HomeMy WebLinkAbout2025-10-09 J-Berd Annual Backflow Preventers Test Reports • .. :_v BERD
ANNUAL TEST
BACKFLOW PREVENTERS
� , echanical Contractors, Inc.
`--- —=--- __, Cuistameri Oak Park Senior Living
Street Address 13936 Lower 59th St N Oak Park Heights, MN 55082
Mailing Address
Property Owner
Mailing Address
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 a Leaked eLeaked Did not open
✓ Closed tight :n psi Closed tight ✓Closed tight
Check valve
Differential pressure Did not open Differential pressure Differential pressure Held at si
across check valve across check valve across check valve Leaked
_761 psi ^ psi 'e 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 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.# BF804059
Tester's Signature z Date 10/09/2025
Time 7:45 am
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O'_ ► t 1 1 I BL ANNUAL TEST
]i ��� BACKFLOW PREVENTERS
Mechanical Contractors, Inc.
1 City of Oar:Park Heichts '
~ Customer ` Oak Park Senior Living
Street Address 13936 Lower 59th St N Oak Park Heights, MN 55082
Mailing Address -_
Property Owner
Mailing Address
Location of Assembly Mechanical Room �' V .tl l
Type of Assembly RPZ Size 1-1/2" J
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 8 Leaked BLeaked Did not open
✓ Closed tight 33 psi Closed tight Closed tight
Check valve
Differential pressure 1:1Did not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve Leaked❑
—eo psi _ psi 3,0 psi
ElCleaned only 4Cleaned only El Cleanedonly ❑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 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.# BF804059
Tester's Signature Date 10/09/2025
Time 7:35 am
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`'° L' � %j` ; E RQ ANNUAL TEST
BACKFLOW PREVENTERS
k,jMechanical Contractors, Inc.
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Customer Oak Park Senior Living
Street Address 13936 Lower 59th St N Oak Park Heights, MN 55082
Mailing Address
Property Owner
Mailing Address
Location of Assembly Trash Room
Type of Assembly RPZ Size 3/4"
Manufacturer Wilkins Model 975 xl Serial3402747
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 O Leaked Did notopen�
PEl
✓ Opened at Leaked Closed tight 3n psi Closed tight ✓Closed tight
Check valve
Differential pressure Did not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve Leaked El
,o.. psi psi 2.0 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 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.# BF804059
Tester's Signature . p �. —yam Date 10/09/2025
Time 7:30 am
D
ti JBERD ANNUAL TEST
it` BACKFLOW PREVENTERS
_; echanical Contractors, Inc.
City of Oak Park Heights
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Oak Park Senior Living
Street Address 13936 Lower 59th St N Oak Park Heights, MN 55082
Mailing Address
Property Owner
Mailing Address
Location of Assembly Oak Villas @ Overhead Garage door — `ALL,`r)
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
eLeaked Opened at a Leaked eLeaked Did not open
Closed tight 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
_as psi psi a 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 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.# BF804059
Tester's Signature a,„ � Date 10/09/2025
Time 7:10 am