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BATreport 8235 Talbot Rd.pdfBACKFLOW PREVENTION ASSEMBLY TEST REPORT ALWAYS TESTING INC. 6501 227th St. SW, MOUNTLAKE TERRACE, WA 98043 (206) 718-8378 (425) 672.4345 ACCOUNT # 190 NAME OF PREMISE Cheryl Arford _ SERVICE ADDRESS 8235 Talbot Rd, CITY Edmonds CONTACT PERSON Cheryl LOCATION OF ASSEMBLY In BoilerRoom Commercial ❑ Residential PHONE 425 640 - 3352 ZIP 98026 DOWNSTREAM PROCESS Residential Boiler DCVA ❑ RPBA ® PVBA❑ OTHER NEW INSTALL ® EXISTING= REPLACEMENT ❑ OLD SER # PROPER INSTALLATION? YES X No ❑ MAKE OF ASSEMBLY Cor) br4e_C2 MODEL qi9,;?0 T;-- SERIAL NO. 1.Z1'636 SIZE 1, it AIR GAP INSPECTION: Required minimum air gap separation provided? YES ❑ NO ❑ Detector Meter Reading REMARKS: New Installation LINE PRESSURE PSI CONFINED SPACE? No TESTERS SIGNATURE CERT. NO. 3822 DATE 3/3/2008 TESTERS NAME PRINTED Darin Schnee TESTERS PHONE # 206 718-8378 REPAIRED BY DATE FINAL TEST BY CERT. NO. DATE CALIBRATION DATE 8110107 GAUGE t 09061793 MODEL 845-5 SERVICE RESTORED? YESJ�NO ❑ I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipment DCVAIRPBA DCVAIRPBA RPBA PVBA/SVBA INITIAL CHECK VALVE NO. 1 CHECK VALVE NO. 2 OPENED AT J2� PSID AIR INLET TEST LEAKED ❑ LEAKED ❑ OPENED AT PSID #1 CHECK 2i • ! PSID PASSED PSID AIR GAP OK? VeS DID NOT OPEN ❑ FAILED ❑ PSID L����+ fr CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW ❑ ❑ ❑ ❑ ❑ ❑ HELD AT PSID PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED ❑ AND ❑ ❑ ❑ ❑ 0 REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ CLEANED Li REPAIRED ❑ TEST AFTER LEAKED ❑ LEAKED ❑ OPENED AT PSID AIR INLET PSID REPAIRS PASSED ❑ FAILED ❑ PSID PSID #1 CHI=CK PSID CK VALVE PSID AIR GAP INSPECTION: Required minimum air gap separation provided? YES ❑ NO ❑ Detector Meter Reading REMARKS: New Installation LINE PRESSURE PSI CONFINED SPACE? No TESTERS SIGNATURE CERT. NO. 3822 DATE 3/3/2008 TESTERS NAME PRINTED Darin Schnee TESTERS PHONE # 206 718-8378 REPAIRED BY DATE FINAL TEST BY CERT. NO. DATE CALIBRATION DATE 8110107 GAUGE t 09061793 MODEL 845-5 SERVICE RESTORED? YESJ�NO ❑ I certify that this report is accurate, and I have used WAC 246-290-490 approved test methods and test equipment