Laserfiche WebLink
11/17/2005 16:50 1209671-35 WONG ENGINEERS PAGE 04 <br /> RALPH RUIZ - <br /> BACKFLOW DEVICE TESTING <br /> USC A&W.w.A.CVrWIEO <br /> MANUFACTURER: `� MODEL C SIZE 1 SNUh113ER /-i f J <br /> LOCATION: <br /> r3�`�c-��.� +�• u�t�'-T`�» i ��1•= i 1� R;F., � 1T_ Ivy< #-. <br /> SERVICE ADDRESS: <br /> D)UTEREPYTIAL <br /> c3acx •I Cilwx IT PR8 tr"KELIE! PRESSURE VACUUM <br /> VALV9 VALVE VALVE BRpAIM <br /> INI- 1. CLOSED TIGHT D 1. CLOSED TIGIt'P 0 OPENED AT MID AIR INLET <br /> TIAL ADD REDUCED PRESSURE OPENED AT PSID <br /> 'FEST L LEAKED ❑ 2 IEAXM 0 DID NOT OPEN ❑ DID NOT OPEN O <br /> CLEANED ❑ CLEANED O CLEWED O CIIECKVALVE <br /> REPLACED: REPLACED} RPPLACM IIELD AT PSTD <br /> DISC O DISC 0 DISE 0 LEAKED ❑ <br /> SPRING O SPRING O LIPPER O <br /> GUIDE O GUIDE O LOWER ❑ CLEANED 0 <br /> PIN RETAINER ❑ PIN RETAINER 0 SPRING 0 REPLACED: <br /> R HINGE PIN 0 IIINGE PIN O DIAPIIRAGDI; AIR INTEL' <br /> E <br /> P SPAT D SEAT 0 LARGE: DISC O <br /> A DIAPHRAGM ❑ DIAI'IIRAGM ❑ LIPPER 0 CHECK DISC 0 <br /> 1 OTHER DESCRIBE O OTHER DESCRI1117 O LOWER 0 AIR INLET <br /> R ShiAll 0 SPRING O <br /> S SEAT: CHECK SPRING 13 <br /> UPPER 0 OTIIER.DESCRIBE D <br /> LOWER 17 <br /> SPACER: <br /> mWER ❑ <br /> 17111£1,DMRIDL' D] <br /> FINAL RP V., i PSID OPENED AT_G.�- 4151n AIR INLET I51D <br /> TEST CLOSED TIGHT Z3 CLnSED TIGHT IUi1>UCF,D PRI-55T11U: CHECK VALVE.............—151D <br /> The above repoK Is csnl6ed to be trot. <br /> MU. nAY YR <br /> INiTTALTESTBY CERTI►IEU 1T511fR N/1. DATE <br /> (�Ipuulre) <br /> TEST COMPANY NAME AND ADDRESS RALPH RUIz I'lloNE _ <br /> 1736 COUNTRY CLUB BLVD. <br /> STOCKTON, CA. 95204 <br /> 943--6191 Home <br /> 639-6408 Cell <br /> DATE �.-_1 Cc, �.-- <br /> ^'� f` MO. DAY VIL <br /> FINAL TEST BY ^ ' n '� :/ CERTIFIED TCS T1 k NO. C7 <� ! — <br /> F i ! <br />