HomeMy WebLinkAbout2016-08-30 J-Berd Annual Backflow Preventers Test Report - Trash Chute RECEIVED
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.l' �BERD ANNUAL TEST SFP — 1 2016
11` BACKFLOW PREVENTERS
J Mechanical Contractors, Inc.
CIty of Oak Perk Heights
AM PM
Customer Oak Park Senior Living
Street Address 13936 Lower 59th St.N, Oak Park Heights MN 55082
Mailing Address
Property Owner Oak Park Senior Living
MN 55082
13936 Lower 59th St. N,Oak Park
Mailing AddressHeights
Location of Assembly Parking garage trash room
Type of Assembly RPZ Size 3/4"
Manufacturer Wilkins Model 975XL Serial 3402747
CHECK VALVE#2 CHECK VALVE#2 PRESSURE
CHECK VALVE#1 RELIEF VALVE TEST#1 TEST#2 VACUUM
BACK PRESSURE CONFIRMATION BREAKER
Air inlet psi
Leaked Opened at Leaked Leaked Did not open❑
,/ Closed tight 2.8 psi B Closed tight /Closed tight
Check valve
Differential pressure ODid not open Differential pressure Differential pressure Held atpsi
across check valve across check valve across check valve Leaked
8.8 psi 8.6 psi 1.8 psi
UCleaned only Cleaned only ❑Cleaned only Cleaned only 0 Cleaned only
Replaced: Rep aced: Replaced: Replaced: Replaced:
rubber kit rubber kit rubber kit rubber kit rubber kit
CV assembly CV assembly CV assembly CV assembly CV assembly
o-rings - diaphragm(s) o-rings o-rings disc,air in
seat - seat seat seat disc,CV
spring - spring spring spring spring,air in
stem/guide guide stem/guide stem/guide spring,CV
retainer - lock nuts retainer retainer retainer
—
lock nuts other lock nuts lock nuts guide
other other other o-ring
other
Differential pressure Opened at Differential pressure Differential pressure Air inlet psi
across check valve across check valve across check valve
psi Check valve psi
psi psi psi
Building Pressure 60 psi
NOTE: ALL REPAIRS SHALL BE COMPLETED WITHIN 10 DAYS.
Remarks Trash chute wash down
I hereby certify that this date is accurate and reflects the proper operation and maintenance of the assembly.
Tester's Name Rondo Ihde Cert.# 061588-BF
Tester's Signature ts-ti. 02.0 a-Un Date 08/30/2016
Time 9:30 am
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