APPENDIX D.docx

APPENDIX D

CROSS-CONNECTION CONTROL AND BACKFLOW PREVENTION

TOTAL INVENTORY,

U.S. ARMY GARRISON FORT HAMILTON,

NEW YORK

Cross-Connection Control and Backflow Prevention Survey No. S.0052012a-17, 21–31 Aug 17

This appendix provides an inventory of the backflow prevention assemblies (BFPAs) and backflow devices at Fort Hamilton. This table was derived to summarize the findings, and any corrective measures required to eliminate or prevent cross-connections. The table includes the following:

(1) Building number

(2) Location and description of the cross-connection.

(3) Fort Hamilton’s building asset identification number.

(4) Degree of Hazard: High or Low.

(5) The type of BFPA installed, if applicable.

(6) If assembly/device is installed, the information, such as, the make, model, serial number, and size of assembly/device are listed.

(7) If an assembly/device is required at that location it is listed in the table. At some locations, the assembly/device installed is not the BFPA that is required at that location. At various locations, the type of assembly/device installed does not suit the degree of hazard. Therefore, the assembly/device required column is the necessary action needed to correct the deficiency.

(8) If a deficiency or cross-connection is identified and the correction action to eliminate or prevent a cross-connection, it is listed in the deficiency/corrective action column.

(9) Any additional comment(s) or recommendation(s) are listed in the comment/recommendation column and who has ownership and/or operation and maintenance (O&M) responsibility for that building.

(10) Regular lettering indicates domestic water lines and the bold lettering indicates fire lines that are connected to the domestic water line with or without a backflow preventer. The National Standard Plumbing Code, strongly recommends, but does NOT require, the installation of BFPA at these buildings. Where renovations are made to these buildings, the structures would become subject to current regulations necessitating BFPA installations. The italic lettering indicates that a tenant has O&M and testing responsibilities of the device.

D-2

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

BLDG. #

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

COMMENT/RECOMMENDATION

No potable water connection.

No potable water connection.

ARNG Vehicle Maint. Building's Main Service Maintenance Bay (Wall East Side)

High

DC

Watts

007 M1QT

168777

2 "

RP

Insufficient protection for this type of building hazard (i.e., auto/ maintenance shop). Replace the existing assembly that is on the building's domestic water service line with an approved RP assembly. Also, the assembly will be required to be inspected and tested semiannually.

No inspection tag.

ARNG Vehicle Maint. Potable Hose Bibbs (3) Inside Maintenance Bay

Low

HBVB (3)

N/A

N/A

N/A

N/A

HBVB (3)

N/A

ARNG Vehicle Maint. Potable Hose Bibbs (5) Inside Maintenance Bay

Low

None

N/A

N/A

N/A

N/A

HBVB (5)

Unprotected cross-connections. Install an approved HBVB device on each hose bibb.

These hose bibbs were located on the eyewash temper water lines.

ARNG Vehicle Maint. Potable Hose Bibbs (2) Outside (West Side of Bldg.)

Low

HBVB (2)

N/A

N/A

N/A

N/A

HBVB (2)

No potable water connection.

ARNG Vehicle Maint. Fire Suppression System Maintenance Bay (East Side)

Low

DC

Ames

2000 SS

166981 1010

6 "

DC

Ensure that the assembly meets all inspection and testing requirements (i.e., annually).

ARNG Vehicle Maint. Building's Main Service Maintenance Bay (Wall East Side)

High

RP

Watts

009 M2QT

140073

1.5 "

RP

Ensure that the assembly meets all inspection and testing requirements (i.e., semiannually).

ARNG Vehicle Maint.

Utility Sink Bathroom Section (East Side)

High

AVB

N/A

N/A

N/A

0.75 "

AVB

ARNG Vehicle Maint. Potable Hose Bibb Outside (North Side of Bldg.)

Low

HBVB

N/A

N/A

N/A

N/A

HBVB

ARNG Vehicle Maint. Potable Hose Bibb Outside (South Side of Bldg.)

Low

None

N/A

N/A

N/A

N/A

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

No potable water connection.

D-3

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

COMMENT/RECOMMENDATION

IHG Hotel Fire Suppression System Sprinkler/Mechanical Room

Low

DCDA

Febco

F0408301303

6 "

DCDA

The inspection tag was dated 25 January 2017. The IHG Hotel has the responsibility to inspect and test the assembly.

IHG Hotel Fire Suppression System (Bypass Assembly) Sprinkler/Mechanical Room

Low

DC

Febco

805 YB

F 000103

0.75 "

DC

The inspection tag was dated 25 January 2017. The IHG Hotel has the responsibility to inspect and test the assembly.

IHG Hotel Building's Main Service Sprink ler/Mechanical Room

Low

RP

Wilkins

124482

3 "

RP

N/A The inspection tag was dated 25 January 2017. The IHG Hotel has the responsibility to inspect and test the assembly.

IHG Hotel Potable Hose Bibbs (4) Outside

Low

AVB (4)

N/A

N/A

N/A

N/A

AVB (4)

Garrison Headquarters Fire Suppression System Mechanical Room (Basement)

Low

DC

Ames

2000 SS

127174 0602

4 "

DC

N/A No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's annual test report.

Garrison Headquarters Building's Main Service Mechanical Room (Basement)

Low

RP

Conbraco

42208 A2

PG320

2 "

DC

N/A No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's

Garrison Headquarters Boiler Feed Makeup Mechanical Room (Basement)

High

RP

Wilkins

975 XL2

3968990

1 "

RP

Ensure that the assembly meets all inspection and testing requirements (i.e., annually).

Garrison Headquarters Janitor Sink Janitor Closet (Men's Restroom)

High

AVB

N/A

N/A

N/A

N/A

Garrison Headquarters Potable Hose Bibb Outside

Low

HBVB

N/A

N/A

N/A

N/A

Administrative (Former Health Clinic) Fire Suppression System Logistics NCO Room (Basement)

Low

Single Check

Kennedy Automatic Sprinkler

Model E

N/A

6 "

Single Check

Ensure that the single check valve parts are replaced every five years and record the date of installation of the new parts on the inspection tag.

A single check valve or fire alarm valve is not considered an adequate BFPA. Strongly recommend the installation of a BFPA (DC or DCDA) on the intake line supplying the fire system; however, it is NOT a requirement, and would require hydraulic analysis.

D-4

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Administrative (Former Health Clinic) Building's Main Service Communication Room B115 (Basement)

Low

None

N/A

N/A

N/A

2 "

DC

system.

Administrative (Former Health Clinic) Boiler Feed Makeup Mechanical Room (Basement)

High

RP

Watts

009 M3QT

A 54722

0.75 "

RP

Administrative (Former Health Clinic) Chiller Water Feed Makeup Mechanical Room (Basement)

High

None

N/A

N/A

N/A

0.75 "

RP

Unprotected high-hazard (chemical inhibitor additive) cross-connection. Install an approved RP assembly on the makeup water line to the chiller unit. Also, this assembly will be required to be inspected and tested annually.

Administrative (Former Health Clinic) Janitor Sinks (2) Janitor Closets (Basement & Room 111)

High

AG (1)

& AVB (1)

N/A

N/A

N/A

N/A

AG (1)

& AVB (1)

Administrative (Former Health Clinic) Utility Sink w/Soap Janitor Closet Room 238

High

AVB/DCIAV

N/A

N/A

N/A

N/A

AVB/DCIAV

The installed soap dispenser was ASSE 1055 B approved (i.e., built-in AG/DCIAV).

Administrative (Former Health Clinic) Potable Hose Bibb Inside Janitor Closet (Basement)

Low

None

N/A

N/A

N/A

N/A

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

Administrative (Former Health Clinic) Potable Hose Bibbs (2) Inside (Basement Bathrooms)

Low

None

N/A

N/A

N/A

N/A

HBVB (2)

Unprotected cross-connections. Install an approved HBVB device on each hose bibb.

The hose bibbs were located in the basement bathrooms.

Administrative (Former Health Clinic) Potable Hose Bibbs (2) Inside Mechanical Room

Low

None

N/A

N/A

N/A

N/A

D-5

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Administrative (Former Health Clinic) Potable Hose Bibbs (3) Cooling Tower Roof Top

Low

None

N/A

N/A

N/A

N/A

Administrative (Former Health Clinic) Potable Hose Bibbs (2) Outside

Low

AVB (1) &

HBVB (1)

N/A

N/A

N/A

N/A

AVB (1) &

HBVB (1)

The HBVB was located on the west side of the building and the AVB was located on the east side of the building.

Administrative (Former Health Clinic) Potable Hose Bibbs (2) Outside

Low

None

N/A

N/A

N/A

N/A

Commissary Fire Suppression System Sprinkler Control Room (Admin. Area)

Low

RP

Ames

4000 SS

4HN0478

6 "

DC

Commissary Building's Main Service Sprinkler Control Room (Admin. Area)

Low

RP

Febco

9712221350

2.5 "

RP

Ensure that the assembly meets all inspection and testing requirements (i.e., semiannually).

Commissary Boiler Feed Makeup Mechanical Room (Near Boiler Room) 2nd Floor

High

RP

Watts

009 QT

Unknown

1 "

RP

No inspection tag. Also, the serial number on the assembly's information tag was unreadable.

Commissary Heat Coils Feed Makeup Mechanical Room (Near Boiler Room) 2nd Floor

High

RP

Watts

009 QT

Unknown

1 "

RP

No inspection tag. Also, the serial number on the assembly's information tag was unreadable.

Commissary Garbage Disposal Deli Area

High

AVB

T & S

B 969

Unknown

0.5 "

Commissary Kitchen Sinks (3) Produce Area

High

AG (3)

N/A

N/A

N/A

N/A

AG (3)

Commissary Ice Machine Inside (Produce Area)

Low

AG

N/A

N/A

N/A

N/A

AG

D-6

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Commissary Kitchen Sinks (3) w/ Soap (1) (4) Meat Area

High

AG (3) & AG/DCIAV (1)

N/A

N/A

N/A

N/A

AG (3) & AG/DCIAV (1)

Commissary Kitchen Sinks (6) Deli Area

High

AG (6)

N/A

N/A

N/A

N/A

AG (6)

Commissary Kitchen Sink Damaged Merchandise Storage

Low

AG

N/A

N/A

N/A

N/A

Commissary Utility Sink Janitor Closet Warehouse Area

High

AVB

N/A

N/A

N/A

N/A

Commissary Potable Hose Bibbs (3) Inside Front Entrance (2) & Office Area (1) Bathrooms

Low

AVB (3)

N/A

N/A

N/A

N/A

AVB (3)

N/A The hose bibbs were located in the customer's men and women bathrooms near the front entrance, and the other was located in the employee's men bathroom near the front admin office.

Commissary Potable Hose Bibbs (2) Outside

Low

HBVB (2)

N/A

N/A

N/A

N/A

Military Entrance Processing Station Fire Suppression System Emergency Exit Room 149

Low

Single Check

Globe Automatic Sprinkler

Model E

N/A

6 "

Single Check

Ensure that the single check valve parts are replaced every five years and record the date of installation of the new parts on the inspection tag.

A single check valve or fire alarm valve is not considered an adequate BFPA. Strongly recommend the installation of a BFPA (DC or DCDA) on the intake line supplying the fire system; however, it is NOT a requirement, and would require

Military Entrance Processing Station Building's Main Service Mechanical Room (Basement)

Low

None

N/A

N/A

N/A

2 "

DC

Military Entrance Processing Station Boiler Feed Makeup Mechanical Room (Basement)

High

RP

Watts

009 M3QT

412169

0.75 "

RP

D-7

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Military Entrance Processing Station Chiller Feed Makeup Mechanical Room (Basement)

High

RP

Watts

909 QT

580828

0.75 "

RP

Military Entrance Processing Station Garbage Disposal Kitchen Area

High

AVB

Watts

288 A

9436 E

0.5 "

Military Entrance Processing Station Kitchen Sinks (4) Kitchen Area

High

AG (4)

N/A

N/A

N/A

N/A

AG (4)

Military Entrance Processing Station Janitor Sink w/Soap (3) Janitor Closets (1st, 2nd, & 3rd Floors)

High

AVB/DCIAV (3)

N/A

N/A

N/A

N/A

AVB/DCIAV (3)

Military Entrance Processing Station Potable Hose Bibb Outside

Low

HBVB

N/A

N/A

N/A

N/A

HBVB

The HBVB was located on the north side of the building.

Military Entrance Processing Station Potable Hose Bibbs (3) Outside

Low

None

N/A

N/A

N/A

N/A

Administrative Fire Suppression System Waiting Room Entrance (Basement Left Side)

Low

RP

WATTS

909 QT

206677

4 "

DC

The BFPA's drain system was plugged with debris. Remove the debris from the assembly's drain system or replace RP with an approved DC assembly.

No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's

Administrative Building's Main Service Kitchen Area Entrance (Basement Right Side)

Low

None

N/A

N/A

N/A

2 "

DC or None

Unprotected cross-connection for this type of building hazard. Install an approved DC assembly on the building's domestic water service connection. Also, the assembly will be required to be inspected and tested annually.

The water purveyor (NYC DEP) requires an approved DC assembly to be installed on the building's domestic water service connection due to the treated water for the boiler. However, the building can be rated as non-hazardous (i.e., removal of the chemically treated boiler) and qualify for an exemption from backflow prevention requirements.

D-8

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Administrative Boiler Feed Makeup Kitchen Area Entrance (Basement Right Side)

High

None

N/A

N/A

N/A

0.5 "

RP or DCIAV Unprotected high-hazard (chemical inhibitor additive) cross-connection. Install an approved RP assembly or DCIAV device (if no conditioning chemicals are added) on the makeup water line to the boiler unit. Also, the assembly will be required to be inspected and tested annually or annual visual inspection for the DCIAV device.

Administrative Utility Sink Waiting Room Entrance (Basement Left Side)

High

AG

N/A

N/A

N/A

N/A

Administrative Potable Hose Bibbs (3) Waiting Room Entrance (Basement Left Side)

Low

None

N/A

N/A

N/A

N/A

HBVB (3)

Unprotected cross-connections. Install an approved HBVB device on each hose bibb.

If the two hose connections for the washing machine's were no longer used, cap or remove and isolate from the building's plumbing

Administrative Potable Hose Bibb Outside

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

The hose bibb was located on the west side of the building.

No potable water connection.

No potable water connection.

118 B

DES Break Room Building's Main Service Bathroom

118 B

Low

None

N/A

N/A

N/A

0.75 "

None

N/A The premise rating for the building is non-hazardous and is qualified for exemption from backflow prevention requirements. The building had a very simple plumbing system (i.e., sink and bathroom only) and these fixture outlets had the appropriate isolation backflow protection.

118 C

Visitor Control Center Building's Main Service Janitor Closet

118 C

Low

None

N/A

N/A

N/A

1 "

None

N/A The premise rating for the building is non-hazardous and is qualified for exemption from backflow prevention requirements. The building had a very simple plumbing system (i.e., sink and bathroom only) and these fixture outlets had the appropriate

Visitor Control Center Utility Sink Janitor Closet

118 C

High

AG

N/A

N/A

N/A

N/A

Visitor Control Center Potable Hose Bibb Outside

118 C

Low

AVB

N/A

N/A

N/A

N/A

AVB

Improper installation. A shutoff valve was installed downstream of an approved AVB device., which needs to be removed.

No potable water connection.

D-9

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

118 F

Guard Shack

118 F

Low

None

N/A

N/A

N/A

0.75 "

None

N/A The premise rating for the building is non-hazardous and is qualified for exemption from backflow prevention requirements. The building had a very simple plumbing system (i.e., sink and bathroom only) and these fixture outlets had the appropriate

Behind the Bldg.

Post Exchange Fire Suppression System & Bldg.'s Main Service Outside Hot Box (Behind the Bldg. 123)

Behind the Bldg.

High

RP

Ames

4000 SS

124209 0910

6 "

RP

The assembly was leaking. Repair or replace assembly. Also, ensure that the assembly meets all inspection and testing requirements (i.e., annually).

Post Exchange Fire Suppression System Class 6 Store (Main Floor Ceiling)

Low

RP

Ames

4000 SS

26987 0313

2.5 "

DC

Post Exchange Building's Main Service Mechanical Room (Basement)

High

None

N/A

N/A

N/A

2.5 "

RP

Unprotected high-hazard cross- connection for this type of building hazard (i.e., food service/ restaurants and barber shop). Install an approved RP assembly on the building's domestic water service connection. Also, the assembly will be required to be inspected and tested semannually.

Post Exchange Hose Connection Feed Makeup Outside (West side of Bldg.)

High

None

N/A

N/A

N/A

0.75 "

RP

Unprotected high-hazard cross- connection (i.e., food service). Install an approved RP assembly on the makeup water line to the hose connection that supplied domestic water to the vendor. Also, the assembly will be required to be inspected and tested annually.

Post Exchange Kitchen Sinks (2) w/ Soap (2) (4) Burger King Kitchen Area

High

AG (2) AG/DCIAV (2)

N/A

N/A

N/A

N/A

AG (2) AG/DCIAV (2)

Post Exchange Coffee Beverage Feed Makeup Burger King Soda Counter Area

Low

Dual Check

Wilkins

N/A

0.75 "

Dual Check

Ensure to record the installation date on the inspection tag.

The dual check needs to be replaced every 5 years.

D-10

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Post Exchange Carbonated Beverage Dispensers (2) Burger King Soda Counter Area

Low

Beverage CO2 Device (2)

N/A

N/A

N/A

N/A

Beverage CO2 Device (2)

Post Exchange Kitchen Sink (1) w/ Soap (1) (2) Subway Kitchen Area

High

AG (1) AG/DCIAV (1)

N/A

N/A

N/A

N/A

AG (1) AG/DCIAV (1)

Post Exchange Carbonated Beverage Dispenser Subway Soda Counter Area

Low

Beverage CO2 Device

N/A

N/A

N/A

N/A

Beverage CO2 Device

Post Exchange Utility Sinks (2) Janitor Closets (Front Entrance & Admin Office Area)

High

AVB (2)

N/A

N/A

N/A

0.75 "

AVB (2)

Post Exchange Utility Sink Burger King (Kitchen Area)

High

AG/DCIAV

N/A

N/A

N/A

0.75 "

AG/DCIAV

The installed soap dispenser was ASSE 1055 B approved (i.e., built-in AG/DCIAV).

Post Exchange Utility Sink Subway (Kitchen Area)

High

AVB/DCIAV

N/A

N/A

N/A

0.75 "

AVB/DCIAV

Improper installation. The shutoff valves (2) were installed downstream of the AVB backflow device.

Remove the device that had the shutoff valve and replace with a device without a shutoff valve or install a field testable hose connection (i.e., ASSE 1052 approval device).

Post Exchange Potable Hose Bibbs (2) Outside

Low

None

N/A

N/A

N/A

N/A

HBVB (2)

Unprotected cross-connections. Install an approved HBVB device on each hose bibb, if needed.

The handle was removed on the south side hose bibb.

Bowling Alley Fire Suppression System Bowling Pin Area (North Side of Bldg.)

Low

Single Check

Kennedy

Model E

N/A

8 "

Single Check

Ensure that the single check valve parts are replaced every five years and record the date of installation of the new parts on the inspection tag.

A single check valve or fire alarm valve is not considered an adequate BFPA. Strongly recommend the installation of a BFPA (DC or DCDA) on the intake line supplying the fire system; however, it is NOT a requirement, and would require

D-11

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Bowling Alley Building's Main Service (Top Assembly) Storage Room 104

High

RP

Febco

H 03385

2 "

RP

Bowling Alley Building's Main Service (Bottom Assembly) Storage Room 104

High

RP

Febco

H 03361

2 "

RP

Insufficient air gap between the RP assembly and the waste relief system drain cup. Lower the drain cup 1 inch.

No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's annual test report. Also, the assembly was shutoff.

Bowling Alley Soap Dispenser Feed Makeup Kitchen Area (Utility Sink)

High

RP

Wilkins

975 XL

W 258508

0.5 "

AG/DCIAV

Overkill for this type of hazard, the assembly may be removed. There was sufficient protection within the soap dispenser (i.e., ASSE 1055 B approved). If not removed, annual inspection and testing will be required.

No inspection tag. The installed soap dispenser was ASSE 1055 B approved (i.e., built-in AG/DCIAV).

Bowling Alley Utility Sink Kitchen Area

High

AVB

N/A

N/A

N/A

0.75 "

Bowling Alley Kitchen Sinks (2) w/ Soap (1) (3) Kitchen Area

High

AG (2) AG/DCIAV (1)

N/A

N/A

N/A

N/A

AG (2) AG/DCIAV (1)

Bowling Alley Beverage Dispenser Feed Makeup Front Counter Area

Low

Dual Check

Wilkins

N/A

0.75 "

Dual Check

Bowling Alley Ice Machine Kitchen Area

Low

Dual Check

Unknown

Unknown

Unknown

0.5 "

Dual Check

device information was unreadable.

Bowling Alley Carbonated Beverage Dispensers (2) Kitchen Area

Low

Beverage CO2 Device (2)

N/A

N/A

N/A

N/A

Beverage CO2 Device (2)

Bowling Alley N-Espresso Machine Feed Makeup Café Room

Low

AVB

Watts

288 A

N/A

0.5 "

Dual Check Insufficient installation of the AVB (i.e., not 6 inches above all downstream piping); however, the machine was no longer being used (i.e., shutoff). If used, replace the AVB device with an approved dual check. Also, ensure to record the installation date on the inspection tag.

D-12

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

ASSEMBLY

SIZE

Bowling Alley Kitchen Sink Café Room

Low

AG

N/A

N/A

N/A

N/A

Bowling Alley Kitchen Sink Party Room

Low

AG

N/A

N/A

N/A

N/A

Bowling Alley Utility Sink Storage Room 104

High

AVB

N/A

N/A

N/A

0.75 "

Exchange Warehouse Ice Machine Inside (Warehouse Area)

Low

AG

N/A

N/A

N/A

N/A

Exchange Warehouse Potable Hose Bibb Inside (Warehouse Area)

Low

None

N/A

N/A

N/A

N/A

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

Bowling Alley Potable Hose Bibb Outside (South Side of Bldg.)

Low

HBVB

N/A

N/A

N/A

N/A

Exchange Warehouse Potable Hose Bibb Outside (North Side of Bldg.)

Low

None

N/A

N/A

N/A

N/A

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

Warehouse & MWR Area Fire Suppression System MWR Gym Area

Low

Single Check

Globe Automatic Sprinkler

Model E

N/A

6 "

Single Check

Ensure that the single check valve parts are replaced every five years and record the date of installation of the new parts on the inspection tag.

A single check valve or fire alarm valve is not considered an adequate BFPA. Strongly recommend the installation of a BFPA (DC or DCDA) on the intake line supplying the fire system; however, it is NOT a requirement, and would require

Warehouse & MWR Area Building's Main Service MWR Gym Area (Behind Old Refrigerator)

Low

None

N/A

N/A

N/A

2 "

None

N/A The premise rating for the building is non-hazardous and is qualified for exemption from backflow prevention requirements. The building had a very simple plumbing system (i.e., sinks and bathrooms only) and these fixture outlets had the appropriate isolation backflow protection.

Warehouse & MWR Area Utility Sink w/ Threads Janitor Closet Near MWR Bathrooms

High

AG

N/A

N/A

N/A

N/A

AG

Insufficient air gap (the hose line nullifies the air gap). After every use, detach the hose line to create an approved size air gap. Continue this practice until the installation of a service sink faucet or the HBVB on the sink outlet.

The survey team removed the hose line while onsite.

D-13

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Warehouse & MWR Area Utility Sink Janitor Closet Thrift Shop Area

High

AG

N/A

N/A

N/A

N/A

Warehouse & MWR Area Drinking Water Fountain Feed Makeup Janitor Closet Near MWR Bathrooms

Low

Dual Check

Unknown

Unknown

Unknown

0.75 "

None

No inspection tag. The dual check needs to be replaced every 5 years. Also, the device information was unreadable.

Warehouse & MWR Area Potable Hose Bibb Inside (Near MWR Bathrooms)

Low

HBVB

N/A

N/A

N/A

N/A

DPW Pest Control Shop Utility Sink DPW/BASOPS Utility Area

High

AG & PVB

Wilkins

290097

1 "

AG & PVB

DPW Pest Control Shop Potable Hose Connection Outside (West Side of Bldg.)

High

BFP

Dual Check

Cash Acme

N/A

N/A

0.5 "

RP

Insufficient protection for this type of hazard (i.e., mixing pesticides).

Install an approved an approved RP assembly on the makeup water line to the outside hose connection.

Also the assembly will be required to be inspected and tested annually.

DPW/BASOPS & LRC

Maintenance Shops Fire Suppression System Maintenance Bay Area

Low

Dry Valve System

Viking

F -1

N/A

3 "

Dry Valve System

DPW/BASOPS & LRC

Maintenance Shops Utility Sinks (3) Laundry, Breakroom, & Welding Areas

High

AG (3)

N/A

N/A

N/A

0.75 "

AG (3)

The building received domestic water from Building 127 W.

127 W

DPW/BASOPS & LRC

Maintenance Shops Fire Suppression System Maintenance Bay Area

127 W

Low

Single Check Alarm Valve

Hodgeman

N/A

N/A

6 "

Single Check Alarm Valve

Ensure that the single check valve parts are replaced every five years and record the date of installation of the new parts on the inspection tag.

A single check valve or fire alarm valve is not considered an adequate BFPA. Strongly recommend the installation of a BFPA (DC or DCDA) on the intake line supplying the fire system; however, it is NOT a requirement, and would require

D-14

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

DPW/BASOPS & LRC

Maintenance Shops Building's Main Service Mechanical Room

127 W

High

None

N/A

N/A

N/A

2 "

RP

Unprotected high-hazard cross-connection for this type of building hazard (i.e., maintenance shop). Install an approved RP assembly on the building's domestic water service line. Also, the assembly will be required to be inspected and tested semiannually.

Building 127 W also feeds domestic water to Buildings 126 and 127.

DPW/BASOPS & LRC

Maintenance Shops Utility Sink Maintenance Bay Area

127 W

High

AVB

N/A

N/A

N/A

0.75 "

DPW/BASOPS & LRC

Maintenance Shops Potable Hose Bibb Inside (Battery Shop Area)

127 W

Low

None

N/A

N/A

N/A

N/A

DPW/BASOPS & LRC

Maintenance Shops Potable Hose Bibbs (2) Outside

127 W

Low

None

N/A

N/A

N/A

N/A

HBVB (2)

The hose bibbs were located on the north and south side of the building.

RBS BASOPS

Contractor Admin./Shop Fire Suppression System HVAC Area

Low

DCDA

Wilkins

350 ADA

V 05669

6 "

DCDA

N/A No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's annual test report. Also, the small assembly was removed.

RBS BASOPS Contractor Admin./Shop Building's Main Service Mechanical Room

Low

None

N/A

N/A

N/A

2 "

DC or None

Unprotected cross-connection for this type of building hazard. Install an approved DC assembly on the building's domestic water service connection. Also, the assembly will be required to be inspected and tested annually.

The water purveyor (NYC DEP) requires an approved DC assembly to be installed on the building's domestic water service connection due to the treated water for the boiler. However, the building can be rated as non-hazardous (i.e., removal of the chemically treated boiler) and qualify for an exemption from backflow prevention

RBS BASOPS Contractor Admin./Shop Boiler Feed Makeup Mechanical Room

High

None

N/A

N/A

N/A

0.75 "

RP or DCIAV Unprotected high-hazard (chemical inhibitor additive) cross-connection. Install an approved RP assembly or DCIAV device (if no conditioning chemicals are added) on the makeup water line to the boiler unit. Also, the assembly will be required to be inspected and tested annually or annual visual inspection for the

D-15

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

RBS BASOPS Contractor Admin./Shop Utility Sink Maintenance Bay Area

High

AVB

N/A

N/A

N/A

0.75 "

RBS BASOPS Contractor Admin./Shop Potable Hose Bibbs (2) Inside (Men/Women Bathrooms)

Low

None

N/A

N/A

N/A

N/A

HBVB (2)

The hose bibbs were located in the men's and women's bathrooms. The hose line to the utility sink in the men's bathroom was removed onsite by the survey team.

RBS BASOPS Contractor Admin./Shop Potable Hose Bibb Inside Mechanical Room

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

The hose bibb was located on the domestic water line connection.

RBS BASOPS Contractor Admin./Shop Potable Hose Bibbs (2) Outside

Low

AVB (1) &

HBVB (1)

N/A

N/A

N/A

N/A

AVB (1) &

HBVB (1)

These hose bibbs were located on the east side of the building.

RBS BASOPS Contractor Admin./Shop Potable Hose Bibbs (4) Outside

Low

None

N/A

N/A

N/A

N/A

HBVB (4)

DPW Administrative Fire Suppression System Office Room (East side of Bldg.)

Low

Single Check Alarm Valve

Victaulic

S/175

N/A

6 "

Single Check Alarm Valve

Ensure that the single check valve parts are replaced every five years and record the date of installation of the new parts on the inspection tag.

A single check valve or fire alarm valve is not considered an adequate BFPA. Strongly recommend the installation of a BFPA (DC or DCDA) on the intake line supplying the fire system; however, it is NOT a requirement, and would require

DPW Administrative Building's Main Service Inside

Low

None

N/A

N/A

N/A

2 "

DC or None

Unprotected cross-connection for this type of building hazard. Install an approved DC assembly on the building's domestic water service connection. Also, the assembly will be required to be inspected and tested annually.

The water purveyor (NYC DEP) requires an approved DC assembly to be installed on the building's domestic water service connection due to the treated water for the boiler. However, the building can be rated as non-hazardous (i.e., removal of the chemically treated boiler) and qualify for an exemption from backflow prevention

D-16

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

DPW Administrative Boiler Feed Makeup Mechanical Room

High

DCIAV

Watts

BBFP

1520 W

0.5 "

RP

Insufficient protection for this type of hazard (chemical inhibitor additive). Replace the existing device that is on the makeup waterline to the boiler unit with an approved RP assembly. Also, the assembly will be required to be inspected and tested annually.

DPW Administrative Utility Sink Men's Bathroom (South Side of Bldg.)

High

AVB

N/A

N/A

N/A

0.75 "

DPW Administrative Potable Hose Bibbs (3) Outside

Low

HBVB (3)

N/A

N/A

N/A

N/A

DPW Administrative Potable Hose Bibbs (2) Outside

Low

None

N/A

N/A

N/A

N/A

HBVB (2)

Army Corps of Engineers Building's Main Service Mechanical Room (Basement)

Low

None

N/A

N/A

N/A

2 "

DC or None

Unprotected cross-connection for this type of building hazard. Install an approved DC assembly on the building's domestic water service connection. Also, the assembly will be required to be inspected and tested annually.

The water purveyor (NYC DEP) requires an approved DC assembly to be installed on the building's domestic water service connection due to the treated water for the boiler. However, the building can be rated as non-hazardous (i.e., removal of the chemically treated boiler) and qualify for an exemption from backflow prevention

Army Corps of Engineers Boiler Feed Makeup Mechanical Room (Basement)

High

RP

Wilkins

975 XL

2194407

1 "

RP

Ensure that the assembly meets all inspection and testing requirements (i.e., annually).

DPW Administrative Utility Sink Women's Bathroom

High

AVB

N/A

N/A

N/A

0.75 "

Army Corps of Engineers Potable Hose Bibb Inside Mechanical Room

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connections.

Install an approved HBVB device on each hose bibb.

The hose bibb was located on the domestic water line connection.

Army Corps of Engineers Potable Hose Bibb Outside

Low

AVB & HBVB

N/A

N/A

N/A

N/A

AVB & HBVB

Army Corps of Engineers Potable Hose Bibb Outside

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

This hose bibb was located on the south side of the building.

No potable water connection.

D-17

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

COMMENT/RECOMMENDATION

Not surveyed. The building was scheduled to be demolished.

Not surveyed. The building was

Not surveyed. The building was

AAFES Service Station Building's Main service Inside

Low

None

N/A

N/A

N/A

2 "

RP

Unprotected high-hazard cross- connection for this type of building hazard [i.e., gas stations and/or mini marts with soda dispensing machine(s) and coffee line(s)].

Install an approved RP assembly on the building's domestic water service connection. Also, the assembly will be required to be

AAFES Service Station Beverage Dispenser Feed Makeup Java Snack Avenue Area

Low

None

N/A

N/A

N/A

0.5 "

Dual Check Unprotected low-hazard cross- connection. Install an approved dual check on the makeup water line to the beverage machines. Also, ensure to record the installation date on the inspection tag.

AAFES Service Station Potable Hose Bibb Inside (Employee's Only Restroom)

Low

None

N/A

N/A

N/A

N/A

AAFES Service Station Potable Hose Bibb Inside (Customer's Restroom)

Low

HBVB

N/A

N/A

N/A

N/A

AAFES Service Station Potable Hose Bibb Outside

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

No potable water connection.

No potable water connection.

DIM Administrative Fire Suppression System Closet

Low

Detector Single Check Valve

Ames

N/A

4 "

Detector Single Check Valve

Ensure that the single check valve parts are replaced every five years and record the date of installation of the new parts on the inspection tag.

A single check valve or fire alarm valve is not considered an adequate BFPA. Strongly recommend the installation of a BFPA (DC or DCDA) on the intake line supplying the fire system; however, it is NOT a requirement, and would require

D-18

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

DIM Administrative Building's Main Service Mechanical Room (Basement)

Low

None

N/A

N/A

N/A

2 "

DC or None

Unprotected cross-connection for this type of building hazard. Install an approved DC assembly on the building's domestic water service connection. Also, the assembly will be required to be inspected and tested annually.

The water purveyor (NYC DEP) requires an approved DC assembly to be installed on the building's domestic water service connection due to the treated water for the boiler. However, the building can be rated as non-hazardous (i.e., removal of the chemically treated boiler) and qualify for an exemption from backflow prevention requirements. Also, the domestic water to Building 208 was shutoff.

DIM Administrative Building's Main Service for Building 208 Bathroom

Low

None

N/A

N/A

N/A

1 "

None

N/A Building 208 was condemned and used for storage only. Also, the domestic water to the building was shutoff.

DIM Administrative Boiler Feed Makeup Mechanical Room (Basement)

High

None

N/A

N/A

N/A

0.75 "

RP or DCIAV Unprotected high-hazard (chemical inhibitor additive) cross-connection. Install an approved RP assembly or DCIAV device (if no conditioning chemicals are added) on the makeup water line to the boiler unit. Also, the assembly will be required to be inspected and tested annually or annual visual inspection for the

DIM Administrative Utility Sink Bathroom

High

AVB

N/A

N/A

N/A

0.75 "

DIM Administrative Potable Hose Bibb Inside Mechanical Room

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connection.

Install an approved HBVB device on the hose bibb.

The hose bibb was located on the domestic water line connection.

Community Club Fire Suppression System Mechanical Room (Basement)

Low

DCDA

Ames

3000 SS

174062 0211

6 "

DCDA

Community Club Fire Suppression System (Bypass Assembly) Mechanical Room (Basement)

Low

DC

Watts

007 M1QT

17552

0.75 "

DC

Ensure that the assembly meets all inspection and testing requirements (i.e., annually).

No inspection tag. This assembly was shutoff and missing the water meter. The small DC assembly may be removed if metering the unauthorized use of water on the fire system is not necessary.

D-19

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Community Club Building's Main Service Mechanical Room (Outside Stairwell Main Entrance)

High

None

N/A

N/A

N/A

2 "

RP

Unprotected high-hazard cross- connection for this type of building hazard (i.e., food service/ restaurant). Install an approved RP assembly on the building's domestic water service line. Also, the assembly will be required to be inspected and tested semiannually.

Community Club Boiler Feed Makeup Mechanical Room (Basement)

High

RP

Watts

A 84810

0.75 "

RP

Ensure that the assembly meets all inspection and testing requirements (i.e., annually).

Community Club Swimming Pool Feed Makeup Pump Room

High

RP

Watts

009 M2QT

A 61498

2 "

RP

Ensure that the assembly meets all inspection and testing requirements (i.e., annually).

Community Club Commercial Dishwasher

(1) w/Soap (1) (2) Cafeteria Area

High

AVB (2)

Watts

288 A

14397 15527

0.5 " (1) 0.38" (1)

Community Club Kitchen Sinks (5) w/ Soap (3) (8) Cafeteria Area

High

AG (5) AG/DCIAV (3)

N/A

N/A

N/A

N/A

AG (5) AG/DCIAV (3)

The installed soap dispensers were ASSE 1055 B approved (i.e., built-in AG/DCIAV).

Community Club Coffee Um & Ice Machine Feed Makeup Cafeteria Area

Low

None

N/A

N/A

N/A

0.5 "

Dual Check Unprotected low-hazard cross- connection. Install an approved dual check on the makeup water line to the coffee um and ice machine.

Also, ensure to record the installation date on the inspection tag.

Community Club Utility Sink w/Soap Cafeteria Area

High

AG/DCIAV

N/A

N/A

N/A

0.75 "

AG/DCIAV

N/A The installed soap dispensers were ASSE 1055 B approved (i.e., built-in

AG/DCIAV).

Community Club Utility Sink w/Soap Near Pool Table

High

AG/DCIAV

N/A

N/A

N/A

0.75 "

AG/DCIAV

N/A The installed soap dispensers were ASSE 1055 B approved (i.e., built-in AG/DCIAV).

Community Club Potable Hose Bibb Inside Pump Room

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connection.

The hose bibb was located on the domestic water line connection.

Community Club Potable Hose Bibbs (2) Outside (Near Pump Room)

Low

None

N/A

N/A

N/A

N/A

D-20

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

DIM Administrative

Not surveyed. The building was condemned and used for storage only. Also, the domestic water to the building was shutoff.

Single Soldier Housing Fire Suppression System Storage/Utility Room (Basement)

Low

DCDA

Wilkins

350 ADA

N 06605

6 "

DCDA

N/A No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's

Single Soldier Housing Fire Suppression System (Bypass Assembly) Storage/Utility Room (Basement)

Low

DC

Wilkins

950 XL

1465272 XLD

0.75 "

DC

No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's annual test report.

Single Soldier Housing Building's Main Service Mechanical Room (Basement)

Low

None

N/A

N/A

N/A

4 "

DC

Unprotected cross-connection for this type of building hazard. Install an approved DC assembly on the building's domestic water service connection. Also, the assembly will be required to be inspected and tested annually.

The water purveyor (NYC DEP) requires an approved DC assembly to be installed on the building's domestic water service connection due to the treated water for the boiler unit. Plus the building had a complex plumbing system.

Single Soldier Housing Boiler Feed Makeup Mechanical Room (Basement)

High

RP

Febco

825 Y

H 09469

0.75 "

RP

Ensure that the assembly meets all inspection and testing requirements (i.e., annually).

Single Soldier Housing Utility Sinks (4) Janitor Closets 1st, 2nd, 3rd Floors, & Laundry Room Basement

High

AG (3) &

AVB (1)

N/A

N/A

N/A

0.75 "

AG (3) &

AVB (1)

The survey team did not have access to the 2nd and 3rd floors. Reportedly, we were told that the utility sinks had air gaps.

Single Soldier Housing Potable Hose Bibb Inside Mechanical Room

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connection.

The hose bibb was located upstream of the RP assembly.

Single Soldier Housing Potable Hose Bibb Outside (North Side of Bldg.)

Low

HBVB

N/A

N/A

N/A

N/A

JTF Empire Shield Housing (ARNG) Fire Suppression System Storage Room (Basement)

Low

DCDA

Wilkins

350 ADA

N 06555

6 "

DCDA

No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's annual test report.

D-21

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

JTF Empire Shield Housing (ARNG) Fire Suppression System (Bypass Assembly) Storage Room (Basement)

Low

DC

Wilkins

950 XL

W 061612

0.75 "

DC

No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's annual test report.

JTF Empire Shield Housing (ARNG) Building's Main Service Mechanical Room (Basement)

Low

None

N/A

N/A

N/A

4 "

DC

Unprotected cross-connection for this type of building hazard. Install an approved DC assembly on the building's domestic water service connection. Also, the assembly will be required to be inspected and tested annually.

The water purveyor (NYC DEP) requires an approved DC assembly to be installed on the building's domestic water service connection due to the treated water for the boiler unit. Plus the building had a

JTF Empire Shield Housing (ARNG) Boiler Feed Makeup Mechanical Room (Basement)

High

RP

Febco

825 Y

H 09521

0.75 "

RP

JTF Empire Shield Housing (ARNG) Ice Machine Feed Makeup 2nd Floor

Low

AG

N/A

N/A

N/A

N/A

JTF Empire Shield Housing (ARNG) Utility Sinks (4) Janitor Closets 1st, 2nd, 3rd Floors, & Laundry Room Basement

High

AG (3) &

AVB (1)

N/A

N/A

N/A

0.75 "

AG (3) &

AVB (1)

The utility sink with the AVB device was located on the 1st floor.

JTF Empire Shield Housing (ARNG) Potable Hose Bibb Inside Mechanical Room

Low

None

N/A

N/A

N/A

N/A

HBVB

Unprotected cross-connection. Install an approved HBVB device on the hose bibb.

The hose bibb was located upstream of the RP assembly.

JTF Empire Shield Housing (ARNG) Potable Hose Bibb Outside (North Side of Bldg.)

Low

None

N/A

N/A

N/A

N/A

Armed Forces Reserve Center Fire Suppression System Mechanical Room 129

Low

DC

Ames

2000 SS

166747 0910

8 "

DC

N/A No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's

Armed Forces Reserve Center Building's Main Service Mechanical Room 129

Low

DC

Watts

188544

4 "

DC

N/A No inspection tag. However, the assembly was tested in May 2017, which was obtained from the Installation O&M Contractor's

D-22

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Armed Forces Reserve Center Boiler Feed Makeup Mechanical Room 129

High

DC

Watts

007 M1QT

23839

0.75 "

RP

Insufficient protection for this type of hazard (chemical inhibitor additive). Replace the existing assembly that is on the makeup waterline to the boiler unit with an approved RP assembly. Also, the assembly will be required to be inspected and

Armed Forces Reserve Center Irrigation System Feed Makeup Janitor Closet (Cafeteria Area)

High

RP

Watts

009 M2QT

283810

2 "

RP

If the irrigation system was no longer in service, remove assembly and isolate from the building's plumbing system. Also, this assembly is required to be

No inspection tag. The domestic water to the irrigation system was valved off.

Armed Forces Reserve Center Garbage Disposals (3) Cafeteria Area

High

AVB (3)

N/A

N/A

N/A

0.75 "

AVB (3)

Armed Forces Reserve Center Steamers/Peeler (4) Cafeteria Area

High

AG (4)

N/A

N/A

N/A

N/A

AG (4)

Armed Forces Reserve Center Commercial Dishwasher Cafeteria Area

High

AVB

Watts

288 A

N/A

0.5 "

Armed Forces Reserve Center Kitchen Sinks (7) Cafeteria Area

High

AG (7)

N/A

N/A

N/A

N/A

AG (7)

The installed soap dispenser was ASSE 1055 B approved (i.e., built-in AG & DCIAV).

Armed Forces Reserve Center Utility Sinks (3) Janitor Closets 1st, 2nd, & 3rd Floors

High

AVB (3)

N/A

N/A

N/A

0.75 "

Armed Forces Reserve Center Utility Sink Janitor Closet Cafeteria Area

High

AVB

N/A

N/A

N/A

0.75 "

D-23

Installation Name: U.S. Army Garrison - Fort Hamilton, New York; Cross-Connection Control Survey, BFPA Total Inventory; 21 - 31 August 2017

LOCATION & DESCRIPTION OF XC

ASSET ID

NUMBER OF ASSEMBLY

SIZE

Armed Forces Reserve Center Potable Hose Bibbs (6) Inside (Men's & Womens Bathrooms) 1st, 2nd, & 3rd Floors

Low

None

N/A

N/A

N/A

N/A

HBVB (6)

Armed Forces Reserve Center Potable Hose Bibbs (5) Outside

Low

HBVB (5)

N/A

N/A

N/A

N/A

HBVB (5)

No potable water connection.

Child Development Center Fire Suppression System Sprinkler Closet (Room 1)

Low

Single Check

Rasco

Model E

N/A

4 "

Single Check

Ensure that the single check valve parts are replaced every five years and record the date of installation of the new parts on the inspection tag.

A single check valve or fire alarm valve is not considered an adequate BFPA.