HomeMy WebLinkAbout2006-03-15 Backflow Preventer Testing Reports - Nasseff Mechanical Contractors REDUCED PRESSURE BACKFLOW PREVENTER TEREPORT AND
TESTABLE DOUBLE CHECKS
SAINT PAUL REGIONAL WATER SERVICES
Service Name: Met council/Stillwater plant U Contact Person/Tele: Rich Kraft-651 439-4123
Address: 6163 ST. CROIX TRAIL N City: STILLWATER State: Mn Zip: 55082
Device Location:Bldg 64 Serve what system:
Account Number: Serial Number: E4596
Type: Make: Combraco Model: 4020702 Size: 1-1/2"
Install Date: Air Gap Installation Date:
Rebuild Date: 3/15/2006 next 3/2011 Test Date: 3/15/2006
Annual Check Valve#1 Check Valve#2 Differential Pressure Relief Valve
Report Pressure 6.4 Pressure clsd Opened at 2.8psid reduced pressure.
Did not open❑
® Cleaned Cleaned ® Cleaned
® Replaced ® Replaced Replaced
R ® Disc ® Disc ® Disc, Upper
E ❑ Spring ❑ Spring ® Disc, Lower
P ❑ Guide ❑ Guide ❑ Spring
A ❑ Pin Retainer ❑ Pin Retainer ® Diaphragm, Large
I ❑ Hinge Pin ❑ Hinge Pin ❑ Lower
R ❑ Seat ❑ Seat ❑ Upper
S ❑ Diaphragm ❑ Diaphragm ❑ Diaphragm, Small
® Other,describe ® Other,describe ❑ Lower
o-ring o-ring ❑ Upper
❑ Seat:
❑ Lower
❑ Upper
❑ Spacer, Lower
® Other,describe0-ring
[®] Sign and date Tag
The above is certified correct. Signed DateTested 3/15/2006
Tested by(Print Name)Jon R Weber Certification Number 1786T
Company Name: Nasseff Mechanical Contractors Inc. License Number 2335PM
Company Telephone Number 651-777-0001
REDUCED PRESSURE BACKFLOW PREVENTER TEREPORT AND
TESTABLE DOUBLE CHECKS
SAINT PAUL REGIONAL WATER SERVICES
Service Name: Met Council/Stillwater Contact Person/Tele: Rich Kraft-651 439-4123
Address: 6163 ST. CROIX TRAIL N City: Stillwater State: Mn Zip: 55082
Device Location:Bldg 10(1st floor) Serve what system: Boiler
Account Number: Serial Number: D3798
Type: Make: Combraco Model: 4020402 Size: 3/4"
Install Date: Air Gap Installation Date:
Rebuild Date: 3/15/2006 Test Date: 3/15/2006
Annual Check Valve#1 Check Valve#2 Differential Pressure Relief Valve
Report Pressure 5.6 Pressure CLSD Opened at 3.0psid reduced pressure.
Did not open❑
® Cleaned ® Cleaned ® Cleaned
® Replaced ® Replaced ® Replaced
R ® Disc ® Disc ® Disc, Upper
E ❑ Spring ❑ Spring ❑ Disc, Lower
P ❑ Guide ❑ Guide ❑ Spring
A ❑ Pin Retainer ❑ Pin Retainer ® Diaphragm, Large
1 ❑ Hinge Pin ❑ Hinge Pin ❑ Lower
R ❑ Seat ❑ Seat ❑ Upper
S ❑ Diaphragm ❑ Diaphragm ❑ Diaphragm, Small
® Other, describe ® Other,describe ❑ Lower
"o-ring" "o-ring" ❑ Upper
❑ Seat:
❑ Lower
❑ Upper
❑ Spacer, Lower
® Other, describe"O-ring"
[®] Sign and date Tag
The above is certified correct. Signed DateTested 3/15/2006
Tested by (Print Name) Jon R Weber Certification Number 1786T
Company Name: Nasseff Mechanical Contractors Inc. License Number 2335PM
Company Telephone Number 651-777-0001
REDUCED PRES9"ARE BACKFLOW PREVENTER TE' REPORT AND
TESTABLE DOUBLE CHECKS
SAINT PAUL REGIONAL WATER SERVICES
Service Name: Met council/Stillwater plant Contact Person/Tele: Rich Kraft-651 439-4123
I
Address: 6163 ST. CROIX TRAIL N City: STILLWATER State: Mn Zip: 55082
Device Location:Bldg 40(basement) Serve what system: pumps
Account Number: Serial Number: 0007
Type: Make: Combraco Model: 4020901 Size: 2-1/2"
Install Date: Air Gap Installation Date:
Rebuild Date: 3/15/2006 next 3/2011 Test Date: 3/15/2006
Annual Check Valve#1 Check Valve#2 Differential Pressure Relief Valve
Report Pressure 5.4 Pressure clsd Opened at 2.8psid reduced pressure.
Did not open❑
® Cleaned ® Cleaned ® Cleaned
® Replaced ® Replaced ® Replaced
R ® Disc ® Disc ® Disc, Upper
E ❑ Spring ❑ Spring ® Disc, Lower
P ❑ Guide ❑ Guide ❑ Spring
A ❑ Pin Retainer ❑ Pin Retainer ® Diaphragm, Large
1 ❑ Hinge Pin ❑ Hinge Pin ❑ Lower
R ❑ Seat ❑ Seat ❑ Upper
S ❑ Diaphragm ❑ Diaphragm ❑ Diaphragm, Small
® Other,describe ® Other,describe ❑ Lower
o-ring o-ring ❑ Upper
❑ Seat:
❑ Lower
❑ Upper
❑ Spacer, Lower
® Other, describe O-ring
[®] Sign and date Tag
The above is certified correct. Signed DateTested 3/15/2006
Tested by(Print Name)Jon R Weber Certification Number 1786T
Company Name: Nasseff Mechanical Contractors Inc. License Number 2335PM
Company Telephone Number 651-777-0001
REDUCED PRESS44RE BACKFLOW PREVENTER TE'"'REPORT AND
• TESTABLE DOUBLE CHECKS
SAINT PAUL REGIONAL WATER SERVICES
Service Name: Met council/Stillwater plant Contact Person/Tele: Rich Kraft-651 439-4123
Address: 6163 ST. CROIX TRAIL N City: STILLWATER State: Mn Zip: 55082
Device Location:Bldg 15 Serve what system: boiler
Account Number: Serial Number: A8089
Type: Make: Combraco Model: 4020A01 Size: 4"
Install Date: Air Gap Installation Date:
Rebuild Date: 3/15/2006 next 3/2011 Test Date: 3/15/2006
Annual Check Valve#1 Check Valve#2 Differential Pressure Relief Valve
Report Pressure 6.4 Pressure clsd Opened at 2.8psid reduced pressure.
Did not open❑
® Cleaned ® Cleaned ® Cleaned
® Replaced ® Replaced ® Replaced
R ® Disc 1 Disc ® Disc, Upper
E ❑ Spring ❑ Spring ® Disc, Lower
P ❑ Guide ❑ Guide ❑ Spring
A ❑ Pin Retainer ❑ Pin Retainer ® Diaphragm, Large
❑ Hinge Pin ❑ Hinge Pin LI Lower
R ❑ Seat ❑ Seat ❑ Upper
S ❑ Diaphragm ❑ Diaphragm ❑ Diaphragm, Small
® Other,describe ® Other,describe ❑ Lower
o-ring o-ring ❑ Upper
❑ Seat:
❑ Lower
❑ Upper
❑ Spacer, Lower
® Other, describe0-ring
[®] Sign and date Tag
The above is certified correct. Signed DateTested 3/15/2006
Tested by(Print Name)Jon R Weber Certification Number 1786T
Company Name: Nasseff Mechanical Contractors Inc. License Number 2335PM
Company Telephone Number 651-777-0001
REDUCED PRESS'ARE BACKFLOW PREVENTER TEREPORT AND
TESTABLE DOUBLE CHECKS
SAINT PAUL REGIONAL WATER SERVICES
Service Name: Met council/Stillwater plant Contact Person/Tele: Rich Kraft-651 439-4123
Address: 6163 ST. CROIX TRAIL N City: STILLWATER State: Mn Zip: 55082
Device Location:Bldg 72 Serve what system: boiler
Account Number: Serial Number: C1999
Type: Make: Combraco Model: 4020702 Size: 1-1/2"
Install Date: Air Gap Installation Date:
Rebuild Date: 3/15/2006 next 3/2011 Test Date: 3/15/2006
Annual Check Valve#1 Check Valve#2 Differential Pressure Relief Valve
Report Pressure 5.8 Pressure clsd Opened at 3.4psid reduced pressure.
Did not open❑
® Cleaned el Cleaned ® Cleaned
® Replaced ® Replaced ® Replaced
R ® Disc ® Disc ® Disc, Upper
E ❑ Spring ❑ Spring ® Disc, Lower
P ❑ Guide ❑ Guide ❑ Spring
A ❑ Pin Retainer ❑ Pin Retainer ® Diaphragm, Large
❑ Hinge Pin ❑ Hinge Pin ❑ Lower
R ❑ Seat ❑ Seat ❑ Upper
S ❑ Diaphragm ❑ Diaphragm ❑ Diaphragm, Small
® Other,describe ® Other,describe ❑ Lower
o-ring o-ring ❑ Upper
❑ Seat:
❑ Lower
❑ Upper
❑ Spacer, Lower
® Other, describeo-ring
[®] Sign and date Tag
The above is certified correct. Signed DateTested 3/15/2006
Tested by (Print Name) Jon R Weber Certification Number 1786T
Company Name: Nasseff Mechanical Contractors Inc. License Number 2335PM
Company Telephone Number 651-777-0001
REDUCED PRESS'-4RE BACKFLOW PREVENTER TE''REPORT AND
TESTABLE DOUBLE CHECKS
SAINT PAUL REGIONAL WATER SERVICES
Service Name: Met Council/Stillwater Contact Person/Tele: Rich Kraft-651 439-4123
Address: 6163 ST. CROIX TRAIL N City: Stillwater State: Mn Zip: 55082
Device Location:Bldg 10 (basement) Serve what system: Boiler
Account Number: Serial Number: D3791
Type: Make: Combraco Model: 4020402 Size: 3/4"
Install Date: Air Gap Installation Date:
Rebuild Date: 3/15/2006 Test Date: 3/15/2006
Annual Check Valve#1 Check Valve#2 Differential Pressure Relief Valve
Report Pressure 6.6 Pressure CLSD Opened at 3.0psid reduced pressure.
Did not open❑
® Cleaned ® Cleaned ® Cleaned
® Replaced ® Replaced ® Replaced
R ® Disc ® Disc ■ Disc, Upper
E ❑ Spring ❑ Spring ❑ Disc, Lower
P ❑ Guide ❑ Guide ❑ Spring
A ❑ Pin Retainer ❑ Pin Retainer ® Diaphragm, Large
❑ Hinge Pin ❑ Hinge Pin ❑ Lower
R ❑ Seat ❑ Seat ❑ Upper
S ❑ Diaphragm ❑ Diaphragm El Diaphragm, Small
Other, describe ® Other,describe ❑ Lower
"o-ring" "o-ring" ❑ Upper
❑ Seat:
ElLower
❑ Upper
❑ Spacer, Lower
® Other,describe"O-ring"
[®] Sign and date Tag
The above is certified correct. Signed DateTested 3/15/2006
Tested by(Print Name) Jon R Weber Certification Number 1786T
Company Name: Nasseff Mechanical Contractors Inc. License Number 2335PM
Company Telephone Number 651-777-0001