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20120124 Backflow Test 05302012/29/2012 23:22 FA 2y 201 Z G � z y 0002 BACKFLO PRO'S, INC. 6ss Tmsper Rdaw suite toe -2as BackFlow Prevemlon Assembly Tunwa r, WA06612 J T"I RePeR PIpM: d0P951E 30 Faz:] 3521900 Mailing Address ' DOd eFEB008501.000DC M0 CHAD �est Due:OSlOtll3 JOHNSMEADOWL 01 16404 GREENERD,R ST. SE`s YELK WA985ff/ 39Vd AtWU1%r um:5343 ! y y? Sorel e: HC74268 t 1, &aa ;}t c d 4! Mater IF - Semite Address �9.. Address: 16404 GRO NRRIER ST. SE 'Yt company:JOFWS MEADOW (LOT 01) j Hazard: Iniga ddNdlel Location: ACROSS SI SIDHWALK PROM 0PrR RIER T Reduced Pressure pembly o uPO ❑ sw�.ee w Av 0 Double Check VeIVO Assembly Check Valvee1 Check Va1w92 1 Rallef a PVBJSVB InwN Leaked® i AIRINLET Text Leaked® Closed Tght❑ punt open❑ Did not Open❑ Hem et--__.,PRID Hew at PSID penal _PSID Openedat nH) OHECKVALVE �uNw PSID Leaked [I Hew at PSID RWIN R@aAad® Repared❑ FMY Cloeetl TaNf® MR INLET TNI Xeu al Z�R_PSID 11ewa[ z D edaL PS1D 0penetl at PSID CHECKYALVE IBUgar _PRID Hew at PSID cwnnW uns Prtseuie SO BOTH CHECK VALVE #1 nrm In LEAKED DID, TO SIVEPIPE DOPE UPSJREAM. Ct.EANED AND FLU9tE;D ALSOREPI.pCBD BOTH Hew Backpne;w Da CHECKVALVE NI AND# MODULES. RETEST ID OOODI 025nubnK RdwvaweE smc] the shoal Nportba db OeOe. Dab Tamw 51 rHUn: Taswo TM Wt Paeaad Failed IMSTS at12Y61 ❑ K TAI o6non2 wsiuYnete ReptlN MI50T12 WBNWeaM Il�� / BMTS FlM TAR WIRQH2 We MaYBHd `'CY f- 94475 011W51 K ❑ -� vv V EP /EP 39Vd WII SCeld Q1fXJq B66SZ5EP9E E0:01 LIBL /0E /SP JOB NO. 1629 TIM 05/30 09:53 SEND DDCUemNm NANE TX mamNSxxxoeTox _____ 05/30/2012 08:55 3607916946 �tiMed•• 1MINIOry Mw: Mf A UuAVaM1EM%PIF 9180M FAX Ap I T" MM PP 01 i HW60 vm iPVB1iWB189M