HomeMy WebLinkAbout10/05/2020- Reduced Pressure Principle Backflow Preventer field test reportAmerican Society of Sanitary Engineering
Reduced Pressure Principle Backflow Preventer (RP)
ASSE Standard #1013 Field Test Report
Zip Code 55356
Zip Code,
Manufacturer of Device: Wilkins
Model* 975xL
Size of Device: 1" Serial #: 3662618
Location of Assembly and Equipment or System Application: Irrigation System
Test Equipment:
Manufacturer: Wilkins
Calibration Date: 1/6/2020
Model #: TG -3
Serial #: 091010878
Date test was performed: 10/5/20 Time test was performed: Static Line Pressure:
Certified Tester (print) Dan Swanson
Address 1880-B West Wayzata Blvd
City Long lakd,, State MN Zip 55356
Phone #: 952-473-8 3
License #: P 061307 /-UrtificatioA 28072
Signature
Date
Comments or Recommendations (continue to other side, if needed):
Assembly Final Test
Performance
Pass
Fail ❑
Check Valve #2
Shutoff valve #2
Check Valve #1
Pressure Differential
Relief Valve
Leaking (�
Initial Test
Leaking (E])
Leaking (EI)
Closed Tight (�
Opened at 3.5
Closed Tight (ED
Closed Tight (ED
Pressure Drop Across
_psid
Check Valve #1 s psid
Describe parts
and repairs
when needed
Leaking (ED
Final Test
Leaking (])
Leaking
Closed Tight ([3
Pressure Drop Across
Opened at
Closed Tight (❑)
Closed Tight Qj
Check Valve #1 sid
_psid
Certified Tester (print) Dan Swanson
Address 1880-B West Wayzata Blvd
City Long lakd,, State MN Zip 55356
Phone #: 952-473-8 3
License #: P 061307 /-UrtificatioA 28072
Signature
Date
Comments or Recommendations (continue to other side, if needed):
Assembly Final Test
Performance
Pass
Fail ❑