14090130Backflow Prevention Assembly Test Lenort
438520
dtirfvAt;swrr;t+lyifil"rmollon,rry^�fl,r�s
Kimco Realty Corp �}
.�jly
10851 N Wolfe Rd e40FIL
:: ?Pol WZ 5 L 911 E S _
Cupertino, CA 95014-0614
I c 71t� G
vt S�/ •�� i h
Is9dr,t.lt<r t,_lrrr ji(J/ _ —_,
(510) 792-1720 ,_.....
bA alllrjQ Addre7
� %`LEc�
I+str ,:+f�f 5 --3 �..5 _`/_..����e-
Kimco Realty Corp
C/O ECOVA Po Box 743727
Dallas; TX 75374--3'
, r / —-------
N�•zarl It 1301133tr ar 01540987
rulaqu,gl°h,,n== :_FID 4735744931
F�sot?aikln Service
(`S�ar'vrtd, Inti-tii:;il1
Test Due No Later Than
t5tttia ❑ R�-II,t v -d ❑
nun r,.It,F'estd,,ntral ❑ mart,iaiorl ❑
C`inlc Ur. r rrtu :U n Fir,, El
611 712 01 4
Pdaia� ❑ E' I,IGa='�
!n IEr tntil
"ATTENTION—Reduced
le
Pressure Principle
Assem bl Y
�:.
Air Ga ❑ "" ❑
p
Not Use Black Ink—
CA-NV AWWAorABPA
Double Check Valve Assembly
PVBISVB
Certification Re uired
Check Valve #1
L :,1.?d ❑
Check Valve #2
L.aai io ❑
Relief Valve
Dv iJ 114,_,r,�n ❑
Air Inlet
LId hl4,t; ,}, , ❑
Check Valve
t ;.;,-;,.f ❑
INITIAL TEST
Une Pr,�U _?
Clused Twht
I I l r Tram
�
at —_ r '_ f!
1 17 ' al, i''.IC'
HM, l i(
R�r65 girt ❑
3
Held at � ID
f -'.!,,I ail _ F: ILi
Pd?,tFt if J'. ❑
°°NOTIFY.CAL WATER IF
FAILED ASSEMBLIES CANNOT BE REPAIRED WITHIN 3 DAYS- CALL PRIOR
TO REPLACING A FAILED DOUBLE CHECK'`
REPAIRS
=I?ar; ,t ❑
:;;?;,,,7 ❑
;?�t rt ❑
?ar i ❑
_ ?:,I,? 1 ❑
R,:Palr•d ❑
P G Ira, ❑
!°ehalre,:f ❑
P,'Pa!r?apt ❑
ru .t ❑
Parts
r hi_ h:l:Aac?d
F r.: n:clao:�L1
f Irtn Pel:,a_2:.1
falls.`
�❑
FINAL TEST
L_ Ped ❑
L•?al•, _d ❑
G`rct not +?n
Dlk:: mot ,:Han
al,?,a ❑
i0sed Tr ht ❑
; [ s?cl Tight ❑
Irt twl t �;arl
n_•,:,.a.�__ r' IC''
".:t .nc=9 F'::.lL
?I>" ;'t .—_ r Cr
❑ = 311 ❑
1 i.!? ,at --- F ;iC
H_P t >t W_—__ _ ::;iCr
r,;? rr,Iiv ri ❑
Inrtl.al T�s�Z, INITIAL TEST
t��>� .�., � ... _�r .-bF��+. T•_ st?r ; _/ �� � �
- _
—_��Lf�r--� .�
T. t 1-.,t
rl'i+ t Il ht iil•JI1C�ii ❑
9 Q 0
z
E r..,l T s t
'trin3t�_JfE• --__ �Y_ ....- F Ir,,ttk
_ _�j%� _.�7-z___.%��Z's
,i,`�111•,af
'rrifi?at•,;;;tnr
':,
I. elbr" ill lNealt+il.4n Ot°treat r .I,S hu? =t7tl ;rtttRid_. .,t+'07, �:'PI?,�tiurt. i1 r,91 DP •SI+IeV
- FINAL TFST
l-1,1" 7I•.+
'Final TNstq;r .. - " +A,% !' A or
'OBRA it _tEx M�...................._.._.._.,_...—.
I r11` 31 ❑ ❑
r_._._._._...
T?st i sdn,8 'Colibraiii5n
-
Dal,,
❑ ❑
1 II'lltr�l T-si �
i ;.gtt9Y .,l Uri Y,t,`eii.. , r;il lfi,5 1 l c,1, ,d IVu?° n,"i tre 'd! t rant .
C.omrnenls:
405 °`�'". F:9t11rr"r
��:ariptet?tJ
CALIFORNIA WATER SERVICE COMPANY
1555 Miramonte Avenue
n390-028os Altos CA 94024
00?655-002 003di0)0±;•: I t t 1 1 1 53P IDD5 PAhl