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HomeMy WebLinkAbout19425 Backflow Prevention Assembly Test Report . ❑Annual 0 Annual with Repair 0 New Install 0 Semi Annual/Quarterly 0 Repair Only 0 Replacement al C of 0 for: rIA;9 s j-in- ?1,3 0 Hydrant Meter for: 0 Other: , Backflow Prevention Device Inspections, Inc. (BPDI) BPDI 15840 N. 32nd St. Suite 4 Phoenix, Arizona 85032 Ph: 602-788-5411, FAX: 602-788-6104 �1` Tester Organization Water Purveyor Manufa, ct ti Size (),, ModeCNo �Te Serial No. 4�r U/� Line Presslre PSID �/v� o'> (tom Property Owner or Manager Phone No. Water Meter No. t,//, `F Z_cJz, v rt('' (,--2---- ---I fi"r— Address City,State,Zip -77(10 11/ ;hf1410),4/l > %0 /5 0-prLft_ rr61-2 Q ' - 1Z- Contact Phone No. Assembly Site Name&Address 7 -7}i✓iw') C( L-r)t1 On Site Location of Assembly Is This a new installation? No Does this assembly replace another? If yes,Old Serial No. Yes✓ Permit# Type of Protection - J .Primary 0 Secondary Pressure Vacuum Service -3 p Domestic 0 Irrigation 0 Fire 0 Temporary Breaker Differential Pressure Back Pressure Initial Check Valve#1 Check Valve#2 Relief Valve Yes ❑ No 0 Test: 1.Clpsed Tight❑ 1. Closed Tight IV `7� Air Inlet RP `& e PSID Opened At -+' /PSID Opened at PSID DC PSID DC PSID ' , 2. Leaked 0 2. Leaked 0 Did Not Open 0 Did Not Open 0 . Repairs: Check Valve Held at PSID Leaked 0 Condition of Shut Off Valves: #1 Valve: Tight J Leaks 0 Not Used 0 #2 Valve: Tight, Leaks 0 Shut Off Valve No. 1: Repaired 0 Replaced 0 Shut Off Valve No.2: Repaired 0 Replaced 0 Final Test RP PSID Closed Tight 0 Opened at PSID Air Inlet PSID DC PSID DC PSID Closed Tight 0 Check Valve PSID The Above Test Report is Certified to be True Certified Tester Date: Test Results: Kit # /l No: -irC____,. Initial'Test B (; -n y ' W7 �� �� Pass' r i ; L.%' ,r/1 1 r .- Fail 0 7. Repairs By: Final Test By: Pass 0 Fail 0 FORM#1001(04/04) Backflow Prevention Assembly Test Report 0 Annual 0 Annual with Repair 0 New Install ❑Semi Annual/Quarterly 0 Repair Only 0 Replacement /0`C of O for: 'jr� ' r,'7" 7 ❑ Hydrani'Meter for: ❑ Other: , Backflow Prevention Device Inspections, Inc. (BPDI) 15840 N. 32nd St. Suite 4 \ BPDI Phoenix, Arizona 85032 ,4 f ,� f . Ph: 602-788-5411, FAX: 602-788-6104 ( . L -f r ; -e Tester Organization Water Purveyor Manufacturer / b Size "`5 , Model No./Tpype(_ f Serial No. Line�/ Line Pressure PSID Property'Owner or Manager ' �• Phone No. Water Meter o. —�! ?/ _/( ,L -4 .// Address V ++ ! ,,u City,State,Zip_} � /� ) t 1. ! �:i. 1}[ik'! i D 7r4 v - (-Jim_ '-JLf t-,,? ('" ,'!f1 Contact `"'" t Phone No. fit// .,(L. Assembly Site Name&Address /VIA( On Site Location of Assembly Al ?i 1-rf f2 ,t iv 1 Is This a new installation? No Does this assembly replace another? If yes,Old Serial No. Yes Permit# Type of Protection -- il Primary 0 Secondary Pressure Vacuum Service O,Domestic 0 Irrigation 0 Fire 0 Temporary Breaker Differential Pressure Back Pressure Initial Check Valve#1 Check Valve#2 Relief Valve Yes 0 No 0 1.C�l se Ti ht❑ 1. Closed Ti ht i ey'SID Air Inlet Test: RP` /(U PSID g�' Opened At-3 Opened at PSID DC PSID DC PSID 2. Leaked 0 • 2. Leaked 0 Did Not Open 0 Did Not Open 0 Repairs: . Check Valve Held at PSID Leaked 0 Condition of Shut Off Valves: #1 Valve: Tight I(Leaks 0 Not Used 0 #2 Valve: Tight' Leaks 0 Shut Off Valve No. 1: Repaired ❑ Replaced 0 l/' Shut Off Valve No.2: Repaired 0 Replaced 0 Final Test RP PSID Closed Tight 0 Opened at PSID Air Inlet PSID DC PSID DC PSID Closed Tight 0 Check Valve PSID The Above Test Report is Certified to be True Certified Tester Date: Test Results: Kit # .�" � No: ` j j 7 Initial Test By: /; f�/ p� / G / • `;�7f)5 Pass © Fail 0 .- I+, Repairs By: • Final Test By: • Pass ❑ Fail 0 • FORM#1001(04/04) • ' J U N- 7-0 5 01 : 15 PM SYSTEMS COMM. & TESTING N 1520884492S P el 1 :. - , .. - 1 •' ... . ., 4 t .. Symtertes Commissioning' 6c Tesitings Inc. .1..., ..,'ij'...i.: 8.Ze3 E. 47 Sr. Satre 13-I 58 Tucson,AZ 8.7713 , 4 Phone (520) 884 4792 4( Fax 020) 884-4923 • Toil tree (666) 334-7119 AZ ROC Lkefise 7,7 051448 L-39 I• . •.- Assodared Air Balance Cosincil AilBC , Co.rtlfleci Member . . ,,..,,.,,,,,,,,,..., .... . ,•„„, ,.,..„,„,...„ „ ..,, 1 •0.•, • • ,,n•• • •••••ne.•.• • I•I, ,an. • • II X. •" "'% ... '' FAX COVER SLIEFT : ,.... • •. , : _ ... - -----•-__ :,. ]1 :_ ... DA TE: I e'1:-. . , .... TO 6344/-14,172,-'d (...61'.41- . • i .1 ATTN: • . 1,:, ! .... 1 ... „ , > PAGES To rouow: _,3 _______ : 1 •n-, • . ,.•• . 4F-ty...------- ..... , •" -----...... - .q..::,11.!. ... .. t . 1,1:01rtil , 1 ',...., : . 1 1 ' - 'ai e.. ' ':'{:''.::•.,' , 'JUN-07-05 01 : 15 PM SYSTEMS COMM. F, TESTING N 15208844923 P. 02 :••;;T::::'•,.;1•• l• • - ,.., . ' ' '4?-4, • ,1-:, l• -. .;•,,,: . • ••,..j.4,,, • • Systems Commissioning & Testing, Inc. . ,.,.•:: 820 E.47th St.,Suite B-15B,Tuoon,AZ 85713 (520)884-4792 ur toll trot(86(i)33.4-71197 Fax(520)88)-1923 ... . .! •.: Alien Kc.nt,Jr.,T.11,13, AZ ROC:Liccusc,it 081448 L-39 . . ,.z Associated Air Balance Council , :' • ;., AABC : , ••.':' 1 i . Certified Member •::::: 1:. 1 i :4 . ..]•..'::.i . s .. ! •:'.. . .. : ., . ,-.. . . . . ,H. V. A. C. Systems • . , . . i Test & Balance Report .. .-:..,. . . , .. :. . .: for , 1 • • : ., . ! :•.:',t:. t .r.::: .., • -• •• i• .. , . :••••, • '....': ..:.:.: :.....-. Project: WETZELS PRETZELS @ ARROWILEADI ;•:.- !•:- X. '....TW TOWN CENTER ; r ,--- . ''',14 :,1';,•• , • • i : ..'.,":": Location: PlIGENDC, ARIZONA . ' . ''-.•• :....Ci : Mechanical Contractor: SOURCE REFRIGERATION • ,. . ,, -. • . . ., :,',;:.:•. . ..-: t '•• .:,' ,H., ' '1 .;•T:• i.: . .. 3• :'•':: ' • • •:„' •.. . • • •. This is to certify that Systems Commissioning&Testing, Inc., has balanced the systems described herei , ... . ..•• to their optimum perfornmee capabilities, The testing and balancing has been performed in accordance .. .. ,. ..: . with the standard requirements and procedures of the Associated Air Balance Council and the results of! . ..,.: . • these tests are herein recorded. . . . . : . . . . . „ . .• . . . . Associated Air Balance Council Certification Number: 4-01-6,3 ..• :I . , ,..„. . •,, . . .,.. . • . . ,•. Date: MAY 18,2005 .1 -- , •::..;,•,• i. : :. . :'.••,. I - , 1. .4.:' :•.'...: • 'i• . 1 , .':.ii.:_:•:'':, 5, . .- .-- . •:,...tlii,-- i 6/;. ittli:' . .. .., . ,. • -• • . •, • • r• • .•i 1,44'!1.41.:• . 1 ,' ,•-iil.r...4. .....,,,•:.,,::.. . ' '- ":...1.:-;i';..', • . i -4..4•:' JUN-07-05 01 : 16 PM SYSTEMS comm. & TESTING N 15208844923 F. 03 ! . .• i'i '.:• . . .. ',•,, ' . . Systems ommissi(ming & Testing, Inc, , . . • •,,,,...!, :,. . • 820 E.47til St„Suite 11.151i,Tucson,AZ R,5713 02(1) St34-1792 FAX(5'20)881-1923 ..• . . 4. •:.• • .• Mkt,F.Kent„ir.,T,11.E. Tull Fick!(866)3:::N.-711,9 - , •:. A",/,R()C Lecuse N )81,148 La) .. Associated Air Balanrc Council • . - AABC .- •• . . . . .. (ertificd Mcinber *1 :' _...--... ---- - - — ........ ps:• i • ' . .• .1 • , . i 1.; .... '' . .WETZELE! PRETZELS @ ARRROWHEAD TOWN CENTER 1 . • MAY 18, 200b . . . '. GENERAL COMMENTS .!.: . • . . • . •' . -. . ,• .. , ;,. ...' 1) VAV-1: VAV BOX WOULD NOT CONTROL AT THE TIME OF OUR TEST. BOX WAS DRIVEN 1001 i OPEN AND OUTLETS WERE -PROPORTIONALLY BALANCED AT THE DTRECTTON OF THE FACILTTIES DIRECTOR FOR THE MALL. , • t f t ' '; :•,., . . ' -•• .. ..1:"4:.:1;'--: . • ,-' f.. ./k. . . . . ' . , . •-,,.: - • • -I..: • ,: . I : : ).:,: • .. . . ,...i.i. . . :.':,i.''. • I . , •• . , :,:,..;;, • -:' :.Y.2,..::. .• • __ _ [ t•: . :...r., ••:;,' '-'• • . „ -- - -- 1 -------; - - --- :,,P...,.• • , • .;..! . .. 4:; ..,..?-n.:••••, . .., . . .. . . , ... . . . t . , i • • .. •. ''' : rr • .,.',.:• . • •I . :.•• . , ••• 1 ; . • .• • •.. .: . . .... . . •• . . . .. _ . . . • ,.. • V 4JUN-07-05 01 : 17 PM SYSTEMS comm. & TESTING N 1 2e8844923 P. 04 Fi y y,41,... Systems Ccle�inki�aibning& 'Testing,Inc, Mall:CERTIFId I) ` `% . 1,. TERMINAL nrv1CF SHEET ', S:'1': W I Te'.3'a._PRFITZ JI.S(c!.L�►13t�t�wuEADIDAt. .d.._.r_....... PAO E:_a__..__.�„ Sr' naTE: ter 5 a; ROOM T'ERMINA1. A,, REQUIRED RELLA1NARY FINAL. NOES , , RUG CFM RDLJ CFM RIC; • CFM , , NO. NO SIZE f P 754 3�5 •<• • 210 345 1 220 390 I 410 1II ' i 1 . •,.• •:' 11111Mmi e4 - 220 390 4 t 0j? s'•s L ril AO/i 1_0 , , ; 4 =MINIMAX1 ._. - I.I I. �!Y Y •.;;-'3:•••;4-:;. NMI maipainionii ,oluit, .i.,1 .,ii, III- 4. E : • i' ;••-i 1 ' r s . : :: • :.: :.: . MI a :.:.1:,,.. lagg ii is llig .: .0 NM I J�+ lC A, sili_ . :___,... : : _ . .. 11111 I` } „, En • a M1 M t • i' '• 1 • ' •d� + ova ..,. -1.i, NM , ., .1. n•V;* IIIIII MA . lanimumm , NO•FLS: CD SEE GENERAL COMMENTS , '`: t .