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HomeMy WebLinkAboutRenton PUD_09-06-23BACKFLOW PREVENTION ASSEMBLY TEST REPORTPOPS BACKFLOW TESTING INC. (206) 551-5174 NAME OF PREMISE New Installs - 530, 534 & 538 ASSEMBLY ID/FILE #/UTILITY DEVICE #Meter # ACCOUNT # ZIP 98057SERVICE ADDRESS 530 Shattuck Ave S CONTACT PERSON Trung (Daniel) Nguyen PHONE (206) 369-1061 LOCATION OF ASSEMBLY Front Closet by Front Door DOWNSTREAM PROCESS Fire Service MODEL LF007M2QT SERIAL NO.048357 SIZE 1.5" Commercial Residential APPROVED ASSEMBLY? NO PROPER INSTALLATION? YES NO NEW INSTALL EXISTING REPLACEMENT REMOVED OLD SER.# DCVA RPBA PVBA OTHER REMARKS: CALIBRATION DATE 12-14-2022 GAUGE #04133059 MODEL Midwest 835 CONFINED SPACE?No CERT. NO.B6626 DATE 9/5/2023 TESTERS NAME PRINTED Solomon Salter TESTERS PHONE #(206)551-5174 PASSED FAILED PASSED FAILED LEAKED LEAKED LEAKED LEAKED PSID1.8 PSID1.7 PSID PSID OPENED AT #1 CHECK AIR GAP OK? OPENED AT #1 CHECK OPENED AT HELD AT LEAKED CLEANED REPAIRED AIR INLET CHK VALVE INITIAL TEST DCVA / RPBA CHECK VALVE NO.1 DCVA / RPBA RPBA PVBA / SVBA PSID PSID PSID PSID PSID PSID PSID PSID NEW PARTS AND REPAIRS TEST AFTER REPAIRS DID NOT OPEN CHECK VALVECLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART AIR INLET AIR GAP INSPECTION: DETECTOR METER READING LEFT SERVICE AS FOUND REPAIRED BY: FINAL TEST BY: DATE DATE TESTERS SIGNATURE: CERT. NO. LINE PRESSURE 75 PSI SERVICE RESTORED YES NO SOV#1:Open Closed SOV#2:Open Closed CHECK VALVE NO.2 Isolation valve:Open Closed YES LIC NO.Solomon Salter SALTESA832OQ Solomon Salter B6626 WATER PURVEYOR Renton PUD Renton CLOSED TIGHT CLOSED TIGHT RV EXERCISEDCLOSED TIGHT CLOSED TIGHT MAKE OF ASSEMBLY Watts PASS FAILSUPPLY PIPE DIAMETER SEPARATION I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipment. BACKFLOW PREVENTION ASSEMBLY TEST REPORTPOPS BACKFLOW TESTING INC. (206) 551-5174 NAME OF PREMISE New Installs - 530, 534 & 538 ASSEMBLY ID/FILE #/UTILITY DEVICE #Meter # ACCOUNT # ZIP 98057SERVICE ADDRESS 534 Shattuck Ave S CONTACT PERSON Trung (Daniel) Nguyen PHONE (206) 369-1061 LOCATION OF ASSEMBLY Front Closet by Front Door DOWNSTREAM PROCESS Fire Service MODEL LF007M2QT SERIAL NO.048347 SIZE 1.5" Commercial Residential APPROVED ASSEMBLY? NO PROPER INSTALLATION? YES NO NEW INSTALL EXISTING REPLACEMENT REMOVED OLD SER.# DCVA RPBA PVBA OTHER REMARKS: CALIBRATION DATE 12-14-2022 GAUGE #04133059 MODEL Midwest 835 CONFINED SPACE?No CERT. NO.B6626 DATE 9/5/2023 TESTERS NAME PRINTED Solomon Salter TESTERS PHONE #(206)551-5174 PASSED FAILED PASSED FAILED LEAKED LEAKED LEAKED LEAKED PSID1.5 PSID1.8 PSID PSID OPENED AT #1 CHECK AIR GAP OK? OPENED AT #1 CHECK OPENED AT HELD AT LEAKED CLEANED REPAIRED AIR INLET CHK VALVE INITIAL TEST DCVA / RPBA CHECK VALVE NO.1 DCVA / RPBA RPBA PVBA / SVBA PSID PSID PSID PSID PSID PSID PSID PSID NEW PARTS AND REPAIRS TEST AFTER REPAIRS DID NOT OPEN CHECK VALVECLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART AIR INLET AIR GAP INSPECTION: DETECTOR METER READING LEFT SERVICE AS FOUND REPAIRED BY: FINAL TEST BY: DATE DATE TESTERS SIGNATURE: CERT. NO. LINE PRESSURE 75 PSI SERVICE RESTORED YES NO SOV#1:Open Closed SOV#2:Open Closed CHECK VALVE NO.2 Isolation valve:Open Closed YES LIC NO.Solomon Salter SALTESA832OQ Solomon Salter B6626 WATER PURVEYOR Renton PUD Renton CLOSED TIGHT CLOSED TIGHT RV EXERCISEDCLOSED TIGHT CLOSED TIGHT MAKE OF ASSEMBLY Watts PASS FAILSUPPLY PIPE DIAMETER SEPARATION I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipment. BACKFLOW PREVENTION ASSEMBLY TEST REPORTPOPS BACKFLOW TESTING INC. (206) 551-5174 NAME OF PREMISE New Installs - 530, 534 & 538 ASSEMBLY ID/FILE #/UTILITY DEVICE #Meter # ACCOUNT # ZIP 98057SERVICE ADDRESS 538 Shattuck Ave S CONTACT PERSON Trung (Daniel) Nguyen PHONE (206) 369-1061 LOCATION OF ASSEMBLY Front Closet by Front Door DOWNSTREAM PROCESS Fire Service MODEL LF007M2QT SERIAL NO.048158 SIZE 1.5" Commercial Residential APPROVED ASSEMBLY? NO PROPER INSTALLATION? YES NO NEW INSTALL EXISTING REPLACEMENT REMOVED OLD SER.# DCVA RPBA PVBA OTHER REMARKS: CALIBRATION DATE 12-14-2022 GAUGE #04133059 MODEL Midwest 835 CONFINED SPACE?No CERT. NO.B6626 DATE 9/5/2023 TESTERS NAME PRINTED Solomon Salter TESTERS PHONE #(206)551-5174 PASSED FAILED PASSED FAILED LEAKED LEAKED LEAKED LEAKED PSID2.0 PSID2.5 PSID PSID OPENED AT #1 CHECK AIR GAP OK? OPENED AT #1 CHECK OPENED AT HELD AT LEAKED CLEANED REPAIRED AIR INLET CHK VALVE INITIAL TEST DCVA / RPBA CHECK VALVE NO.1 DCVA / RPBA RPBA PVBA / SVBA PSID PSID PSID PSID PSID PSID PSID PSID NEW PARTS AND REPAIRS TEST AFTER REPAIRS DID NOT OPEN CHECK VALVECLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART AIR INLET AIR GAP INSPECTION: DETECTOR METER READING LEFT SERVICE AS FOUND REPAIRED BY: FINAL TEST BY: DATE DATE TESTERS SIGNATURE: CERT. NO. LINE PRESSURE 75 PSI SERVICE RESTORED YES NO SOV#1:Open Closed SOV#2:Open Closed CHECK VALVE NO.2 Isolation valve:Open Closed YES LIC NO.Solomon Salter SALTESA832OQ Solomon Salter B6626 WATER PURVEYOR Renton PUD Renton CLOSED TIGHT CLOSED TIGHT RV EXERCISEDCLOSED TIGHT CLOSED TIGHT MAKE OF ASSEMBLY Watts PASS FAILSUPPLY PIPE DIAMETER SEPARATION I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipment.