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BACKFLOW ASSEMBLY TEST REPORT <br />GATman Testinci,w <br />DACKFLOW ASSEMGLYTESTING AND REPAIR <br />O ONEAIFACTI N E <br />mN,ACTIOWMEPNNIE <br />WAnNPURVEYOR <br />The Reserve at Everett LIH <br />EVERETT PU' LIC WORKS <br />XEW CI1NSIA5n4N ASSUIRLY IN OMIDO <br />PXDNENUMDDI iAk NUMEG <br />PURVEYORW ARNAME <br />®Y ❑N <br />- <br />Tim Markham <br />5[0.Wp< AODNESS I NETEA NUMOFR <br />O 04EA/OAMEA/DOMAUMAIUNGADORESS <br />PURVEY00.EAENUM8D1 <br />8920 Evergreen Way <br />425 257-8882 <br />Qn/nAn <br />nP CODE <br />QJSTAn <br />OPOODE <br />FURVEYORE LAWRESS <br />Ev <br />1 98208- <br />1 - <br />tmarkham@everettwa.gov <br />ASGDIOEY MANUFACNROt <br />MODa <br />SERIAL NUMREp <br />TYII: <br />SrIE <br />DONT6TAFAM FROOESS <br />WILKINS <br />950XLT <br />3978354 <br />DCVA <br />1" <br />LANDSCAPE IRRIGATION <br />LMAMNOFAS ELV <br />WNPNFD S➢AQ <br />NE corner of property alongside driveway entrance <br />DYES ®NO <br />%t AUATION TSTE <br />DMOR READ <br />O New ❑ Existing ❑ Replacement <br />N/A <br />Dd1ARPOVFD AS4FlR&Y IYPT IOtI llST9 <br />® YES ❑ NO <br />oumAnox <br />H <br />PRDPER INTTAIIAnOx <br />® YES ❑ NO <br />WAnAIINE RIESSURE <br />80 PSIG <br />VALVE POSmQNS PNOP TO nSTIXG <br />SOV01 ®ON ❑OFF SOV42 ®ON DOFF <br />INITIAL TEST RESULTS <br />TEST AFTER REPAIRS/CLEANING <br />CHECK VALVE 01 CLOSED TIGHT ❑ <br />CHECK VALVE 01 CLOSED TIGHT ❑ <br />LEAKED ❑ <br />LEAKED ❑ <br />RELIEF VALVE OPENED AT PSID <br />RELIEF VALVE OPENED AT PSID <br />FAILED TO OPEN ❑ <br />FAILED TO OPEN ❑ <br />CHECK VALVE 02 CLOSED TIGHT ❑ <br />CHECK VALVE 02 CLOSED TIGHT ❑ <br />RpgA <br />LEAKED ❑ <br />LEAKED ❑ <br />ACTUAL PRESSURE DROP <br />PSID <br />ACTUAL PRESSURE DROP <br />PSID <br />ACROSS CHECK VALVE 01 __ <br />ACROSS CHECK VALVE 01 <br />PASSED TEST OYES ONO <br />PASSED TEST ❑YES ONO <br />CLEAN / REPAIR: ❑ see remarks <br />APPROVED AIR GAP OYES ONO <br />APPROVED AIR GAP ❑YES ❑NO <br />CHECK VALVEOI CLOSED TIGHT 1.9 PSID <br />CHECK VALVE NI CLOSEDTIGHT PSID <br />LEAKED ❑ <br />LEAKED ❑ <br />DCVA <br />CHECK VALVE #2 CLOSED TIGHT 2.3 PSID <br />CHECK VALVE 42 CLOSED TIGHT PSID <br />LEAKED ❑ <br />LEAKED ❑ <br />PASSED TEST ®YES [:]NO <br />PASSED TEST ❑YES ❑NO <br />CLEAN / REPAIR: ❑ see remarks <br />PTNAPAS <br />vuvE rosnoxs anuE nsnxc <br />SOVilI ®ON []OFF SOVtl2 ®ON ❑OFF <br />TESTTA NAM[ <br />RAT QAIInGTON <br />TEST OWGf MAMr <br />WAGE MODCC <br />TEST GA= SDUA1 NUMBER <br />G MsAAnm DAn <br />Jason A. Moe <br />B4536 <br />Mid -West <br />845-5 <br />03051790 <br />01/08/2015 <br />REPAlun NY <br />ODMPANI xANE <br />P ENUMBER <br />N/A <br />- <br />FDIALiESTBF <br />9ATOAnnrATION <br />T GAUGEMAAE <br />GAUGE MDOM <br />m PNW NAME <br />P ENUMBER <br />N/A <br />BATman Testing <br />206 228-1618 <br />wTE aF nxu rtsT <br />05/13/2015 <br />SILNAIUPF <br />(I HERESY CERTIFY THAT I USED WAC 246290490 APPROVED, USC IV Efton TEST METHODS AND DIFFERENTIAL PRESSURE TEST EQUIPMEIR rOR THE ABOVE <br />