TL CDRL A022 Backflow Prev Sys Rpt Samplev2.pdf

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Facility Readiness and Maintenance Execution (FRAME) Request for Proposal (RFP) - DRAFT
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This is a Contractual Data Requirements List (CDRL) A022 Backflow Prevention Systems Report documenting the annual testing and maintenance status of backflow prevention devices across multiple federal facilities. The report covers 77 total devices—53 classified as high priority and 24 as low priority—located at Pillar Point, Vandenberg Air Force Base (VAFB), and Mission Data Analysis (MDA) facilities organized into seven testing zones with staggered semi-annual or annual inspection schedules (Zone 1: September/March; Zone 2: October/April; Zone 3: November/May; Zone 4: June/December; Zone 5: January/July; Zone 6: February/August; Zone 7: March/September).

Each device entry includes manufacturer, model, serial number, size, location, hazard classification, last test date with pass/fail status, and next scheduled test date. The majority of devices are manufactured by Febco and Watts and are used for fire suppression systems, chiller water makeup, boiler makeup water, and humidifier water. Notable observations include four devices scheduled for contractor repair (equipment IDs 175-01-001-RP, 525-01-001-RP, 730-00-001-DC, and 935-00-001-DC), one device removed during construction requiring government inventory removal (1819-00-002-RP), and one device (730-00-001-DC) requiring government assistance to obtain facility access for valve replacement. The report indicates that test sheets are not yet available for certain devices (10-01-001-RP and 13-01-001-RP), and several devices experienced testing delays due to lack of water availability at test sites.

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A B D E F G H I J K L M N O P

ZONE BLDG EQUIPMENT ID NO. MFR MODEL SERIAL

NUMBER

SIZE LOCATION HAZARD

TYPE LAST TEST

DATE Pass/Fail NEXT

TEST

Comments

1 1 1-01-001-RP Febco 860 N2301120946 3" Bottom of the Hill on right side of road High March September 3/20/2026 P 9/30/2026 1 10 10-01-001-RP Febco 825Y H42837 3/4" Mechanical Room - Chiller Make-Up Water High March September 3/20/2026 P 9/30/2026 Do not yet have test sheets 1 13 13-01-001-RP Febco LF

825Y J001590 3/4" Boiler Room - Make-Up Water High March September 3/20/2026 P 9/30/2026 Do not yet have test sheets

1 13 13-01-002-RP Febco 825Y J013765 3/4" Mechanical Room - Chiller Make-Up Water High March September 3/20/2026 P 9/30/2026 BF Sheet has Ser. # J013765

1 75 75-01-001-DC Wilkins

DC

975XL 75-001 3/4" North end of Bldg.-AHU room Make-up to humidifiers Low September 10/24/2025 P 9/30/2026

1 75 75-01-001-RP Febco RP 825Y H37315 3/4 " South - Boiler room Heating make-up water High March September 3/25/2026 P 9/30/2026

1 75 75-01-002-RP Febco RP 825Y H05458 1" Mechanical room chiller water make-up High March September 3/25/2026 P 9/30/2026

1 175 175-01-001-RP Watts 009QT 475378 1/2" Make-Up water closed loop heating system-Mech Rm High March September 3/10/2026 F 9/30/2026 Scheduled for repair with contractor.

1 178 178-01-001-RP Watts LF009Q T

37947 1/2" Make-Up water closed loop heating system-Mech Rm High March September 3/10/2026 P 9/30/2026

1 475 475-00-001-RP Wilkins 975XL 2860560 3/4" Outside - Chiller Water Make Up - North side of facility

High March September 3/10/2026 P 9/30/2026

1 475 475-00-003-RP Febco 3078 J004799 3/4" Outside - Chiller Water Make Up - North side of facility

High March September 3/10/2026 P 9/30/2026

1 475 475-01-002-RP Febco 825Y A054475 3/4" Boiler Room - Boiler make up water High March September 3/10/2026 P 9/30/2026 1 500 500-01-001-RP Febco 825Y J001047 3/4" A/H Mechanical Room - Chilled Water make-up High March September 3/28/2026 9/30/2026

1 510 510-01-001-RP Febco 825Y H20445 3/4" Mechanical room - Make- up chilled water High March September 3/28/2026 P 9/30/2026 1 525 525-01-001-RP Febco 825Y J012067 2" Bottom Interior Protection Inside Southwest wall High March September 3/10/2026 F 9/30/2026 Scheduled for repair with contractor.

1 525 525-01-002-RP Watts 957QT LH-2077 3" Top Interior Protection Inside Southwest wall High March September 3/10/2026 P 9/30/2026 1 730 730-00-001-DC Watts 709 109699 6" Fire Suppression System-Outside West End Low September

10/24/2025 F Unknown.

See comment

Observed 4/17/2025 & 10/29/25-This device is not operating properly-needs valve replaced, until it is repaired it cannot be tested. CHI has parts & capability to repair this device and has attempted to schedule repair several times. However, the user will not permit us to disrupt the flow of water to the device so it can be repaired. Government assistance is requested.

1 730 730-00-002-DC Watts 709 20400 3/4" Fire Suppression System-Outside West End Low September 10/24/2025 P 9/30/2026 1 730 730-01-001-RP Wilkins 975 XL3 ALA14830 3/4" North End Pit - Basement - chiller make- up High March September 3/16/2026 P 9/30/2026

1 763 763-01-001-RP Febco 825Y J020739 3/4" Chiller water make-up basement High March September 3/25/2026 P 9/30/2026 1 763 763-01-003-RP Febco 825Y J004938 3/4" Chiller water make-up basement High March September 3/25/2026 P 9/30/2026 1 789 789-00-001-RP Febco 825Y BG1931 2" Outside - Domestic Water - South wall Low September 10/15/2025 P 9/30/2026 2 907 907-01-001-RP Febco 825Y H05130 1 1/4" Chiller Water Make-up - Outside East High April October 5/01/2026 P 10/30/2025 2 908 908-00-001-RP Watts

RP

2765 248741 6" Fire Suppression System -Outside -North end of facility Low October 10/30/2025 P 10/30/2026

2 908 908-01-001-DC Watts 2693 466827 1" Make Up Water - Domestic Water Tank High April October 5/01/2026 P 10/30/2026 2 935 935-00-001-DC Febco 805 9911111340 4" Double Check Fire system - Outside - Northwest corner Low October 10/30/2025 F 10/30/2026 Scheduled for repair with contractor.

2 935 935-00-001-RP Febco 3078 J025608 1" Location-outside of 935/936; supports humidifier. High April October 5/01/2026 P 10/30/2025

3 1639 1639-00-001-DC Watts

DCD

709 109697 6" Fire Suppression System - Outside South of facility Low November 1/16/2026 P 11/30/2026

3 1639 1639-00-001-PV Febco 765 H398768 1" Make Up Water to wash down tank - Outside East roof

High May November 1/16/2026 F 5/31/2026 Scheduled for repair with contractor.

3 1639 1639-00-002-DC Watts 709 20394 3/4" Fire Sprinkler System - Outside South of facility Low November 1/16/2026 P 11/30/2026

3 1764 1764-00-001-DC Watts DC 709 109683 4" Fire Suppression System - Outside South of facility Low November 1/16/2026 P 11/30/2026

3 1764 1764-00-002-DC Watts DC 007M3

QT

49360 3/4" Fire System Detector Check - Outside South of facility

Low November 1/16/2026 P 11/30/2026

CDRL A022 Backflow Prevention Systems Report Apr - Jun 202X SAMPLE TEST MONTHS: ZONE 1-Sept/Mar; ZONE 2-Oct/Apr; ZONE 3-Nov/May; ZONE 4-Jun/Dec; ZONE 5-Jan/Jul; ZONE 6-Feb/Aug; ZONE 7-Mar/Sep

Annual Test Schedule

BACKFLOW DEVICES LOCATED AT PILLAR POINT

BACKFLOW DEVICES LOCATED AT VAFB

SAMPLE

7 7011 7011-00-001-DC Febco 806YD 9404190605 6" Fire Suppression System - Outside West of facility Low March September 7/09/2026 P 3/30/2027

7 7011 7011-01-001-RP Febco 825Y J025636 1" Air Handler, mech room chiller make up water High March September 4/02/2026 P 9/30/2026 7 7025 7025-01-001-DC Ames 2619 103138 8" DCDA in mech room , by entrance (Alarm) Low March 4/02/2026 P 3/30/2027 7 7025 7025-01-001-RP Wilkins 375

ASTR

12981G 4" Mech room back left corner Low March 4/02/2026 P 3/30/2027

7 7025 7025-01-002-RP Febco 3078 J008559 2" Mech room, far right corner High March September 4/02/2026 P 9/30/2026 7 7025 7025-01-003-RP Wilkins 975XLT 5023231 XLT 1" High March September 4/02/2026 P 9/30/2026 7 7025 7025-01-004-RP Wilkins 3153 965962 1" Mech room

High March September 4/02/2026 P 9/30/2026

7 7025 7025-01-005-RP Wikins- Zurn

3192 4014602 1" Mech room High March September 4/02/2026 P 9/30/2026

ZONE BLDG EQUIPMENT ID NO. MFR MODEL SERIAL

NUMBER

SIZE LOCATION HAZARD

TYPE LAST TEST

DATE Pass/Fail NEXT

TEST

Comments

7 7050 7050-01-001-RP Febco 825Y H01336 1-1/4" Air Handler mech room make up chiller water High March September 4/02/2026 P 9/30/2026 7 7050 7050-00-001-DC Febco 870V N0704180722 6" Fire Suppression System-South end of Bldg. 7000 Low March 4/02/2026 P 3/30/2027

7 8401 8401-00-001-DC Febco 870V N0710040851 8" Southeast of Bldg., Fire Suppression System Low March 2/20/2026 P 3/31/2027 7 8401 8401-01-001-RP Febco LF825Y J001894 3/4" Chiller & Boiler Make Up, Boiler Room High March September 2/20/2026 P 9/30/2026

7 8401 8401-01-002-RP Febco 825Y H37382 3/4" Boiler Make Up, Boiler Room, adjacent to Bldg. 8500 High March September 2/20/2026 P 9/30/2026

7 8401 8401-01-003-RP Febco 825Y H32660 3/4" Humidifier Make-Up, Boiler Room High March September 2/20/2026 P 9/30/2026 7 8510 8510-00-005-RP Febco 825Y H29166 1" Outside Chiller Make Up High March September 2/20/2026 P 9/30/2026 7 8510 8510-01-001-RP Febco RP 825 Y H05660 1 1/4" Mechanical room 142, chiller/boiler make up High March September 2/21/2026 P 9/30/2026

7 8510 8510-01-006-RP Febco RP 825Y A056100 1 1/2" Mechanical Room boiler and chiller Make-Up High March September 2/20/2026 P 9/30/2026

5 21150 21150-00-001-DC Watts 774DC

DA

104044 4" Fire Suppression System - Outside West of facility Low January 2/21/2026 P 1/31/2027

5 21150 21150-00-002-DC Watts 007M2 6420 3/4" Fire Suppression System - Outside West of facility Low January 2/21/2026 P 1/31/2027

5 21150 21150-01-001-RP Febco RP 825Y H09999 3/4" Mechanical room make up chiller water High January July 2/21/2026 P 7/31/2026

5 21150 21150-01-002-RP Febco 825Y H32555 3/4" Mechanical room make up humidifiers High January July 2/21/2026 P 7/31/2026 5 21150 21150-01-003-RP Febco 825Y A119055 3/4" Mechanical room Make Up Water For Boiler High January July 2/21/2026 P 7/31/2026 5 21200 21200-01-001-RP Febco 975XL 286051 3/4" Mechanical room boiler Make up water High January July 2/20/2026 P 7/31/2026

3 1768 1768-01-001-DC Ames 2000SS 135949 6" Inside Basement-Fire Suppression System Low November 1/16/2026 P 11/30/2026

3 1768 1768-01-001-RP Watts 009M2

QT

222788 1" Mechanical Room-Industrial Water High May November 1/16/2026 P 11/30/2026

4 1800 1800-00-001 DC Febco 3097 2171019 West Side of Facility-Fire Suppression System Low December 12/30/2025 P 12/30/2026 4 1800 1800-01-001 RP Febco 3079 H005463 West Side of Facility--Mech Room, Rear Wall High June December 6/11/2026 P 12/30/2026 4 1806 1806-01-001 DC Watts 757 KLT-2594 (ALARM) FSS Riser Inside High Bay-Fire

Suppression Low December 12/30/2025 P 12/30/2026

4 1806 1806-01-002 DC Watts 757 KL-2600 South end -(ALARM) FSS Riser Ins. Boiler Rm-Fire Supp.

Low December 12/30/2025 P 12/30/2026

4 1806 1806-01-002 RP Febco 3078 V7624 Left Door in Mechanical Room High June December 6/11/2026 P 12/30/2026 4 1819 1819-00-002-RP Febco 825Y J020744 3/4" Right side of bldg. next to entrance-Feeds boiler & chiller High

June December 6/28/2024 P This device was removed by a contractor doing construction in the building. The device no longer exists. Recommend the Government remove the device from its inventory & BF test li t4 1819 1819-01-002-RP Febco 825Y 12152 2" Mechanical Room, Domestic Water High June December 6/11/2026 P 12/30/2026

4 1819 1819-01-001-RP Febco 825Y H60431 1" On wall across boiler-Boiler Make-up High June December 6/11/2026 P 12/30/2026 4 1829 1829-00-001-DC Febco 850 9707011312 4" Fire System-Adjacent to Fire Water Tank (Outside) Low December 12/30/2025 P 12/30/2026

4 1829 1829-01-002-DC Ames 2650 KJ-0574 8" Fire Suppression System (Inside the Bldg.) Low December 12/30/2025 P 12/30/2026 4 1894 1894-01-001-RP Watts 2765 256625 3/4" Mech Room, Humidifier Make-Up High June December 12/30/2025 P 6/30/2026 No water at site for testing on 6/11/2026

4 1894 1894-01-002-RP Watts 2765 218618 1-1/2" AH Mech Room, Domestic Water High June

December 12/30/2025 F 6/30/2026

Scheduled for repair with contractor. No water at site when contractor went for repair on 6/11/2026

4 1908 1908-00-001-RP Wilkins 375 L46728 3" Outside Pump house-Domestic Water High June December 6/11/2026 P 12/30/2026

Annual Test Schedule

BACKFLOW DEVICES LOCATED AT MDA FACILITIES

4 1914 1914-00-001-RP Wilkins 475XL 2888647 1" OutsideTrailer, East Side, Domestic Water High June December 6/11/2026 P 12/30/2026 4 1916 1916-00-001-RP Wilkins 475XL 2888840 1" Outside East, Humidifier Make-Up High June December 6/11/2026 P 12/30/2026 4 1918 1918-01-001-RP Wilkins 475XL 2543563 1" East of Storage Bldg., Outside, Chilled Water M-Up High June December 6/11/2026 P 12/30/2026

6 6510 6510-00-001-RP Febco 825Y J011452 3/4" Back entrance, mech rm, right wall-Boiler & Chiller High February August 2/21/2026 P 8/31/2026

6 6510 6510-00-002-RP Watts 909QT 535185 3/4" Back entrance, mech rm, right wall-Boiler & Chiller High February August 2/21/2026 P 8/31/2026

6 6819 6819-00-001-RP Wilkins 825Y 1943691 1" Outside-Chiller Make Up High February August 2/21/2026 P 8/31/2026 Total # Devices= 77 Total # Low Priority Devices =24Total # High Priority Devices= 53

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