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09-10-2021 Regulated Backflow Assembly Test
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Old Crystal Bay Road North
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0685 Old Crystal Bay Road North - 33-118-23-21-0002
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09-10-2021 Regulated Backflow Assembly Test
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Last modified
8/22/2023 4:47:54 PM
Creation date
1/13/2022 9:39:10 AM
Metadata
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Template:
x Address Old
House Number
685
Street Name
Old Crystal Bay
Street Type
Road
Street Direction
North
Address
685 Old Crystal Bay Road North
Document Type
Misc
PIN
3311823210002
Supplemental fields
ProcessedPID
Updated
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Reduced Pressure Principal or Reduced Pressure Detector Fire Protection (RP)-TEST RESULTS Continued <br /> Check Valve Pressure Differential Relief Check Valve Static Line <br /> #1 Valve #2 Pressure <br /> Initial Test-Pressure Drop Across <br /> psid <br /> Final Test-Pressure Drop Across <br /> psid <br /> Initial Test-Opened At psid <br /> Final Test-Opened At psid <br /> Lbs. <br /> TEST RESULTS: <br /> Eul PASS <br /> Double Check Valve or Double Check Detector Fire Protection Double Check Valve or Double Check Detector Fire Protection <br /> (DC)-TEST RESULTS (DC)-TEST RESULTS continued <br /> Check Check Shutoff Check Valve Check Valve Shutoff Valve <br /> Valve #1 Valve #2 Valve #2 #1 #2 #2 <br /> Initial Test-Closed Initial Test <br /> Tight psid <br /> Final Test Closed Final Test <br /> Ti ht Yes ID Yes Q Yes psid 2.6 5.4 <br /> 9 <br /> Pressure Vacuum Breaker(PVB) or Spill Resistant Vacuum Pressure Vacuum Breaker(PVB) or Spill Resistant Vacuum <br /> Breaker(SRVB)-TEST RESULTS Breaker(SRVB)-TEST RESULTS continued <br /> Air Inlet Valve- Check Valve- Shutoff #2- Air Inlet Check <br /> Failed to Open Closed Tight Closed Tight Valve Valve <br /> Initial Initial Test-Opened at psid <br /> Test Final Test-Opened at psid <br /> Final Initial Test-Pressure Drop Across <br /> Test Check Valve#1 psid <br /> Final Test-Pressure Drop Across <br /> Check Valve #1 psid <br /> Describe parts and repairs when needed: <br /> Annual test only <br /> Tester's Signature: <br /> 1 <br /> (i I <br /> 3i ? r rr <br /> I F '1 l ' Al J: <br /> !1 <br /> Date: <br /> 09/13/2021 <br />
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