Get AR Backflow Assembly Test Form
TESTED (AS SHOWN ON CUSTOMERS LETTER) CONTAINMENT HEIGHT OF ASSEMBLY MANUFACTURER MODEL DISCHARGE PRESSURE AT ASSEMBLY SIZE OF SERVICE LINE _________________ PSI _________________ IN. / ISOLATION / ____________ ASSEMBLY NO. SIZE ABOVE SURFACE _____ IN. 1 SUPPLY PRESSURE AT ASSEMBLY ___________________ PSI AIR GAP ( RP DISCHARGE ) YES TYPE OF ASSEMBLY RPZA PVB DCVA AVB FIRE CHECK AIR GAP REDUCED PRESSURE ZONE ASSEMBLY (RPZA) ST NO "Y".
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