8920 Ever een Wa <br />425 257-8882 <br />an/STAR <br />aP moE <br />[m/STAR <br />aPmDE <br />MmnTOR EMaL ABDREss <br />Everett WA <br />98208- <br />tmarkham@everettwa.gov <br />ASSEMBLY KARUFACURER <br />MOp[L <br />SCRUL HVMBER <br />TYPE <br />STD: <br />OOWNSIAFAM P0.0ffSS <br />WATTS <br />LF009 T <br />59695 <br />RPBA <br />1/2" <br />TRASHCHUTE <br />LO RONOFASSEMBLY <br />5's Floor Trash Chute Room in NW corner of building❑YES <br />CONnRED SPACE <br />ONO <br />INSTALIAnoN TYRE WIEYIOUS FIAI(E l MODEL/ SI>E I SERIAL NUMBER <br />DETECTOR READ <br />® New ❑ Existing ❑ Replacement <br />N/A <br />OM MFROV[D ASEM&Y tYR 2012 LLST)I <br />ORIEMATI0.V <br />PROKRINSTAI[AnOM <br />WARA FINE PRES441E <br />VALVE PO4TIOIRS PRIOR TD TESTING <br />® YES ❑ NO <br />H <br />OYES ❑ NO <br />55 PSIG <br />SOV#1 ®ON ❑OFF <br />SOV#2 ❑ON ®OFF <br />INITIAL TEST RESULTS <br />TEST AFTER REPAIRS/CLEANING - <br />CHECK VALVE NI CLOSED TIGHT ® <br />CHECK VALVE#1 CLOSEDTIGHT ❑ <br />LEAKED ❑ <br />LEAKED ❑ <br />RELIEF VALVE OPENED AT 3.4 PSID <br />RELIEF VALVE OPENED AT PSID <br />FAILED TO OPEN ❑ <br />FAILED TO OPEN ❑ <br />• CHECK VALVE#2 CLOSED TIGHT ® <br />CHECK VALVE N2 CLOSED TIGHT ❑ <br />RPBA <br />LEAKED ❑ <br />LEAKED ❑ <br />ACTUAL PRESSURE DROP <br />8_0 PSID <br />ACTUAL PRESSURE DROP <br />PSID <br />ACROSS CHECK VALVE #1 <br />ACROSS CHECK VALVE NI <br />PASSED TEST ®YES ONO <br />PASSED TEST OYES ONO <br />CLEAN / REPAIR: ❑ see remarks <br />APPROVED AIR GAP ®YES ONO <br />APPROVED AIR GAP OYES El NO <br />CHECK VALVE#1 CLOSED TIGHT PSID <br />CHECK VALVE N I CLOSED TIGHT PSID <br />LEAKED ❑ <br />LEAKED ❑ <br />pCVA <br />CHECK VALVE #2CLOSED TIGHT PSID <br />CHECK VALVE #2 CLOSED TIGHT PSID <br />LEAKED ❑ <br />LEAKED ❑ <br />PASSED TEST OYES ONO <br />PASSED TEST OYES ONO <br />CLEAN / REPAIR: ❑ see remarks <br />' <br />R[MAAAs <br />vALVE romoNsnITIRTrmnc <br />SOV#1 SON ❑OFF SOV112 ❑ON ®OFF <br />RSRR HAMS <br />RAT c7n7irnon <br />RST GNIGE MAFE <br />GAUGE MODEL <br />TESP GAM AL N"MA <br />NWT W wnp nAn <br />Jason*A. Moe <br />B4536 <br />Mid -West <br />845-5 <br />03051790 <br />01/08/2015 <br />R[PADUDRY <br />LOFIPAMNAME <br />MORE NUMBER <br />N/A <br />- <br />FMnjrIBY <br />BATCERTIRTARON <br />RST GAUGE MAKE <br />GAM MODEL <br />W PANYRANE <br />WORE NUMBER <br />N/A <br />BATman Testing <br />206 228-1618 <br />�""`— <br />OAR OF FINALTCSI <br />05/13/2015 <br />SIGHAIURr <br />HEREBY CERTIFY THAT I USED WAC 246.293490 APPROVED, USC 10' EdIBPn TEST METHODS AND DIFFERENTIAL PRESSURE TEST EQUtPMENT FOR THE ABOVE TEST RESULTS) <br />