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HomeMy WebLinkAboutCity of Carmel Backflow Test Form (2)From:Carmel Backflow To:info@bbgroupinc.com Subject:We have received your response for City of Carmel Backflow Test Form Date:Friday, May 21, 2021 10:24:52 AM Testers Email info@bbgroupinc.com Select Tester From List HAWLEY, JORDAN_BF19-6541 Gauge Information 01143232 Phone Number (317) 845-1701 Calibration Date 01-06-2021 Select Company or Self Company Company Name TestingFor B&B Group Phone Number (317) 845-1701 Address Street Address: 14470 Bergen City: Noblesville State / Province: INPostal / Zip Code: 46060 Select Service Use Commercial Type a question 42949395 DEVICE LOCATIONADDRESS Street name: East Main StreetHouse number: 5790City: CarmelState: INPostal code: 46033Suite#:: United States Existing, New orReplacing Device Existing Device Serial Number 1732137 Manufacturer of device Wilkins Device Size 1 Model Number Of Device 975 Type of protection Containment Type Of Service Irrigation Type a question Riser room 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 Closed Tight Leaked Check Valve #2 Held At What PSID Closed Tight Yes Leaked Pressure Differential Relief Valve Opened At What PSID 3.6 Did NOT Open Passed or Failed PASS Tagged YES Date 05/21/2021 9:00 AM 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 FinalTest Results Measured vertical inchesabove overflow rim Supply size diameter Air Gap Date Time Testers Full Name:HAWLEY, JORDAN_BF19-6541 Date 05/21/2021 10:20 AM Time