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HomeMy WebLinkAboutbackflow testingBrad Mares From: Carmel Backflow <Backflow@carmel.in.gov> Sent: Friday, September 20, 2019 1:44 PM To: Brad Mares Subject: We have received your response for City of Carmel Backflow Test Form Testers Email h2obackflow@yahoo.com Customers Email Select Tester From List MILLER, MARK _BF00-1725 Gauge Information 05122609 Phone Number (317) 626-9441 Calibration Date 12-04-2018 Select Company or Self Self Select Service Use Commercial Type a question Unreadable DEVICE LOCATION Street name: Randall Drive ADDRESS House number: 9745 City: Indianapolis State: IN Postal code: 46280 Country: United States Existing, New or Replacing Device New 1 Reason For Replacing, Removing And/or Other Did not have one Additional Information Device Serial Number 4307968 Manufacturer of device Wilkins Device Size 1" Model Number Of Device 975A Type of protection Containment Type Of Service Domestic Type a question Mechanical room Hazard Code RP Passed or Failed PASS DC DC Check Valve p1 Held At What PISD Closed Tight .. ._..... _. Leaked.. Check Valve p2 Held At What PISD: Closed Tight .___. ._._... Leaked... Date Time DC DC Check Valve p1 Held At What PISD Closed Tight._ , Leaked._ _. Check Valve #2 Held At What PISD Closed Tight Leaked Date Time RP RP Check Valve #1 Held At What PISD Closed Tight Leaked ._._ ........ ,.. Check Valve #2 Held At What PISD Closed Tight ......... Leaked Pressure Differential Relief Valve Opened At What PISD Did NOT Open....... .. Date Time 2 RP RP Check Valve #2 Held At What PSID 9.8 Closed Tight Yes Leaked......... Check Valve #2 Held At What PSID Closed Tight Yes Leaked Pressure Differential Relief Valve Opened At What PSID 2.8 Did NOT Open.......... Passed or Failed PASS Tagged YES Date 09/20/2019 1:30 PM Time PVB PVB Opened At What PSID Did NOT Open __. _.. ..... _. ... _... Did OPEN Check Valve Held At What PSID Date Time PVB PVB Opened At What PSID ..__ _..... Did NOT Open Did OPEN .__. _.... _... Check Valve Held At What PSID'. Date Time AIR GAP ONLY Final Test Measured vertical inches above Supply size diameter Results overflow rim Air Gap _. Date Time Testers Full Name:. h2obackflow@yahoo.com Date 09/20/2019 1:40 PM Time 3