HomeMy WebLinkAbout3/21/02 bfp609olympicOWA CITY - PUBLIC DRINKING WATER PROGRAM
]ACKI:LoW PREVENTION ASSEMBLY TEST DATA AND MAINTENANCE REPORT
OFF
~AM' J
INITIAL TEST
PaBsed Failed
I'1
13
13
13
FINAL TEST AFTER REPAIR Passed Failed
REDUCED PRESSURE PRINCIPAL ASSEMBLY: 13 13
1ST CHECK held In
direction of flow PSID 15 PSID or morel rq rq
RELIEF VALVE
opened et ~ PSID (2 PSID or morel 13 []
DIFFERENCE
II~t check - rellel) PSID 13 PSID or more) 13 [3
2ND CHECK held bacJ~pressure 13 D
NO. 2 SHUTOFF VALVE leak tight 13 Izl
2ND CHECK held In
direction of flow PSID Il PSID of more) D 13
RELIEF VALVE exercised to full open position 13 13
REDUCED PRESSURE PRINCIPAL ASBEMBLY:
lilt cHECK held In
direction of flow 7 PSID (5 PSID or more)
RELIEF VALVE
· opened at =.2'. -~2,PSID (2 PSID or morel
DIFFERENCE
list check - rellell ~.~PSID 13 PSIO or morel
2ND CHECK held backpressUre r~
NO. 2 SHUTOFF VALVE leak tight
2ND CHECK held in
direction al flow ,,'{.~.~ 'PSID 11 PSID or morel lB
RELIEF VALVE exercised to full open po*Ilion
NOTE: i=elluta o! any of the above tJema, tequlree repair,
INITIAL TEST Passed Fetled
f-!
FINAL TEST AFTER REPAIR
eot}aLE cHECK VALVi~ A~SEMBLY! n
t ST CHI~cK held tn
direction of flow Paid (1 PSID or morel []
2NO cHECK held bacJcpres~ure
NO, 2 SHUTOFF VALVE leek tight
2NO CHECK held In
direction of flow PSID 11 PSID or morel 13
NOTE; t~ellure of any 0J {h~ abov, Ileal. require, repair.
APPItOVED APPLIC,4 TION$ ON[ Y
Failed
[]
APPROVED APPLICATION$ ONI Y
DOUBLE cHEcK VALVE ASSEMBLY:
15T CHECK held In
direction of flow PSID {1 PSID or morel
2ND CHECK held backpre*sure
NO. 2 SHUTOFF VALVE leek tight [] []
2ND CHECK held In
direction of Ilow PSID li PSID or morel 13 13
Passed Felled
ri D
INITIAL TEST
PRESSURE VACUUM BREAKER: Pa.ed
Internal check held tight In direction of flow
~SIO (1 PSID or morel []
Inlet P'-----dppet opened at__ PSID
11 P~ID or morel []
NOTEt FlflUrl of any et th4 above heel, tl~l~e~ repair,
FINAL TEST AFTER REPAIR
PRESSURE VACUUM BREAKER: Passed Felled
Internal check held tight In direction of flow
PSID It PSID or motel [] []
Inlet P'"-~oppet opened It__ PSIO
l1 PSID or morel [] 13
ANTI-IIPiLL VACUUM BREAKI~R: Passed F.iled
Olflerln|lal pre*~Ure 6cros* check wed
PSID (1 PSID or morel El []
Alt ),lei ,tart to open at ~ PSIO
11 P~lD or morel D D
Alt Inlet tully open when aupPtv pressure
atmolpherlc D ffi
HOTEl Fallme o~ any of lt~e above ltdm~, requires repair.
FINAL TEST AFTER REPAIR
ANTI-SPILL VACUUM BREAKER: Passed Felled
Differential preesure ecro~s check wes
PSID i1 PSID of morel [] D
A~iniet start to open et ~ PSID
I1 pcjID or morel D []
Air inlet fully open when supply pressure
atmoel~herlc 13 El
n~AiR HISTORY
THE ASOVE REPORT 19 CERTIFIED TO BE TRUE, ACCURATE AND COMPLETE.
Tee,ed By:
~u,,~me, Or ~ep, ~ ~ "
I o,,, I E,.,f,.t,o. No.
I Pt, one
I Oars