HomeMy WebLinkAbout2023-07-06 J-Berd Annual Backflow Preventers Test Reports " ERD ANNUAL TE ,a;;
i BACKFLOW PREVENTERS a
Mechanical Contractors. Inc_ a
Customer Oak Park Senior Living
Street Address 13936 Lower 59th St N Oak Park Heights, MN 55082 city or Oak Park Herghts
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 25 psi 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
es psi psi 15 psi
–
0Cleaned 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 67 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 —®,� -----L-__ --- Date 07/06/2023
Time 1:15 pm
IS 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 Did not open❑
Closed tight 3. psi B Leaked Leaked Closed tight ,/ Closed tight
Check valve
Differential pressure DDid not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve Leaked0
,_85 psi psi 18 psi
Cleaned only ep Cleaned only ❑Cleaned only DCleaned only Cleaned only
Replaced: 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 67 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 07/06/2023
Time 1:30 pm
$ IERD 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 Trash Room
Type of Assembly RPZ Size 314"
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
Leaked Opened at 8 Leaked Leaked Did not open❑
Closed tight o psi Closed tight ✓Closed tight
Check valve
Differential pressure QDid not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve Leaked❑
psi psi z., psi
0Cleaned 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 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 67 _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 07/06/2023
Time 1:40 pm
*---- i 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 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
Leaked Leaked Did not open
�/ Closed tight 35 psi e 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❑
95 psi psi 5 psi
Cleaned only ep Cleaned only ❑Cleaned only ❑Cleaned only 0Cleaned only
Replaced: 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 67 _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 ,0„ � Date 07/06/2023
Time 12:45 pm