HomeMy WebLinkAbout1403 Reeves Dr - Special Inspections/Backflow - 08/25/2005Sep 27 2005 3:40PM
Sep 08 05 03:18p
HP LRSERJET FAX
ALAN FINDLEY
970-613-1309 P• 1
p.7
ALAN & ADAM FINDLEY - A.S.S.E. CERTIFIED TESTERS
BACKFLOW PREVENTION ASSEMBLY TEST & MAINTENANCE REPORT
Customer must retain a copy of this report fo f three years
Water District/Aulherity. FT COLLINS/LOVEI.AND a :D) 1403 REEVES
FT COLLINS, CO 80526
Ctmtractar/Manager PRO PLUMBING AND FIFATING LLC
Mailing Address: 124 S CLEVELAND AVE LOVELAND, CO 80537
Contact Person: TOM Title OWNER Fh 663-0Ta9 F461A683
New ■ Existioe❑ Replacement For:
Use: Domestic ❑ Fire[] Irrigation S
Asseaably Type: Reduced Pressure ❑ Double Check ❑ Pressure Vaauam Breaker
Otter
Mfg.: WATTS Model No.: 9MM4QT Size: 1 Seriid No.: 561478
Date bmulled: 8/05 Last Inspection: N/A Line Amore: 65 PSI
Location: SIDE OF HOUSE
butial Test Result
Ubtaen Dit Meador
Comments
Re -Test Results
r' t�itYsrrat+.t
Check No 1
RP DC PVD
Loh
T
2.0
Tom`
'M
Check No 2
(RP, DC)
Leak
Tight
Leak
Tiou
Relief Valve
Bufi'er
Air Inlet
4.2
NO BACK PRESSURE
shut-olrvalve No. a t.aatt O Tight
Shut-offv6ve No. 2 t..h ❑ Tier ❑
ASSE TEST USED: 5010-1013-1_ 5010-1015.2 sol0.1020-1_x 5010-
Repairs/Cmcments:
Asumbly Mechanical Tat Passed E Failed ❑
QtneobWad teft faik. the Water ArMoeAuthaAty —d bo edified honodiaely and repairs aade as we as Possible,
Technician certifies duo assembly has been tested in accordance with ASSE Procedures
Test TedWdciam: A. FINDLEY Certification 4 ASSE N %14 Eatpim:5/14/ 08
Signature: Test Date: 9/25 'bane: 10:40 A M
Phone: 970-667-8971 Test Gauge Model: WATTS TK99E Gauge Re•Cert Dote: 3/10/06