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St Joseph-LR040130
CHECK ONI~ mitIGATION DO M~I'IC J' FIRELINE BACKFLOW PREVENTION ASSEMBLY ~ AND MAINrI~ANCE REPORT NAM~ OF PWS: PWS I.D. # .~ . The ba~kflow prevcnfio~ assembly dmiled below has bern ~ ~ ~.i.,.i.~ ~ ~ ~ ~CC ' REDUCED PRESSURE PRINCu'LE ASSEbfBLY PRESSURE VACUUM BREAKER Double Check Vm've A.~mmhty 1st Check ] 2nd Check ~iLef Valve Air Inlet Check 3~Mve Initial T~st DC-Closed :..Closed Ti~ht ~'~ " Op~ecl ~: psid ~.8.~ U I~3~l n ~sid psid T~ · '? osid Le, ak~ 0 Did not Open n Leaked 0 M~rials :~ TestAtOr DC-Closed Clo~dTi~ht o Opea~ Opeaed~* W~I l~p~r Ti~ o ~s/d ps/d White - Customer~ Copy / Yellow - Cit~ Copy Pink - Tester~ Cepy