HomeMy WebLinkAbout2019-07-08 J-Berd Annual Backflow Preventers Test Reports �4.; 1ERD r 2019
,. i Mechanical Contractors, Inc.
BACKFLOW PREVENTERS
City of Oak Park Heights
Customer Oak Park Senior Living
1,„______ ___Atil Pm
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❑
,/ Closed tight 20 psi i Closed tight ,./ Closed tight
Check valve
Differential pressure EDid not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve Leaked❑
z psi a s psi z psi
Cleaned only 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 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 Signature Date 07/08/2019
Time 8:50 am
0
wird �- 7191
. BERD ANNUAL TEST
��t 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 Serial3438553
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 3 s psi �/ Closed tight I 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
-9D psi B] psi zo psi
Cleaned only Cleaned only ❑Cleaned only Cleaned only Cleaned only
Replaced: ep 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 Date 07/08/2019
Time 9:51 am
E
, ,° is
ERD ANNUAL TEST
Mechanical Contractors, Inc. BACKFLOW PREVENTERS
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 3/4"
Manufacturer Wilkins Model 975 xl 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
ELeaked Opened at Leaked Leaked Did not open❑
Closed tight 30 psi /Closed tight I 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❑
_90 psi psi _19 psi
❑Cleaned onlyCleaned 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 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 Signature Date 07/08/2019
Time 9:57 am
0
AP'
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R ANNUAL TEST
2I1 Mechanical Contractors, Inc. BACKFLOW PREVENTERS
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 Serial3732389
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 El/ Closed tight 26 psi /Closed tight ,/ Closed tight
Check valve
Differential pressure ODid not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve Leaked❑
_81 psi s psi _1, psi
Cleaned onlyCleaned 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 stern/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 Date 07/08/2019
Time 10:04 am