Loading...
HomeMy WebLinkAbout2.8.24 - TEAM NELSON SOLERA BLDG B IRRIGATION DCVA COMMERCIAL NEW RESIDENTIAL EXISTING BACKFLOW RENTAL HYDRANT BACKFLOW TEMP. BACKFLOW REPLACEMENT CONFINED SPACE - SIZE MANUFACTURER MODEL SERIAL DCVA #1 CHECK VALVE #2 CHECK VALVE WATER TIGHT LEAKS WATER TIGHT __________PSID LEAKS WATER TIGHT __________PSID LEAKS WATER TIGHT __________PSID LEAKS RPBA VENT VALVE #2 CHECK VALVE #1 CHECK VALVE WATER TIGHT LEAKS WATER TIGHT ________PSID LEAKS OPENED@_______PSID DID NOT OPEN INITIAL TEST PASS FAIL FAILED ON ARRIVAL UNABLE TO CONDUCT TEST PROCEDURES FINAL TEST PASS FAIL INOPERABLE ALL REPAIR EFFORTS HAVE BEEN EXHAUSTED PVBA/SVBA AIR INLET CHECK VALVE YES NO AIR INLET FULLY OPEN? OPENED@_____PSID WATER TIGHT __________PSID LEAKS PVBA/SVBA AIR INLET CHECK VALVE WATER TIGHT __________PSID LEAKS YES NO AIR INLET FULLY OPEN? OPENED@_____PSID __________________________________B5889___________(425) 449-2072_________________________ TRAVIS GRANT — GRANT UTILITIES INC. CERTIFICATION TRAVISGRANT@ICLOUD.COM DATE RPBA DCVA DCDA BYPASS RPDA SVBA PVBA FIRELINE DOMESTIC IRRIGATION HYDRANT PROTECTION TEMPORARY SITEWATER WATER TRUCK TEMPORARY SERVICE NOTE: DETECTOR S/N______________________________EXISTING METER S/N________________________ NEW METER S/N ___ _ LINE PRESSURE________PSI DCVA #1 CHECK VALVE #2 CHECK VALVE DEVICE VACUUM SEALED CITY/WATER DIST. HYDRANT METER PEMIT#____________________ REPAIRS & FINAL TEST BY — TRAVIS GRANT — GRANT UTILITIES INC. ___________________________DATE___________________________________ CONTRACTOR JOB NAME SITE ADDRESS CITY WATER PURVEYOR DEVICE LOCATION RPBA VENT VALVE #2 CHECK VALVE #1 CHECK VALVE WATER TIGHT LEAKS WATER TIGHT ________PSID LEAKS OPENED@_______PSID DID NOT OPEN HYDRANT PROTECTION __________PSID PRE-CERTIFICATION TEST REPORT HYDRANT DEVICE Cl2 DISINFECTED CITY/WATER DIST. HYDRANT METER S/N APPROVED - LEAD FREE - SERVICE RESTORED PROPER INSTALLATION - YES NO YES NO YES NO YES NO YES NO BACKFLOW TESTING — RENTALS — SALES — REPAIRS — WATERMAIN DISINFECTION & DECHLORINATION — HYDRANT FLOW & MAIN CAPACITY TESTING GAUGE:MIDWEST 845-5 s/n 12220486 — CALIBRATION DATE: 24 JANUARY (FIELD GAUGE) GRANT UTILITIES INC. SPECIAL WATERWORKS SERVICES BOTHELL, WA RENTONWATER DIST.2842 SUNSET BLVD NE RENTON TEAM NELSON SOLERA N. SIDE OF BLDG TO THE RIGHT OF PARKING GARAGE ENTRANCE INSIDE PLANTER. 1" APOLLO DCLF4A 25785A 2.0 1.9 87 8 FEBRUARY 2024