ATTACHMENT F.pdf

ATTACHMENT F

QUARTERLY REPORT SAMPLE

PLUMBING VACUUM SYSTEM

IFB NO. OP143876

(PLEASE SEE THE NEXT PAGE FOR ATTACHMENT)

DuranL Text Box

REPAIR AND MAINTENANCE SERVICE

duranl Text Box

SERVICES

Facility #

Union Station- LA Q4

Address

800 N Alameda St Los Angeles, CA 90012 United States

City

Los Angeles

State

CA

Zip Code

90012

Technician # 1 Name

Darren Young

Technician # 2 Name

Clayton Damon

Time In:

7:00am PST

Time Out:

1:00pm PST

Client Name hecoxs Text Box hecoxs

System Application

Condensate Grey-Water Blackwater Greasewaste

Vacuum Center Model #

AV04469

Unit Serial Number

AV-100S-2.15-LR-E3-480-7-9-FS

System Start Up Date

12/23/2019

VC, OIT, VC to ZCP and ZCP to VC Program Versions

VC 7.73, OIT 7.70, VC to ZCP 6.30

System Run Time Hours

79,300 Hrs

Panel Voltage Readings - (Phase to Phase) (A-B, A-C and B-C)

A-B 490, A-C 490, B-C 488

System Information https://img.companycam.com/Ux-iOZ2CRXukqz23AHP4lmhqeWYcvDXtb6ivxfnn68Y/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS8yMmU0/NWIzMy0zYzRmLTRl/ZDEtYmRjNy0xODUx/YWM4MGRlYWQuanBn.jpg

Panel Voltage Readings ( L1 to Ground, L2 to Ground and L3 to Ground)

L1,L2,L3- 288

Motor Running Amperage (Pump 1, Phase A, B, C)

P1- 17.7,17.2,18.5

Motor Running Amperage (Pump 2, Phase A, B, C)

P2-17.3,16.3,16.9

Motor Running Amperage (Pump #3 Phase A, B, C) if applicable

N/A

Motor Running Amperage (Pump #4 Phase A,B, C) if applicable

N/A

Confirm that voltage on panel placard is the same voltage installed for the Vacuum Center

Yes No N/A

Vacuum Pump Operation History (Pump # 1 Runtime hours)

39,909.9 Hrs

Vacuum Pump Operation History (Pump #2 Runtime hours)

39,390.1 Hrs

Vacuum Pump Operation History (Pump #3 Runtime hours) if applicable

N/A

Vacuum Pump Operation History (Pump #4 Runtime hours) if applicable

N/A

Storage Tank Discharge History (Storage Tank #1)

71,794 Hrs

Storage Tank Discharge History (Storage Tank #2)

92,336 Hrs

Storage Tank Discharge History (Storage Tank #3) if applicable

N/A

Storage Tank Discharge History (Storage Tank #4) if applicable

N/A https://img.companycam.com/N-nVMmWauWXUhmDsI8JEzVK0CjXpoNEQ86u0hIM6-4s/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9hODM1/NzI2OS0yODRmLTRk/ZWEtOTY5My1iMjYx/NzgxZWU4YjIuanBn.jpg https://img.companycam.com/eLUJ2lcM2gbxDnBf6E8gZiZehy7vc4unxxo_pSWTOgQ/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS80ZTAx/ZjYxZi1lNDY2LTQz/OTEtOGU0Zi0xNDI0/NDNmNTQ3MmYuanBn.jpg https://img.companycam.com/1l-KIVQsfKXhZBA9Rm4FKDweFAgWybE1tNOAFxZp3Ok/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9jN2Jm/NTE5Ny1hMzY0LTRm/M2QtYjljMy1jZmFm/ZmQ1ODE3MDcuanBn.jpg https://img.companycam.com/UhE7txD9BHV27GR6Inhzzslo_VDpB8pugKq0MKyCPWY/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS83YWRj/NTNlNC05MzY4LTQw/OGYtYjUxMS03NjA1/YjI1MDQ5MDUuanBn.jpg https://img.companycam.com/Vmk0bMyxSv8_RDwnB2XU5sxxpOJ2AAqf0o-pVLpmpEU/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9mZTY0/OGUyOS1kYTMxLTQy/ZDUtYWUyNC00MzI2/ZTVkY2UxMWMuanBn.jpg https://img.companycam.com/AxsBaeLkOFtf5HxsQnbMoC6BRZFr2sssZptlFxpqtX8/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS8wZTBj/YjViNC1mYjE5LTRh/ZTEtOWQzZi1kMjFm/NWNkOWUyNmQuanBn.jpg https://img.companycam.com/8iFP27ByiTUdRbSxrPbDxDaQLQ05WZ_fUyt9SYnPIys/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS8wZWNm/MTkxMC02OTQzLTQy/MWItOWVlOC0zZWRh/ZWFmYTQzZmIuanBn.jpg https://img.companycam.com/URAP4QGTLmtghkhXgJghMk06_6cmpTGcc-ogrCPYOso/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS8zMWQx/MTBiMS0wNzM5LTRi/NTktYTM3OC0yNDMy/ZDdmNTcyMjUuanBn.jpg https://img.companycam.com/w9efBnse44qlW1-wMwOvZMlV0D6MERwLYDL8DnWz1x4/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS80YmE0/ZjFlZS0yYTQ3LTQ0/ZTItOTY2ZC04OWI2/MDNmMjhkZjguanBn.jpg https://img.companycam.com/EyNJLKPo4z2vjeK3VCJI7NhDzMCkm4Ax55AM1bfHrFk/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9iYWJj/M2JlZS0wOWI5LTRh/MGItODBkNy01NTU0/MzE2MDQxMTYuanBn.jpg

Vacuum Center Unit https://img.companycam.com/r-WjOtmbgxdxDJAYkr2WMruVtGceS1vI_FFpvh8UFIM/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS83Yzg5/NWU1Yy02ZWYxLTQ2/MmYtOTdkMS1lNWNh/MWVmM2ZhNmUuanBn.jpg https://img.companycam.com/m8HJPiYj3qnmhlYJAwhhbL0D5OdYk7_VU7T9CUuF25U/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS80NzRh/ZjA0MS1hOTI3LTQ1/MzQtYjA2NS1jYzRi/MjVmZDgxZjMuanBn.jpg https://img.companycam.com/QW97UzHSUgH93JXsd0fOXfnJiFD-NZqJE2l3i0cEG7Q/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9hMGVl/NmNhMC1mNDdlLTQ3/YTUtYWYyYi1hNDY2/YmRmYzE3NDEuanBn.jpg https://img.companycam.com/kNbmoHqkgrejPdadc-2X4q1iDrFhWwkvFVnOvDeQ8QU/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS8yNDk3/MjYzYi1jYzM2LTRm/OTgtODA1Ny0xNDM0/OWFjNjEwODkuanBn.jpg https://img.companycam.com/9igP01pKlBlg5DEb7r-f81Yz4-Y2yzKV6ubdcK9EIcQ/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9hY2I5/Y2ZhOC1iNGE3LTQ1/MWMtOGY2MC02Yjg0/YjFiNmYyMjMuanBn.jpg https://img.companycam.com/P0Xfv6XGPiu0nvpvU0DLgK1qseL2mBXt3xFoQ9GKiv4/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9hZDY2/NGNmZC03YjIwLTRh/MDktODQ1MC0zNDgz/YWI5N2U1YjcuanBn.jpg

Isolated vacuum center - unit leak rate (not to exceed 0.1"Hg per minute)

Pass Fail N/A

System leak rate (not to exceed 0.1" Hg per minute)

Pass Fail N/A

Swing Check Valves - Inlet and outlet from tank, clean and clear of debris

Pass Fail N/A

Swing Check Valves - Pump suction side, clean and clear of debris

Pass Fail N/A

Confirm Storage Tank #1 is in level drain mode

Pass Fail N/A

Confirm Storage Tank #2 is in level drain mode

Pass Fail N/A

Confirm Storage Tank #3 is in level drain mode (if applicable)

Pass Fail N/A

Confirm Storage Tank #4 is in level drain mode (if applicable)

Pass Fail N/A

Make Up Water Filter replaced and is cleaned

Pass Fail N/A

Make Up Water Filter - Issue found in Water Feed

No issues with water feed, water quality was good

Pump #1 https://img.companycam.com/SFJJk6gedIWRXHGD9WS5VPenunlC85PcsCZlB1TwUwM/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS84NTI5/YTM4YS0yOThhLTRi/MjQtYTFkMS02NDQ2/ODRjY2YxMmMuanBn.jpg https://img.companycam.com/MYI5VzbCkvDkRAy0W7VjuKmqWDbvQqasUYfpEzthRe4/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9hZjRh/ZDAwOS1mNDM0LTQw/NmEtYmM4NS1kODAx/ZWM5NjAyY2UuanBn.jpg https://img.companycam.com/ggvQpUo6QU6XuYKEPAeY7c2hYs26G-j98uNDRt3eYxY/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9hZDc4/N2JlMy0wYjg0LTRl/NmItOTk1Mi03ZjI5/MzAwYjJiOTcuanBn.jpg https://img.companycam.com/zPeoiarwFMeqOJfoWnKVISAAd5piEabrGV3957qGTGE/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS8zZTBk/OTA2Zi0xNWI0LTQ1/ODYtOGZiMy00NGZh/ODZmYzdiN2UuanBn.jpg https://img.companycam.com/-b4FTdAnIs6Wv7liUyvP0_kOioyRuYK9U7lbo7Md5yU/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS85NDIy/MzNmZC04ZjA2LTQ1/NGEtODM2NC04NDgz/NjRiMjBkMDkuanBn.jpg https://img.companycam.com/xVUx1XzCwixdQEaJ6mX0S09PSPuSROCgO4711f_ia-U/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS83OWZh/MDQwMy04MzdhLTRj/ZjUtYTM2My0wYTRj/OWUwZTc2NDMuanBn.jpg

Pump Filter Changed

Pass Failed N/A

Pump radiator cleaned and flushed

Pass Failed N/A

Pump water jacket cleaned and flushed

Pass Failed N/A

Pump heat exchanger; cleaned or converted to flow spool (circle one)

Pass Failed N/A

Fresh Water make up Solenoid supply line or fill/overflow

Pass Failed N/A

Fresh Water Flow Control Valve

Pass Failed N/A

Debris Type found in Fresh Water make up Solenoid supply line , Fresh Water Flow Control Valve or fill/overflow -

Clean

Pump Manually operated to check for capacity (must run to minimum of 18"Hg

Pass Failed N/A

WYE Strainer - Cleaned

Yes No N/A

WYE Strainer - Debris Type found in Strainer

Clean

2" Check Valve - Cleaned

Yes No N/A

2" Check Valve - Debris Type found in Check Valve

Clean

Additional Comments regarding Vacuum Pump 1

1) We removed the front housing of the Vacuum Pump and no real evidence of build up.

List any additional PM parts used or installed outside of PUMP filters (Pump filters are included in the PM Service) https://img.companycam.com/xWH97fsrJiLvR5yaNlN_Kmo3-b3FzRe1MU-4Z8DIqZ0/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS82M2Mw/ZjYxNS1kMWYyLTQ1/MTItYmU1OS1jZmUx/YTA2MmI3MDMuanBn.jpg https://img.companycam.com/llcIuQCnvsArDLjF3P33b2zcsrqDfUT1Q82JifYO9iU/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS85N2Qz/ZGM3Yi1kMzkyLTQy/NjgtYWM1MS1iNTMz/MTJlZjVjMjcuanBn.jpg https://img.companycam.com/_P6zReCoivxZ1BR9MND6IqAXZQIyHhb5Vccg0G7t_aQ/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS80YTBj/OWNiNS0xYTk4LTRh/ZTktYWRhYS01NWM2/ZDg4M2ViMzcuanBn.jpg https://img.companycam.com/o8x38ORIi5ieelipGao72XHsmHe8FBXDPHc3kHUW87c/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9lNWUw/MDRlZi1lODc2LTQ4/NTgtODAyYi01ZWQ0/MzE0ODgwZGIuanBn.jpg

Pump filter changed

Pump radiator cleaned and flushed

Pass Failed N/A

Pump water jacked cleaned and flushed

Pass Failed N/A

Pump heat exchanger; cleaned or converted to flow spool (circle one)

Pass Failed N/A

Water make up line connected and operating; Overflow operational?

Pass Failed N/A

Pump manually operated to check for capacity (must run to minimum of 18" Hg

Pass Failed N/A

WYE Strainer - Cleaned

Yes No N/A

WYE Strainer - Debris Type found in Strainer

Clean

Pump #2 https://img.companycam.com/NF_LEMpXQ3Kpzo-VBgySNqtlVYo4pYT0mRO_seJG_EE/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS84YWZh/YzYzOC02ZWI1LTQ4/NjctYjA4Mi0xZDky/Yjc4YjFiNjIuanBn.jpg https://img.companycam.com/v-QAxsAQHqNPQwO50xRwikSqEJkMcicdZAq_gDjXaL8/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS85N2Fj/MWY4Ni1mMTlkLTQ3/ZDYtYjEwOC1mZDA4/ODQwOTdlZmQuanBn.jpg

2" Check Valve - Cleaned

Yes No N/A

2" Check Valve - Debris Type found in Check Valve

Clean

Additional Comments Regarding Vacuum Pump 2

The impeller is rubbing against the face plate causing wear on the face plate. The Vac pump is building vacuum and holding vacuum pressure.

List any additional PM Parts used or installed outside of Pump Filters (Pump Filters are included in the PM Service) https://img.companycam.com/ypCsGzBTx-tKIUmBy8KzmzMyNvgkLDTAoC-zquBS2Wo/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS8yNGIz/ZWQ3ZS0xZjhlLTQy/MjktYmY0Ni02OWYw/NmQ5MDNhMWYuanBn.jpg https://img.companycam.com/shMo1guALUx7ZR6kVZCHxOoXFzSbGcrLkHENUdg3Fb0/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9jODI3/ODhiNy0xYmU1LTQw/NjMtYTdmMS1jZGQ4/M2Y3MTBiZTMuanBn.jpg https://img.companycam.com/ValgTdbzbXaDKNBUqgN3_R2mfWL14_8TW38oRf2gAY4/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9jMzM5/NDIyYi03MzE5LTQ4/MTctOGIwYi1lZDcz/OTI5OWU0MDAuanBn.jpg https://img.companycam.com/hvilsOEIP6EUSesnGZXq0_fqIS9C0zi_XmymYXZe-IQ/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9lMDZh/ZDQxZi1mODJjLTRj/NjUtOGEzNC1iZjZi/OTAyYzMzMTYuanBn.jpg

Add your comments/notes regarding the vacuum center below;

Tank 1 and Tank 2 need to have the debris removed from the float and also the inside of the tanks should be washed down

Additional Comments regarding Vacuum Center https://img.companycam.com/LJu94NKQBCH35zKrDXD0kYLYP_R7LaXgEHLOB8rf3fk/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS81NDhj/YmExYi02ZTYwLTRk/NmYtYmQ5Ni0wYjg2/MDEzNDcxZTcuanBn.jpg https://img.companycam.com/kPRDR8gI3AVH3sLnY4lQhYGD-GAcdHRdDPLPLwvhcm0/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS83MjA3/ZWQyNy1iYzcyLTQz/NjItOGJmYS0zMmQ5/ZTQ5MWI0NDAuanBn.jpg https://img.companycam.com/WJ8eD75J4zEsQtFuwuQb8UH7rpfLWUjO6BwtQf3SQOs/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS81YjRj/OTFlOC1mMWI0LTQy/MDMtYjE1Yi1kNGI1/YmM5NGM1Y2EuanBn.jpg https://img.companycam.com/xVUx1XzCwixdQEaJ6mX0S09PSPuSROCgO4711f_ia-U/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS83OWZh/MDQwMy04MzdhLTRj/ZjUtYTM2My0wYTRj/OWUwZTc2NDMuanBn.jpg

Is unit currently in operation

Does unit currently display any alarms

Yes No N/A

Verify that grinder has proper rotation (Verify placard rotation direction)

Yes No N/A

Grinder https://img.companycam.com/CCix3kUogjd236onH3-rHu18gXiSNdNb3rDPOu_9nAg/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS80MzQ0/NWZkYi00NzFjLTQx/ZDItYjc3NS03Zjlh/ZmQ4YjI2MzkuanBn.jpg https://img.companycam.com/-b4FTdAnIs6Wv7liUyvP0_kOioyRuYK9U7lbo7Md5yU/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS85NDIy/MzNmZC04ZjA2LTQ1/NGEtODM2NC04NDgz/NjRiMjBkMDkuanBn.jpg https://img.companycam.com/n5Bdw7SAKM41GoZyuGmFoQstXi3_-FTTIiuWbyZpGO0/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS9iMTA4/OGNmYi1lMjFiLTQ5/OTUtYTkwYS0zZDE4/NjlhOTFhNTUuanBn.jpg

Perform the following procedure to manually test the grinder jam sequence. Withing 3 (three) seconds, rotate the grinder control switch (3) times from OFF/RESET to REMOTE, then from OFF/RESET to ON.

Verify the grinder rotates in the forward direction for (1) one second, then begins three reversals.

Visually witness grinder shaft turns in the opposite direction for this step

At the end of the three (3) reversals, the JAMMED indicator light will flash steadily.

Visually identify that the indicator at the Grinder Panel activates and illimunates as stated above

Place the Grinder Control Panel Switch in the OFF/RESET position to RESET the motor controller PLC and the JAMMED indicator

Performing the step above will return the grinder to normal operation

Additional comments regarding the Grinder(s)

No issues at this time

Notes

Extraction Valves inspected and operational

EPI Controllers operational and timing is correct

Pass Failed N/A

Men's Restroom https://img.companycam.com/ulUKLsdggSnWx8JshXIED0HbgLMy-v2NtSVPfMjs1zA/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS84MDkx/NDg3Yy1jYmU0LTQw/YTctYmE2NS1hZWIy/MWIzNGEzNDUuanBn.jpg

Photo Eye / Push Button Operational

Pass Fail N/A

Vacuum hose/tubing not pinched or restricted

Pass Failed N/A

In-line red mini check valve installed on vacuum source tubing to controller

Pass Failed N/A

Lift Component function tested and operational via a trickle test

Pass Failed N/A

Accumulators inspected and operational

Pass Failed N/A

Sensor port line has no traps or kinks

Pass Failed N/A

Vacuum lift piping properly braced, no loose bracing

Pass Failed N/A

Overhead piping, if visible from the floor, properly braced, no loose or swaying piping

Pass Failed N/A

List any compromised X-Valves with SN's, Controller SN's and the locations where components were replaced.

e.g. Zone / Lift #'s

Men's Toilets Z4 L5 & 6 Push button needs to be replaced. ABM is replacing them.

Additional Comments regarding Men's Restroom(s)

N/A

Extraction Valves inspected and operational

EPI Controller operational and timing correct?

Yes No N/A

Photo Eye / Push Button Operational?

Yes No N/A

Vacuum Hose/Tubing not pinched or restricted?

Yes No N/A

Inline Mini Check valve installed on vacuum source line to EPI controller?

Yes No N/A

Accumulators inspected and operational?

Yes No N/A

Vacuum lift piping properly braced?

Yes No N/A

Overhead piping - Secure and not moving (visible areas)

Yes No N/A

Women's Restroom https://companycam-pending.s3.amazonaws.com/dc23ab4b-0bfe-442b-8d62-6fb4a7034894.jpg https://companycam-pending.s3.amazonaws.com/8d4a42aa-a70c-4b5c-929f-3cf23c43f185.jpg

Additional comments regarding Women's Restroom?

Found two flooded X-valves in women's restroom Z2 L8 & 9. X-valves replaced and supplied by ABM.

https://companycam-pending.s3.amazonaws.com/c508873d-1dde-413d-bef3-8a8a32733076.jpg https://img.companycam.com/MncwZ93L8taODcg3k3c-xmeEZZSs1tHcUzHN8cRrJEU/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS83YTEx/OTg2ZC00ZjE3LTQ4/MDMtOGUwZi04YTli/YTFiYzY1NWIuanBn.jpg https://img.companycam.com/0U6P-sIXiHc596B33WTeYcykkNSL36gb0zwNsSezwr0/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS81NTBl/ZWViOC1lZGRjLTRl/NzAtOGNlOC0zY2Rm/ZDQ1MWM0ODIuanBn.jpg https://img.companycam.com/9DEVbOvJ3k2JLkwrV8QUDGYHHdXvDpoFGBEEBDAFHcM/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS8yNTcz/N2Q1Yi1hNTRmLTRl/NzUtYWI2Zi00YTMy/OGVkNjY5ODguanBn.jpg https://img.companycam.com/TfES3_d5sNZZUXT76y9rg09kNrNold9PnXJ4PnFdsWE/rs:fit:4032:4032/q:80/aHR0cHM6Ly9jb21w/YW55Y2FtLXBlbmRp/bmcuczMuYW1hem9u/YXdzLmNvbS85NDAz/ZDMxNi1hNGM5LTRk/ZTEtYTdiOC0wNjU3/YTRjMGUxNzYuanBn.jpg https://companycam-pending.s3.amazonaws.com/11ca2679-00c5-4762-ac40-c4dca4d0c7d5.jpg

Add notes below

Found two flooded X-valves in women's restroom Z2 L8 & 9. X-valves replaced and supplied by ABM.

Men's Toilets Z4 L5 & 6 Push button needs to be replaced. ABM is replacing them.

Additional comments regarding valves and lifts; explain any "Failed" or "Other" notation with specific locations of the infractions in the store

List outstanding observations below

The overall system looks to be in good condition, just need to create weekly checks to help minimize any issues.

General Observations

Outstanding Issues / Recommendations https://companycam-pending.s3.amazonaws.com/8d4a42aa-a70c-4b5c-929f-3cf23c43f185.jpg https://companycam-pending.s3.amazonaws.com/dc23ab4b-0bfe-442b-8d62-6fb4a7034894.jpg https://companycam-pending.s3.amazonaws.com/11ca2679-00c5-4762-ac40-c4dca4d0c7d5.jpg https://companycam-pending.s3.amazonaws.com/c508873d-1dde-413d-bef3-8a8a32733076.jpg

List any Outstanding Issues / Recommendations below

Tank 1 and Tank 2 need to have the debris removed from the float and also the inside of the tanks should be washed down

List first/last name of the manager

David Ortega - Chief Engineer

Date of service

12/09/2025

Facility Manager or Superintendent you Checked In/Out with

List first/last name of technician who performed the PM service

Darren Young and Clayton Damon

Date of service

12/9/25

Technician(s) who performed the Preventative Maintenance