HomeMy WebLinkAbout10.27 - OPM - Backflow InspectionRyan Fireprotection Inc.
9740 E. 148th St.
Noblesville, IN 46060
Phone: 800-409-7606
Account Information
Facility Name:
Penn Mark I
Property Type:
Not Specified
Location Code:
IZEBTJN
Service Address:
11595 North Meridian Street, Carmel, IN, 46032
Mailing Name:
Robert Groce
Phone:
317-775-1254
Mailing Address:
PO Box 2021, Warren, MI, 48090-201
Assembly Information
Type:
DCV
Assembly Description:
Backflow (Fire System Backflow)
Manufacturer:
WILKINS
Model:
350A
Serial Number:
U23072
Size:
6"
Type of Service:
Fire
Type of Protection:
Containment Meter #:
Check Valve #1
Initial Test:
Pass Fail
Held at (PSID):
4.0 Closed Tight Leaked
Check Valve #2
Initial Test:
Pass Fail
Held at (PSID):
4.6 Closed Tight Leaked
Tester Information
Comments:
The above is certified to be true at the time of testing Service Restored:
Yes No
Company Name:
Ryan Fireprotection Inc.
Company Address:
9740 E. 148th St., Noblesville, IN, 46060
Test Gauge:
Bob McIlrath - Midwest 845-5 (05191233, Last: 7/10/2020, Next: 7/10/2021)
Inspected By:
Bob McIlrath
Phone #:
800-409-7606
Tester Signature: Certification License:
BF13-4957
Form 2015-01 Backflow Page 1 of 1
10/27/2020
Date of Test:
Submitted to Carmel Utilities 10-28-20. MD