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Home My WebLink AboutCarmel IN X Golf Backflow information4705 Pinewood Rd *Louisville,KY 40218 *PH:(502)968-6274 301 Blue Sky Pkwy *Lexington,KY 40509 *PH:(859)233-1283 5250 Commerce Circle *Indianapolis,IN *PH:(317)889-4225 Inspector:Marc Slunaker Name of Facility:Clay Terrace Mall - Washington Prime License:Address: 14390 Clay Terrace Boulevard Carmel,IN 46032 Inspection Date:8/13/2019 10:41:25 AM Property Mgmt. Company None Inspection Type: Backflow Prevention Device Annual Test,Backflow Prevention Device Semi-annual Test,Hydrant Annual,Sprinkler Annual, Sprinkler Semi-annual System Name:Wet System Type:Sprinkler -Wet Pipe Pass Fail N/A SI Sprinkler Systems NFPA 25 11 General [x][ ][ ]C.SS.01 System inspection and test results Notifications Prior to Testing and Maintenance [x][ ][ ]C.SS.904 Notifications made prior to testing or maintenance?-5.1.5 Control Valves [x][ ][ ]IW.SS.2.1 Control valves identified and have proper signage?-13.3.1 [x][ ][ ]IW.SS.2.3 Valves are in normal open or closed position?-13.3.2.2 [x][ ][ ]IW.SS.2.4 Valves are sealed,locked,or supervised?-13.3.2.2 [x][ ][ ]IW.SS.2.5 Valves are free from external leaks?-13.3.2.2 [x][ ][ ]IM.SS.903 Valves are accessible and protected from physical damage?-13.2.3 Main Drain [x][ ][ ]TQ.SS.3.1 Main drain test:Flow observed?Results comparable to previous test?-13.2.5 Gauges [x][ ][ ]IM.SS.919 Gauges in good condition and displaying normal pressure?-13.2.7.1 Waterflow Devices [x][ ][ ]IQ.SS.1 Waterflow and supervisory devices free of physical damage?-5.2.5 Sprinklers [x][ ][ ]IA.SS.5.1 Sprinklers are oriented correctly (upright,pendent,sidewall)?-5.2.1.1.1 [x][ ][ ]TA.SS.18 Where required,sprinklers replaced or submitted for testing?-5.3.1.1 [x][ ][ ]IA.SS.5.3 Sprinklers free from paint,corrosion,leakage,or other damage or impairment.-5.2.1.1.2 [x][ ][ ]IA.SS.5.4 Glass bulb sprinklers replaced if bulbs have emptied?-5.2.1.1.5 [x][ ][ ]IA.SS.5.6 Minimum sprinkler clearance maintained?-5.2.1.2 Fire Department Connections [x][ ][ ]IQ.SS.4.1 FD connections (exterior)are visible,accessible,and in good condition.-13.7.1 [x][ ][ ]IQ.SS.4.2 Couplings or swivels are not damaged and rotate smoothly.-13.7.1 [x][ ][ ]IQ.SS.4.3 Plugs or caps are in place and undamaged.-13.7.1 [x][ ][ ]IQ.SS.4.4 Gaskets are in place and in good condition.-13.7.1 [x][ ][ ]IQ.SS.4.5 Identification signs are in place.-13.7.1 Notifications After Testing and Maintenance [x][ ][ ]C.SS.999 Capture customer and inspector signatures. OWNER:Except as noted,the building is occupied with the same occupancy classification and hazard of contents as last inspection.Also,the system has remained in service without modification and been free of actuation of devices or alarms. INSPECTOR:I state that the information on this form is correct at the time and place of my inspection,and that all equipment tested at this time was left in operational condition upon completion of this inspection except as noted. 4705 Pinewood Rd *Louisville,KY 40218 *PH:(502)968-6274 301 Blue Sky Pkwy *Lexington,KY 40509 *PH:(859)233-1283 5250 Commerce Circle *Indianapolis,IN *PH:(317)889-4225 Inspector:Marc Slunaker Name of Facility:Clay Terrace Mall - Washington Prime License:Address: 14390 Clay Terrace Boulevard Carmel,IN 46032 Inspection Date:8/13/2019 10:41:25 AM Property Mgmt. Company None Inspection Type: Backflow Prevention Device Annual Test,Backflow Prevention Device Semi-annual Test,Hydrant Annual,Sprinkler Annual, Sprinkler Semi-annual System Name:Hydrants System Type:Sprinkler -Private Service Mains Pass Fail N/A (SI)Hydrant Inspections Group 1 [x][ ][ ]1 All hydrants inspected and are in good condition. OWNER:Except as noted,the building is occupied with the same occupancy classification and hazard of contents as last inspection.Also,the system has remained in service without modification and been free of actuation of devices or alarms. INSPECTOR:I state that the information on this form is correct at the time and place of my inspection,and that all equipment tested at this time was left in operational condition upon completion of this inspection except as noted. 4705 Pinewood Rd *Louisville,KY 40218 *PH:(502)968-6274 301 Blue Sky Pkwy *Lexington,KY 40509 *PH:(859)233-1283 5250 Commerce Circle *Indianapolis,IN *PH:(317)889-4225 Inspector:Marc Slunaker Name of Facility:Clay Terrace Mall - Washington Prime License:Address: 14390 Clay Terrace Boulevard Carmel,IN 46032 Inspection Date:8/13/2019 10:41:25 AM Property Mgmt. Company None Inspection Type: Backflow Prevention Device Annual Test,Backflow Prevention Device Semi-annual Test,Hydrant Annual,Sprinkler Annual, Sprinkler Semi-annual System Name:Fire /Domestic Backflows System Type:Sprinkler -Backflow Preventer Pass Fail N/A SI Sprinkler Systems NFPA 25 11 Backflow Prevention Assemblies [x][ ][ ]TA.SS.12 Backflow prevention assemblies passed performance test? OWNER:Except as noted,the building is occupied with the same occupancy classification and hazard of contents as last inspection.Also,the system has remained in service without modification and been free of actuation of devices or alarms. INSPECTOR:I state that the information on this form is correct at the time and place of my inspection,and that all equipment tested at this time was left in operational condition upon completion of this inspection except as noted. 4705 Pinewood Rd *Louisville,KY 40218 *PH:(502)968-6274 301 Blue Sky Pkwy *Lexington,KY 40509 *PH:(859)233-1283 5250 Commerce Circle *Indianapolis,IN *PH:(317)889-4225 Inspected By: Marc Slunaker 317 710 6022 Occupant Name: Clay Terrace Mall - Washington Prime Inspection Date: 8/13/2019 Complex Name: InspectionType: Backflow Prevention Device Annual Test,Backflow Prevention Device Semi-annual Test,Hydrant Annual, Sprinkler Annual,Sprinkler Semi-annual Address: 14390 Clay Terrace Boulevard City: Carmel State: IN Zip Code: 46032 Device Type Pass Fail -Corrected Fail Total Inspected Total Devices Total as of 2/8/2019 Backflow Preventer 25 0 0 25 25 24 Control Valve 36 0 0 36 36 36 Hydrant 13 0 0 13 13 13 Main Drain 12 0 0 12 12 12 Waterflow Switch 12 0 0 12 12 12 Backflow Preventer Floor Location Name P/F #1 Check Valve Held Tight? Pressure Drop Across First Check Valve (PSID) #2 Check Valve Held Tight? Pressure Drop Across Second Check Valve (PSID) Pressure Relief Valve Opened At? 1 Bldg A1 Domestic Backflow Building A1 Pass Yes 10.0 Yes 8.5 2.5 Specifications: 2'Watts 009M2QT S/N:198849 1 Bldg A1 Fire Backflow Building A1 Pass yes 3 yes 3 Specifications: DC 4in Ames colt-200 DJ-1172 1 Bldg A2 Domestic Backflow Building A2 Pass Yes 11.0 Yes 9.0 3.0 Specifications: 2'Watts 009M2QT S/N:192516 1 Bldg A2 Fire Backflow Building A2 Pass Yes 3.0 Yes 3.5 Specifications: 4'Ames Colt 200A S/N:DK-0418 1 Bldg B2 Domestic Backflow Building B2 Pass Yes 9.5 Yes 10 2.5 Specifications: 2'Watts 009M2QT S/N:208261 1 Bldg B2 Fire Backflow Building B2 Pass Yes 3.0 Yes 4.0 Specifications: 4'Ames Colt 200A S/N:DJ-1176 1 Bldg C1 Domestic Backflow Building C1 Pass yes 8.0 yes 11.0 2.5 Specifications: 2'Watts 009M2QT S/N:217128 1 Bldg C1 Fire Backflow Building C1 Pass yes 2.0 yes 2.0 Specifications: 4'Ames Colt 200a S/N:DK-0422 1 Bldg C2 Domestic Backflow Building C2 Pass Yes 9.5 Yes 11.0 1.0 Specifications: 2'Watts 007M1QT S/N:133038 1 Bldg C2 Fire Backflow Building C2 Pass Yes 2.0 Yes 2.5 Specifications: 4'Ames Colt 200 S/N:DJ-1168 1 Bldg D1 Domestic Backflow Building D1 Pass Yes 9.0 Yes 10 2.5 Specifications: 2'Watts 009M2QT S/N:217150 1 Bldg D1 Fire Backflow Building D1 Pass Yes 2.2 Yes 2.2 Specifications: 4'Ames Colt 200a S/N:DJ-1166 1 Bldg D2 Domestic Backflow Building D2 Pass Yes 9.0 Yes 10.0 2.0 Specifications: 2'Watts 009M2QT S/N:213555 1 Bldg D2 Fire Backflow Building D2 Pass Yes 1.0 Yes 2.0 Specifications: 4'Ames Colt 200 S/N:DK-0490 1 Bldg E1 Domestic Backflow Building E1 Pass Yes 8.0 Yes 9.0 1.0 Specifications: 2'Watts 009M2QT S/N:215499 1 Bldg E1 Fire Backflow Building E1 Pass yes 3 yes 3 Specifications: 4'Ames Colt 200a S/N:DK-0416 1 Bldg E2 Domestic Backflow Building E2 Pass Yes 8.5 Yes 9.0 3.0 Specifications: 2'Wilkins 975XL S/N:1977090 1 Bldg E2 Fire Backflow Building E2 Pass Yes 2.5 Yes 2.2 Specifications: 4'Ames Colt 200 S/N:FA-0627 1 Bldg F1 Domestic Backflow Building E1 Pass Yes 8.5 Yes 11.0 2.2 Specifications: 2'Watts 007M1QT S/N:133044 1 Bldg F1 Fire Backflow Building F1 Pass yes 2.0 yes 2.5 Specifications: 4'Ames Colt 200a S/N:DJ-1180 1 Bldg F2 Domestic Backflow Building F2 Pass Yes 8.0 Yes 8.5 1.0 Specifications: 2'Watts 009M2QT S/N:215768 1 Bldg F2 Fire Backflow Building F2 Pass Yes 2.5 Yes 2.5 Specifications: 4'Ames Colt 200 S/N:KA-1431 1 Bldg G1 Domestic Backflow Building G1 Pass yes 8 yes 8 2.1 Specifications: 2'Wilkins 975XL S/N:1977085 1 Bldg G1 Domestic Backflow Building G1 Pass yes 8 yes 10 3 Specifications: RP 1in Wilkins 975xl 1927757 1 Bldg G1 Fire Backflow Building G1 Pass Yes 2.5 Yes 2.2 Specifications: 4'Ames Colt 200 S/N:FA-0301 Control Valve Floor Location Name P/F Tamper Condition Notes 1 Bldg A1 BF BFV #1 Pass good 1 Bldg A1 BF BFV #2 Pass good 1 Bldg A1 WPIV Pass good 1 Bldg A2 BF BFV #1 Pass pass 1 Bldg A2 BF BFV #2 Pass good 1 Bldg A2 WPIV Pass 1 Bldg B2 BF BFV #1 Pass good 1 Bldg B2 BF BFV #2 Pass good 1 Bldg B2 WPIV Pass good 1 Bldg C1 BF BFV #1 Pass good 1 Bldg C1 BF BFV #2 Pass good 1 Bldg C1 WPIV Pass good 1 Bldg C2 BF BFV #1 Pass good 1 Bldg C2 BF BFV #2 Pass good 1 Bldg C2 WPIV Pass good 1 Bldg D1 BF BFV #1 Pass good 1 Bldg D1 BF BFV #2 Pass good 1 Bldg D1 WPIV Pass good 1 Bldg D2 BF BFV #1 Pass good 1 Bldg D2 BF BFV #2 Pass good 1 Bldg D2 WPIV Pass good 1 Bldg E1 BF BFV #1 Pass good 1 Bldg E1 BF BFV #2 Pass good 1 Bldg E1 WPIV Pass good 1 Bldg E2 BF BFV #1 Pass good 1 Bldg E2 BF BFV #2 Pass good 1 Bldg E2 WPIV Pass good 1 Bldg F1 BF BFV #1 Pass good 1 Bldg F1 BF BFV #2 Pass good 1 Bldg F1 WPIV Pass good 1 Bldg F2 BF BFV #1 Pass good 1 Bldg F2 BF BFV #2 Pass good 1 Bldg F2 WPIV Pass good 1 Bldg G1 BF BFV #1 Pass good 1 Bldg G1 BF BFV #2 Pass good 1 Bldg G1 WPIV Pass Hydrant Floor Location Name P/F Static Pressure (psi)Pitot Reading (psi)Residual Pressure (psi)GPM 1 Yard East of Dicks Pass 30 90 Specifications: Make Mueller Year 2003 5 1/4 " Color Red with orange caps per city regulations 1 Yard Hydrant #1 Pass 30 920 Specifications: Make Mueller tear 2003 5 1/4 " Color Red with orange caps per city regulations 1 Yard Hydrant #10 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " Color red with orange caps per city regulations 1 Yard Hydrant #11 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " Color Red with orange caps per city regulations 1 Yard Hydrant #12 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " color Red with orange caps per city regulations 1 Yard Hydrant #2 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " Color Red with orange caps per city regulations 1 Yard Hydrant #3 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " color Red with orange caps per city regulatioms 1 Yard Hydrant #4 Pass 30 930 Specifications: make Mueller Year 2003 5 1/4 " Color Red with orange caps per city regulations 1 Yard Hydrant #5 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " Color Red with orange caps per city regulations 1 Yard Hydrant #6 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " Color Red with orange caps per city regulations 1 Yard Hydrant #7 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " Color Red with orange caps per city regulations 1 Yard Hydrant #8 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " Color Red with orange caps perr city regulatios 1 Yard Hydrant #9 Pass 30 930 Specifications: Make Mueller Year 2003 5 1/4 " Color Red with orange caps per city code Main Drain Floor Location Name P/F Static Supply Pressure Before Test (psi)Residual (psi) Static Supply Pressure After Test (psi) 1 Bldg A1 Main Drain Building A1 Pass 50 40 50 1 Bldg A2 Main Drain Building A2 Pass 55 50 50 1 Bldg B2 Main Drain Building B2 Pass 50 40 50 1 Bldg C1 Main Drain Building C1 Pass 53 44 47 1 Bldg C2 Main Drain Building C2 Pass 49 43 46 1 Bldg D1 Main Drain Building D1 Pass 49 43 48 1 Bldg D2 Main Drain Building D2 Pass 52 43 47 1 Bldg E1 Main Drain Building E1 Pass 45 40 45 1 Bldg E2 Main Drain Building E2 Pass 50 42 47 1 Bldg F1 Main Drain Building F1 Pass 55 43 49 1 Bldg F2 Main Drain Building F2 Pass 53 42 47 1 Bldg G1 Main Drain Building G1 Pass 50 43 47 Waterflow Switch Floor Location Name P/F Notes Time to Alarm (sec) 1 Bldg A1 Waterflow Switch Building A1 Pass 51 1 Bldg A2 Waterflow Switch Building A2 Pass 40 1 Bldg B2 Waterflow Switch Building B2 Pass 83 1 Bldg C1 Waterflow Switch Building C1 Pass 110 1 Bldg C2 Waterflow Switch Building C2 Pass 57 1 Bldg D1 Waterflow Switch Building D1 Pass 79 1 Bldg D2 Waterflow Switch Building D2 Pass 113 1 Bldg E1 Waterflow Switch Building E1 Pass 80 1 Bldg E2 Waterflow Switch Building E2 Pass 75 1 Bldg F1 Waterflow Switch Building F1 Pass 128 1 Bldg F2 Waterflow Switch Building F2 Pass 91 1 Bldg G1 Waterflow Switch Building G1 Pass 61 OWNER:Except as noted,the building is occupied with the same occupancy classification and hazard of contents as last inspection.Also,the system has remained in service without modification and been free of actuation of devices or alarms. INSPECTOR:I state that the information on this form is correct at the time and place of my inspection,and that all equipment tested at this time was left in operational condition upon completion of this inspection except as noted.