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HomeMy WebLinkAboutBackflow ReportTesters Email Testing Company's Email Customers Email Select Tester From List If Tester is not on the drop down list please add their information below Gauge Information Phone Number Calibration Date Select Company or Self Company Name Testing For Phone Number Select Service Use MANAGER NAME or COMMERCIAL CUSTOMER NAME Type a question Existing, New or Replacing Device Device Serial Number Manufacturer of device Device Size Model Number Of Device Type of protection Type Of Service Type a question Hazard Code Passed or Failed Domestic LOCATED NORTH WEST SIDE OF WAREHOUSE NEXT TO BAT RP PASS Existing 2387337 Wilkins 2 975XL Containment Commercial ASHLEY WARREN 60491810 DEVICE LOCATION ADDRESS Street name: West 99th Street House number: 4518 City: Carmel State: IN Postal code: 46032 Suite#:: United States (317) 474-4990 7/13/2020 Company ARTICTIC COMPOSIT PALLETS (317) 960-5813 Address Street Address: 4518 W. 99 TH ST City: CARMEL State / Province: IN Postal / Zip Code: 46032 dbensheimer@gmail.com dbensheimer@gmail.com BENSHEIMER, DAVID M. _BF00-1786 DAVID BENSHEIMER 4133272 Check Valve #1 Held At What PISD Closed Tight Leaked Check Valve #2 Held At What PISD Closed Tight Leaked Date Time Check Valve #1 Held At What PISD Closed Tight Leaked Check Valve #2 Held At What PISD Closed Tight Leaked Date Time 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 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 Passed or Failed Tagged Date Time Notes : Opened At What PSID PASSED TEST OK AT HIS TIME RP PASS YES 4/16/2021 12:5 DC RP DC Did NOT Open Did OPEN Check Valve Held At What PSID Date Time Opened At What PSID Did NOT Open Did OPEN Check Valve Held At What PSID Date Time Air Gap Date Time Testers Full Name: Date Time AIR GAP ONLY Final Test Results BENSHEIMER, DAVID M. _BF00-1786 4/19/2021 7:30 PVB PVB THROOMS WAREHOUSE AREA. DC DC RP RP 9 TIGHT TIGHT 2.2 PVB 50 PVB Measured vertical inches above overflow rim Supply size diameter 0