HomeMy WebLinkAbout2014-07-30 J-Berd Annual Backflow Preventers Test Reports 0 ,,i,
roiscD—BERD 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 Basement Mechanical Room-Irrigation
Type of Assembly RPZ Size 1-1/2"
Manufacturer Wilkins Model 975XL Serial 3438553
CHECK VALVE#2 CHECK VALVE#2 PRESSURE
CHECK VALVE#1 RELIEF VALVE TEST#1 TEST#2 VACUUM
BACK PRESSURE CONFIRMATION BREAKER
Beaked Opened at _Leaked Air inlet psi
p �Leaked Did not openE
losed tight 3.2 psi ✓Closed tight NI 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❑
8.0 psi 7.8 psi 2.8
psi
Cleaned only ❑Cleaned only Cleaned only Cleaned only Cleaned only
Replaced: Replaced: _ Replaced: Replaced: Replaced: _
rubber b ber — b ber ub rubber
CV assembly kit CV ru assembly kit CV rubber assembly kit CV ru assembly kit CrV 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
NOTE: ALL REPAIRS SHALL BE COMPLETED WITHIN 10 DAYS.
Remarks Lawn irrigation, 3rd year
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 Date 07/30/14
l.
1
,�R E RD ANNUAL TEST
J� 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 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
Beaked Opened at _Leaked ❑Leaked Did not open❑
losed tight 3.2 psi ✓Closed tight Closed tight
Check valve
Differential pressure laid not open Differential pressure Differential pressure Held at psi
across check valve across check valve across check valve LeakedE
9.4 psi 9.3 psi 2.1 psi
Cleaned only ❑Cleaned only Cleaned only Cleaned only Cleaned only
Replaced: Replaced: _ Replaced: _ Replaced: Replaced: _
r _ _
CV ubber assembly kit CV rubber assembly kit CV rubber assembly kit CV rubber assembly kit CV rubber assembly kit
— —
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
NOTE: ALL REPAIRS SHALL BE COMPLETED WITHIN 10 DAYS.
Remarks Trash-chute wash down, 3rd year
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 Date 07/30/14
0
i1 RD ANNUAL TEST
)� j E' 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 Basement mechanical room at service
Type of Assembly RPZ Size 3"
Manufacturer Wilkins Model 375XL 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 opens
Closed tight 2.0 psi i 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❑
8.6 psi 7.8 psi 2.8 psi
❑Cleaned only ❑Cleaned only ❑Cleaned only ❑Cleaned only ['Cleaned only
Replaced: _ Replaced: — 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 1-1
retainer — lock nuts retainer _ retainer retainer —
lock nuts — other — lock nuts lock nuts guide
—
other — — other — other o-ring
— — other —
NOTE: ALL REPAIRS SHALL BE COMPLETED WITHIN 10 DAYS.
Remarks Bldg service- 3rd year
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 6.14p Auk Date 07/30/14