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ACCOUNT #070008
NAME OF PREMISE WaterShed Apartments CLASS
SERVICE ADDRESS 625 Williams Ave S CITY Renton ZIP 98057
CONTACT PERSON PHONE EMAIL
LOCATION Garage Mechanical Room
DOWNSTREAM PROCESS DEVICE TYPE RP
MAKE Wilkins MODEL 375A SERIAL 59574 SIZE 6
CHECK VALVE #1 / PVB CV CHECK VALVE #2 RELIEF VALVE / AIR INLET SHUT OFF VALVES
INITIAL TEST Held Tight Held Tight #1: Closed Tight
PSID: 8.8 PSID: 4.5 PSID: #2: Closed Tight
REPAIR
FINAL TEST #1:
PSID: PSID: PSID: #2:
AIR GAP INSPECTION: Pass SUPPLY PIPE DIAMETER: "AIR GAP SEPARATION: "
Detector Meter Reading Proper Install?Yes Proper Orientation?Yes USC Approved?Yes
REMARKS:LINE PRESSURE PSI
CONFINED SPACE No
Test Date: 05/16/2024 Test Results: PASSED Meter Reading: 0 Service Restored: Yes
Test Kit Make: Mako Model: MK5 Serial: 02AC19060026 Calibration Date: 09/08/2023
Tester Name: Kao Saechao Certification Number: B6758
Testing Company: American Backflow & Plumbing Services Tester Phone Number: 877-950-2468
generated from iBackflow.com on 10/29/2024 03:48:00 pm