HomeMy WebLinkAbout2015 American Society of Sanitary Engineering American Society of Sanitary EngineerinRg
Reduced Pressure Principle Backflow Preventer (RP)
IVED
ASSE Standard #1013 Field Test Report SEP 2 1
2015
Owner of Property Orono Woods Apartments
Address 2040 West Wayzata Blvd CITY OF ORONO
City Orono State MN Zip Code 55356
Occupant of Property (if different from owner)
Occupant Address
City State Zip Code
Manufacturer of Device: Watts Model #: oo9QT
Size of Device: 1/2" Serial #: 179540
Location of Assembly and Equipment or System Application: Garbage Chute Cleaner
Test Equipment:
Manufacturer: Wilkins Model #: TG-3 Serial #: 091010878
Calibration Date: 02/18/2015
Date test was performed: 9/15/2015 Time test was performed: 12:00 Static Line Pressure:
Check Valve#2 Shutoff valve#2 Check Valve#1 Pressure Differential
Relief Valve
Leaking (❑)
Leaking CI) Leaking C) Closed Tight (❑)
Initial Test Closed Tight (D) Closed Tight (ED Pressure Drop Across Opened at psid
Check Valve#1 _psid
Describe parts 5.2 psid
and repairs
when needed
Leaking (EJ
Leaking (0) Leaking CI) Closed Tight (ED
Final Test Closed Tight (0) Closed Tight (0? Pressure Drop Across Opened at 4.1 psid
Check Valve#1 8.1 psid
Certified Tester (print)Dan Swanson Assembly Final Test
Address 1880-B West Wayzata Blvd Performance
City Long lake State MN Zip 55356
8793 Pass
•
Phone#
License PC6441 : Certific:tion # 28072 Fail
SignatureV_ /9A ; ,( ) Date: 9/15/2015
Comments or Recommendations (continue to other side,if needed):
Rebuilt RPZ