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Mercantile-LR040218~CHECK ONE: IRRIGATION DOM]L~TIC FIRELINE BACKFLOW PREVENTION ASSEMBLY TE~, ~AND MAIN~ REPORT TYPE OF ASSEMBLY iD R~iuccd Pr~surc Prindplc r~ ,,~ Double Chcck V~ o Pressu~ Vac..,m Breaker Atmosphere Vacuum Btcakcr REDUCED piing.SURE PRINCIPLE ASSEMBLY PP~SSURE VACUUM BREAKER DOUble Check Valve .Assembly . ls~ Check 2nd Check Relief Valve Air Inlet Check Valve InkialTcst DC4~losed ~-0 Closed Tight ~ Openedat Opeucdat pski Ti~ ~ Lea~d psid psid RP- psid /,~/ DidnotOpm a Lea~ Mamials Us~l Test Alter DC~losed Cloned Tight o Op~! a Opined a .~_._.psid Repair Ti~h~ o psid psid Cat Testa'No. ~ 7~ DSc r~-/~- ~/ ~ate last accuracy tested White - Customerk~ Copy Yellow - City Copy Pink - Teste~ Copy CHECK ONE: IRRIGATION DOMESTIC PIRELINE ,~ BACI~FLOW pREVENTION ASSEMBLY TEST AND MAII~II~NANCE REPORT PW$ LD. # stancE: 47 ~ Double Ch~k Yalv¢ TYPE OF ASSEMBLY o Pr~sm~ Va~-~ Br~ker REDUCED PRESSUR~ PRINCIPLE ASSEMBLY PRESSURE VACUUM BRgAI~ DOUble Check Valve Assonbly " 1st Ch-e~r 2nd Check ]i~!!.f Valve Air Inlet Check Valve I~ifial T~st DC.Closed /, & Closed Tight ~ Opea~ at Opined at psid Tight o Leak~ o psid psid ~- ~d /, q Used T~s~Attcr DC-Closed Clos~iTi~i~ o Ol:~ncda~ Opcocda~ psid l~air TiSI~ o psid psid The above is co~ied m be lrue. Date last accuracy tested White - Customer's Copy Yellow - City Copy Pink - Testet~s Copy CHECK ONE: IRRIGATION DO~E~TIC I.D. Manufa~n-~.' Mod~ Nmnb~r $~"i~1 Number Re~_,_~_ _ Pressure Principle Double Check Valve TYPE OF ASSIflVIBLY r~ !~ssum Vacum: Br~l~r r~ Atmosphere Vacuum Si~ ~' ~ - REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER Double Check Valve Assembly :~ 1st Check 2nd Check RMid Valve Air Inlet Check Valve I~itial Test DC-Clos~I ~' ~ Closed Tight ~, Opened at Opened at psid Tight ~ Leaked _______p$id .psid '7/5/~/'- Leaked [] DidnotOpen t~ Leaked r~ Materials Used Test ~ DC-Clos~I Closed Ti~t c~ Opened at Opened at psid R~pair Tight a psid psid RP.~__psid Date lnst accuracy teste~ q-/2 -0'~ White - Customer~ Copy Yellow - City Copy Pink - Tester~ C~py ~CfIECK ONR-- IRRIGATION DOMESTIC I~IRELINE BACKFLOW PREVENTION A..~'EM]iL¥ TEST AND MAIN ~ v~[ANCE REPORT PWS ZD. # rn ~ Pr~ssm~ Principle Double Check Vdv¢ TYPE OF ASS]~VIBLY Pressure Vacumn Brcal~r Armosph== Vacuum Located At REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER Double Check Valve Assembly 1st Check 2nd Check Relief Valve Air Inlet Check Valve Ink/dTcst DC-CIo~ ,,?.{7 Clo~lTight ~1~ Ol~m~lat Op~m~dat psid Tight LeakedO psid psid psid /, /~5 ,~,$~..: Leaked [] DidnotOpen = Leaked = Mamials Used Test Aft~ DC-Closed Closed Tight tn Opened at Opened at psid R~pair Tight m psid psid m' psid Date last accuracy tested White - Customer~ Copy Yellow - City Copy Pink - Testers Copy