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Home My WebLink AboutCity of Carmel Backflow Test Form 1From:Carmel Backflow To:Gregory Shadday/USA Subject:We have received your response for City of Carmel Backflow Test Form Date:Thursday, June 18, 2020 11:35:27 AM Testers Email brian.sauer@grunau.us Testing Company's Email brian.sauer@grunau.us Customers Email Select Tester From List HUGHES, TONY_BF11-4199 Gauge Information 4152474 Phone Number (317) 872-7360 Calibration Date 04-16-2019 Select Company or Self Company Company Name Testing For Grunau Phone Number (317) 872-7360 Address Street Address: 6011 East Hanna Avenue Street Address Line 2: Suite A City: Indianapolis State / Province: IN Postal / Zip Code: 46203 Select Service Use Commercial MANAGER NAME or COMMERCIAL CUSTOMER NAME Cushman and Wakefield Type a question Unknown DEVICE LOCATION ADDRESS Street name: North Meridian Street House number: 12900 City: Carmel State: IN Postal code: 46032 Country: United States Existing, New or Replacing Device Existing Device Serial Number 2EN1025 Manufacturer of device Ames Device Size 4 Model Number Of Device 2000SS Type of protection Containment Type Of Service Fire Type a question Sprinkler riser room Hazard Code DC 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 4.8 Closed Tight Y Leaked N Check Valve #2 Held At What PISD 4.2 Closed Tight Y Leaked N Date 08/05/2019 9:00 AM Time Device Pass or Fail PASS Device Tagged Yes 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 Closed Tight Leaked Check Valve #2 Held At What PSID Closed Tight Leaked Pressure Differential Relief Valve Opened At What PSID Did NOT Open Date 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:HUGHES, TONY_BF11-4199 Date 06/18/2020 10:30 AM Time