American Society of Sanitary Engineering PRODUCT (SEAL) LISTING PROGRAM

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American Society of Sanitary Engineering PRODUCT (SEAL) LISTING PROGRAM ASSE STANDARD #1003 - REVISED: 2009 Water Pressure Reducing Valves for Domestic Water Distribution Systems MANUFACTURER: CONTACT PERSON: E-MAIL: ADDRESS: LABORATORY FILE NUMBER: MODEL # TESTED: MODEL SIZE: ADDITIONAL MODELS REPORT APPLIES TO: ADDITIONAL MODEL INFORMATION (i.e. orientation, series, end connections, shut-off valves): DATE MODELS RECEIVED BY LABORATORY: DATE TESTING BEGAN: DATE TESTING WAS COMPLETED: IF MODELS WERE DAMAGED DURING SHIPMENT, DESCRIBE DAMAGES: PROTOTYPE OR PRODUCTION: General information and instructions for the testing engineer: The results within this report apply only to the models listed above. There may be items for which the judgment of the test engineer will be involved. Should there be a question of compliance with that provision of the standard, a conference with the manufacturer should be arranged to enable a satisfactory solution of the question. Should disagreement persist and compliance remain in question by the test agency, the agency shall, if the product is in compliance with all other requirements of the standard, file a complete report on the questionable items together with the test report, for evaluation by the ASSE Seal Board. The Seal Board will then review and rule on the question of compliance with the intent of the standard then involved. Documentation of material compliance must be furnished by the manufacturer. The manufacturer shall furnish to the testing agency, a bill of material which clearly identifies the material of each part included in the product construction. This identification must include any standards which relate thereto. LABORATORY EVALUATION REPORT ASSE STANDARD 1003-2009 PAGE 1

SECTION 1 1.0 General 1.1 Is the purpose of the device, as described by the manufacturer, as stated in this section? Questionable 1.2.1 Does the device conform to the product described in the standard? Questionable 1.2.2 Size inches ( mm) 1.2.3 Working pressure as noted by the manufacturer? In compliance? 1.2.4 Temperature range as noted by the manufacturer: F to F ( C to C) 1.3.1 Does the design and construction of this device permit the inspection, cleaning, repair and servicing without removal from the pipe line? Questionable SECTION II 2.0 Test Specimens 2.1 How many devices of each size and model were submitted by the manufacturer to the testing laboratory? 2.2 How many units were utilized during the laboratory evaluation? If more than one (1) device was used during the evaluation, state why additional devices were necessary. 2.3 Were assembly drawings, installation instructions and all other data submitted by the manufacturer to enable a testing agency to determine compliance with this standard? Were these items reviewed by the lab personnel performing and supervising the test? SECTION III 3.0 Performance Requirements and Compliance Testing 3.1 Hydrostatic Test #1 of Complete Device What was the pressure on the reduced pressure side? The test period was for minutes. Did the reduced pressure side, as indicated by gauge #2, remain steady during the test? LABORATORY EVALUATION REPORT ASSE STANDARD 1003-2009 PAGE 2

3.2 Hydrostatic Test #2 of Complete Device What was the pressure on the reduced pressure side? The test period was for minutes. Were there any external leaks? 3.3 Temperature Range Test State the temperature of the water utilized for this section: Hot Water F ( C) Cold Water F ( C) Hot water was circulated through the device on test for a period of hours per day for a total of days, or continuous hours. At the end of the 80 hour hot water test, cold water was circulated through the device on test for a period of hours. What was the flow rate used for the test? GPM ( L/m) Were there any changes in the physical characteristics of the device on test? 3.4 Reduced Flowing Pressure Deviation Test With a supply pressure of: 100.0 psi (689.5 kpa), the reduced flowing pressure was 150.0 psi (1034.2 kpa), what was the reduced pressure? 50.0 psi (344.7 kpa), what was the reduced pressure? Was the reduced flowing pressure more than 1.0 psi (6.9 kpa) for every 10.0 psi (68.9 kpa) change in the supply pressure? 3.5 Minimum Reduced Pressure Test What was the flow rate through the device? GPM ( L/m) What was the reduced flowing pressure? If the supply pressure could not be maintained at the manufacturer s rated pressure at the specified rate of flow, the reduced flowing pressure was adjusted to psi ( kpa) and the supply pressure reduced to psi ( kpa). The flow rate was maintained at GPM ( L/m). Was a reduced flow pressure of 25.0 psi (172.4 kpa) or less, as allowed in accordance with Section 3.5.2, able to be attained? 3.6 Reduced Pressure Adjustment Range Test What was the supply pressure at the inlet of the device on test? psi ( kpa) What was the maximum reduced pressure attainable? What was the minimum reduced pressure attainable? Was a 25.0 psi (172.4 kpa) adjustment range attained? 3.7 Capacity Test What was the inlet supply pressure used for this test: The device was adjusted to maintain a set pressure of: State the reduced pressure indicated at the Gauge #4: LABORATORY EVALUATION REPORT ASSE STANDARD 1003-2009 PAGE 3

When throttling valve #4 was opened, the reduced pressure dropped to: What was the flow rate through the device? GPM ( L/m) In compliance? 3.8 By-Pass Relief Valve Opening Pressure Differential Test (Only required for devices with by-pass relief valve) What was the inlet supply pressure? GPM ( L/m) What was the pressure shown on Gauge #5? What was the pressure differential between Gauges #3 and #4 when the relief valve started to open? Did this pressure differential exceed 10.0 psi (68.9 kpa)? SECTION IV 4.0 Detailed Results 4.1.1 Material in Contact with Water: In compliance? 4.1.2 n-ferrous Cast Parts. In compliance? 4.1.3 Ferrous Cast Parts. In compliance? 4.1.4 Internal n-cast Parts. In compliance? 4.1.5 Stainless Steel of Nickel Alloys. In compliance? 4.1.6 Seat Ring. In compliance? 4.1.7 Springs - ASTM Grade. In compliance? 4.1.8 Springs - Corrosion Resistance. In compliance? 4.1.9 Screen Material. In compliance? 4.1.10 Bolts, Nuts and Screws. In compliance? 4.1.11 Pipe Threads. In compliance? 4.2.1 List the markings found on the test unit: (a) Manufacturer or Trademark: (b) Type and/or Model: (c) Maximum Working Pressure: (d) Maximum Water Temperature: (e) Directional Arrows: (f) Size of device: Would these markings be visible in the installed position? 4.2.2 How were these markings shown on the device: 4.3.1 Were instructions for installation, adjustment and maintenance submitted with the device? 4.3.2 Did these instructions state that the device shall be installed in an accessible location and that a strainer is recommend upstream of the device? LABORATORY EVALUATION REPORT ASSE STANDARD 1003-2009 PAGE 4

TESTING AGENCY: ADDRESS: PHONE: FAX: TEST ENGINEERS: We Certify that the evaluations are based on our best judgements and that the test data recorded is an accurate record of the performance of the device on test. SIGNATURE OF THE OFFICIAL OF THE AGENCY: TITLE OF THE OFFICIAL: DATE: SIGNATURE AND SEAL OF THE REGISTERED PROFESSIONAL ENGINEER SUPERVISING THE LABORATORY EVALUATION: SIGNATURE: PE SEAL *To insert images into document (PE seal and signatures) Adobe Acrobat Pro users: At the top of the page, go to: Tools > Advanced Editing > TouchUp Object Tool. Once you have selected TouchUp Object Tool, right click within the document and select Place Image. Choose the image you want to place (PE seal or signature) and then select Open. Once the image is in the document, move and re-size the image accordingly. Save and send to ASSE. Adobe Reader users: Adobe Reader does not allow users to place images into the document. You must print this completed document and then sign and stamp the PE seal by hand. You may then send the completed document to ASSE via fax or mail, or you can scan the completed document and send via e-mail. COMMENTS: LABORATORY EVALUATION REPORT ASSE STANDARD 1003-2009 PAGE 5