HomeMy WebLinkAbout2018-08-01 J-Berd Annual Backflow Preventers Test Reports RECEIVED
1
❑ i AUG - 82018
�I �BERD ANNUAL TEST
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>I J Mechanical Contractors, Inc. BACKFLOW PREVENTERS City of Oak Park Heights 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
Mailing Address 13936 Lower 59th St N, Oak Park Heights MN 55082
Location of Assembly Mechanical Room
Type of Assembly RPZ Size 3„
Manufacturer Wilkins Model 325x1 Serial L61659
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
R Closed tight psi El
Closed tight ,/Closed tight
Check valve
Differential pressure ElDid not open Differential pressure Differential pressure Held atpsi
across check valve across check valve across check valve Leaked
_86 psi as psi 21 psi
ElCleaned only Cleaned only ❑Cleaned only DCleaned only ❑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 stern/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 2.6
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 Building Service
I hereby certify that this date is accurate and reflects the proper operation and maintenance of the assembly.
Tester's Name Ben Brunner Cert. # Bt742365
Tester's Signaturedbt V21/1.,(#15Date 08/01/2018
Time 1:40 pm
B�JIJ ERD ANNUAL TEST
BACKFLOW PREVENTERS
Mechanical Contractors, Inc.
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
Mailing Address 13936 Lower 59th St N, Oak Park Heights MN 55082
Location of Assembly Mechanical Room
Type of Assembly RPZ Size 1-1/2"
Manufacturer Wilkins Model 975X1 Serial 3438553
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 0
,/ Closed tight 35 psi ,/ Closed tight /Closed tight
Check valve
Differential pressure 0Did not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve Leaked
fi5 psi _ 0 psi 2 n psi
❑Cleaned onlynCleaned only El Cleaned only Cleaned only 0Cleaned 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 Lawn Irrigation
I hereby certify that this date is accurate and reflects the proper operation and maintenance of the assembly.
Tester's Name Ben Brunner Crrt.# Bt742365
Tester's Signature Date 08/01/2018
'1111,21---
Time 2:00 pm
BE RD ANNUAL TEST
JI� BACKFLOW PREVENTERS
L ,.J Mechanical Contractors, Inc.
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
Mailing Address 13936 Lower 59th St N, Oak Park Heights MN 55082
Location of Assembly Trash Room
Type of Assembly RPZ Size 314"
Manufacturer Wilkins Model 975 xI 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 ELeaked Did not opens
/ Closed tight 30 psi /Closed tight Closed tight
Check valve
Differential pressure JDid not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve Leaked
_ee psi es psi 20 psi
❑Cleaned only Cleaned only ❑Cleaned only Cleaned only 0Cleaned 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
I hereby certify that this date is accurate and reflects the proper operation and maintenance of the assembly.
Tester's Name Ben Brunner Cert. # Bt742365
Tester's Signaturey A ilvii, Date 08/01/2018
Time 2:15 pm
El
P BERD ANNUAL TEST
fI` BACKFLOW PREVENTERS
L J Mechanical Contractors, Inc.
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
Mailing Address 13936 Lower 59th St N, Oak Park Heights MN 55082
Location of Assembly Oak Villas @ Overhead Garage door
Type of Assembly RPZ Size 2"
Manufacturer Wilkins Model 975x1 Serial 3732389
CHECK VALVE#2 CHECK VALVE#2 PRESSURE
CHECK VALVE#1 RELIEF VALVE TEST#1 TEST#2 VACUUM
BACK PRESSURE CONFIRMATION BREAKER
Leaked Opened at Air inlet psi
p Leaked Leaked Did not open El
,/ Closed tight 30 psi /Closed tight I Closed tight
Check valve
Differential pressure DDid not open Differential pressure Differential pressure Held atsi
across check valve across check valve across check valve Leaked
_00 psi s psi +s psi
1=1 Cleaned onlyI—(Cleaned only Cleaned only Cleaned only 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 Lawn Irrigation
I hereby certify that this date is accurate and reflects the proper operation and maintenance of the assembly.
Tester's Name Ben Brunner Cert. # Bt742365
Tester's Signature ISIArt lkiv` Date 08/01/2018
Time 3:00 pm