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HomeMy WebLinkAboutCongressional Flex - Backflow Test Results Testers Email gary.stewart@safecarecorp.com Testing Company's Email info@safecarecorp.com Customers Email danny@homeisjchart.com Select Tester From List GIBSON, LUKE_BF18-6334 If Tester is not on the drop down list please add their information below Gary Stewart Gauge Information 06141620 Phone Number (317) 431-9503 Calibration Date 09-17-2019 Select Company or Self Company Company Name Testing For Safe Care Phone Number (317) 431-9503 Address Street Address: 749 S. Grant St. City: Indianapolis State / Province: Indiana Postal / Zip Code: 46203 Country: United States Select Service Use Residential Residential Address: Street name: City Center Drive House number: 805 City: Carmel Postal code: 46032 Address Country: United States Existing, New or Replacing Device Existing Device Serial Number 2035724 Manufacturer of device Wilkins Device Size 2'' Model Number Of Device 975 XL Type of protection Isolation Type Of Service Domestic Type a question Ware House Hazard Code RP Passed or Failed PASS DC DC Check Valve #1 Held At What PISD Closed Tight Leaked Check Valve #2 Held At What PISD Closed Tight Leaked Date Time DC DC Check Valve #1 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 RP RP Check Valve #1 Held At What PSID 8.4 Closed Tight Closed Tight Leaked Check Valve #2 Held At What PSID Closed Tight Closed Tight Leaked Pressure Differential Relief Valve Opened At What PSID 2.2 Did NOT Open Passed or Failed PASS Tagged YES Date 11/13/2019 4:00 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 Results Measured vertical inches above overflow rim Supply size diameter Air Gap Date Time Testers Full Name: Luke Gibson Date 06/15/2020 7:10 AM Time