TECH LIBRARY 13-CDRL_A013_Backflows_example.pdf

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Attached to
Launch Operations Support Contract (LOSC) Request for Proposal (RFP) – FINAL Federal contract opportunity
Solicitation number
FA4610-22-R-0001
Issued by
Department of the Air Force Space Command

About this file

This document is a request for proposal for launch operations support services at Vandenberg Air Force Base in California. The 30th Space Wing is seeking proposals to provide facilities support, security, safety, quality assurance, and other services related to launch operations. Interested contractors should submit proposals by January 27, 2022. The North American Industry Classification System code for this effort is 561210 for facilities support services. The incumbent contractor is not specified. The contract type will be firm-fixed price with cost-reimbursable elements. The estimated value is over $41.5 million making it a small business set-aside. The performance work statement and appendices describe the required services in detail.

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Text version

CDRL A013 - CROSS CONNECTION BACKFLOW PREVENTION SYSTEMS REPORT

1 9/16/2021

ZONE BLDG EQUIPMENT ID NO. MFR MODEL SERIAL

NUMBER SIZE LOCATION HAZARD

TYPE

LAST TEST

DATE

NEXT TEST

DATE

1 1 1-01-001-RP Febco 860 F0509061411 3" Bottom of the Hill on right side of road High 09/22/20 03/22/21 1 10 10-01-001-RP Febco 825Y H42837 3/4" Mechanical Room - Chiller Make-Up Water High 09/22/20 03/22/21 1 13 13-01-001-RP Febco 825Y J004470 3/4" Boiler Room - Make-Up Water High 09/22/20 03/22/21 1 13 13-01-002-RP Febco 825Y J006177 3/4" Mechanical Room - Chiller Make-Up Water High 09/22/20 03/22/21

1 75 75-01-001-RP Febco RP 825Y H37315 3/4 " South - Boiler room Heating make-up water High 10/02/20 04/02/21 1 75 75-01-002-RP Febco RP 825Y H05458 1" Mechanical room chiller water make-up High 10/02/20 04/02/21 1 75 75-01-001-DC Wilkins DC 975XL 75-001 3/4" North end of Bldg-AHU room Make-up to humidifiers Low 03/23/20 03/23/21 1 175 175-01-001-RP Watts 009QT 475378 1/2" Make-Up water closed loop heating system-Mech Rm High 09/01/20 03/01/21 1 178 178-01-001-RP Watts LF009QT 37947 1/2" Make-Up water closed loop heating system-Mech Rm High 10/05/20 04/05/21 1 475 475-00-001-RP Wilkins 975XL 2860560 3/4" Outside - Chiller Water Make Up - North side of facility High 10/05/20 04/05/21 1 475 475-01-002-RP Febco 825Y A054475 3/4" Boiler Room - Boiler make up water High 10/05/20 04/05/21 1 475 475-00-003-RP Febco 3078 J004799 3/4" Outside - Chiller Water Make Up - North side of facility High 10/05/20 04/05/21 1 500 500-01-001-RP Febco 825Y J001047 3/4" A/H Mechanical Room - Chilled Water make-up High 10/05/20 04/05/21 1 510 510-01-001-RP Febco 825Y H20445 3/4" Mechanical room - Make- up chilled water High 10/06/20 05/06/21 1 525 525-01-001-RP Febco 825Y J012067 2" Bottom Interior Protection Inside Southwest wall High 10/06/20 05/06/21 1 525 525-01-002-RP Watts 957QT LH-2077 3" Top Interior Protection Inside Southwest wall High 10/06/20 05/06/21 1 730 730-00-001-DC Watts 709 109699 6" Fire Suppression System-Outside West End Low 03/23/20 03/23/21 1 730 730-00-002-DC Watts 709 20400 3/4" Fire Suppression System-Outside West End Low 03/23/20 03/23/21 1 730 730-01-001-RP Febco 825Y A114185 3/4" North End Pit - Basement - chiller make- up High 09/14/20 03/14/21 1 763 763-01-001-RP Febco 825Y J020739 3/4" Chiller water make-up basement High 10/06/20 04/06/21 1 763 763-01-003-RP Febco 825Y J004938 3/4" Chiller water make-up basement High 10/06/20 04/06/21 1 789 789-00-001-RP Febco 825Y BG1931 2" Outside - Domestic Water - South wall Low 09/14/20 09/14/21 2 907 907-01-001-RP Febco 825Y H05130 1 1/4" Chiller Water Make-up - Outside East High 10/06/20 04/06/21 2 908 908-00-001-RP Watts RP 2765 248741 6" Fire Suppression System -Outside -North end of facility Low 10/07/20 10/07/21 2 908 908-01-001-DC Watts 2693 466827 1" Make Up Water - Domestic Water Tank High 10/07/20 04/07/21 2 935 935-00-001-DC Febco 805 9911111340 4" Double Check Fire system - Outside - Northwest corner Low 10/07/20 10/07/21 3 1639 1639-00-001-DC Watts DCDA 709 109697 6" Fire Suppression System - Outside South of facility Low 11/02/20 11/02/21 3 1639 1639-00-002-DC Watts 709 20394 3/4" Fire Sprinkler System - Outside South of facility Low 11/02/20 11/02/21 3 1639 1639-00-001-PV Febco 765 H398768 1" Make Up Water to wash down tank - Outside East roof High 11/09/20 05/09/21 3 1764 1764-00-001-DC Watts DC 709 109683 4" Fire Suppression System - Outside South of facility Low 11/02/20 11/02/21 3 1764 1764-00-002-DC Watts DC 007M3QT 49360 3/4" Fire System Detector Check - Outside South of facility Low 11/02/20 11/02/21 7 7011 7011-01-001-RP Febco 825Y J025636 1" Air Handler, mech room chiller make up water High 08/25/20 02/25/21 7 7011 7011-00-001-DC Febco 806YD 9404190605 6" Fire Suppression System - Outside West of facility Low 02/04/20 02/04/21 7 7050 7050-01-001-RP Febco 825Y H01336 1-1/4" Air Handler mech room make up chiller water High 08/25/20 02/25/21 7 7050 7050-00-001-DC Febco 870V N0704180722 6" Fire Suppression System-Southend of Bldg 7000 Low 02/06/20 02/06/21

7 7025 7025-01-001-RP Watts 2765 195094 4" Mech room back left corner Low 03/03/20 03/03/21

01 October 2020 to 31 December 2020 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

BACKFLOW DEVICES LOCATED AT PILLAR POINT

BACKFLOW DEVICES LOCATED AT VAFB

SAMPLE

CDRL A013 - CROSS CONNECTION BACKFLOW PREVENTION SYSTEMS REPORT

2 9/16/2021

ZONE BLDG EQUIPMENT ID NO. MFR MODEL SERIAL

NUMBER SIZE LOCATION HAZARD

TYPE

LAST TEST

DATE

NEXT TEST

DATE

7 7025 7025-01-001-DC Ames 2619 103138 8" DCDA in mech room , by enterance (Alarm) Low 03/03/20 03/03/21

7 7025 7025-01-002-DC Ames 2611 9419 3/4" Mech room, by enterance for 7025-01-001-DC (Alarmed) Low 02/01/19

7 7025 7025-01-002-RP Febco 3078 J008559 2" Mech room, far right corner High 08/27/20 02/27/21

7 7025 7025-01-003-RP Wilkins 3153 952668 1" Inside mech room above chiller, far right corner High 08/27/20 02/27/21

7 7025 7025-01-004-RP Wilkins 3153 965962 1" Mech room High 08/27/20 02/27/21

7 7025 7025-01-005-RP Wikins-Zurn 3192 4014602 1" Mech room High 08/27/20 02/27/21 7 8401 8401-01-001-RP Febco LF825Y J001894 3/4" Chiller & Boiler Make Up, Boiler Room High 08/27/20 02/27/21 7 8401 8401-01-002-RP Febco 825Y H37386 3/4" Boiler Make Up, Boiler Room, adjacent to Bldg 8500 High 08/27/20 02/27/21 7 8401 8401-01-003-RP Febco 825Y H32660 3/4" Humidifier Make-Up, Boiler Room High 08/27/20 02/27/21 7 8401 8401-00-001-DC Febco 870V N0710040851 8" Southeast of Bldg., Fire Suppression System Low 02/05/20 02/05/21 7 8510 8510-01-001-RP Febco RP 825 Y H05660 1 1/4" Mechanical room 142, chiller/boiler make up High 08/21/20 02/21/21 7 8510 8510-00-005-RP Febco 825Y H29166 1" Outside Chiller Make Up High 08/21/20 02/21/21 7 8510 8510-01-006-RP Febco RP 825Y A056100 1 1/2" Mechanical Room boiler and chiller Make-Up High 08/21/20 02/21/21 5 21150 21150-01-001-RP Febco RP 825Y H09999 3/4" Mechanical room make up chiller water High 07/14/20 01/14/21 5 21150 21150-01-002-RP Febco 825Y H32555 3/4" Mechanical room make up humidifiers High 07/14/20 01/14/21 5 21150 21150-01-003-RP Febco 825Y A119055 3/4" Mechanical room Make Up Water For Boiler High 07/14/20 01/14/21 5 21150 21150-00-001-DC Watts 774DCDA 104044 4" Fire Suppression System - Outside West of facility Low 01/03/20 01/03/21 5 21150 21150-00-002-DC Watts 007M2 6420 3/4" Fire Suppression System - Outside West of facility Low 01/03/20 01/03/21 5 21200 21200-01-001-RP Febco 975XL 286051 3/4" Mechanical room boiler Make up water High 07/14/20 01/14/21

3 1768 1768-01-001-RP Watts 009M2QT 222788 1" Mechanical Room-Industrial Water High 11/04/20 05/04/21 3 1768 1768-01-001-DC Ames 2000SS 135949 6" Inside Basement-Fire Supression System Low 10/26/20 10/26/21 4 1819 1819-01-001-RP Febco 825Y H60431 1" On wall across boiler-Boiler Make-up High 10/20/20 04/20/21 4 1819 1819-00-002-RP Febco 825Y J020744 3/4" Right side of bldg next to entrance-Feeds boiler & chiller High 10/20/20 04/20/21 4 1819 1819-00-003-RP Febco 825Y 12152 2" Mechanical Room, Domestic Water High 10/20/20 04/20/21 4 1829 1829-00-001-DC Febco 850 9707011312 4" Fire System-Adjacent to Fire Water Tank (Outside) Low 10/28/20 10/28/21 4 1829 1829-00-002-DC Ames 2650 KJ-0574 8" Fire Suppression System (Inside the Bldg) Low 10/26/20 10/26/21 4 1894 1894-01-001-RP Watts 909 256625 3/4" Mech Room, Humidifier Make-Up High 10/27/20 04/27/21 4 1894 1894-01-002-RP Watts 909 218618 1-1/2" AH Mech Room, Domestic Water High 10/27/20 04/27/21 4 1908 1908-00-001-RP Wilkins 375 L46728 3" Outside Pumphouse-Domestic Water High 10/27/20 04/27/21 4 1914 1914-00-001-RP Wilkins 475XL 2888647 1" OutsideTrailer, East Side, Domestic Water High 10/19/20 04/19/21 4 1916 1916-00-001-RP Wilkins 475XL 2888840 1" Outside East, Humidifier Make-Up High 10/19/20 04/19/21 4 1918 1918-01-001-RP Wilkins 475XL 2543563 1" East of Storage Bldg, Outside, Chilled Water M-Up High 10/19/20 04/19/21 4 1919 1919-01-001-RP Wilkins-Zurn 975XL 2909010 2" Fire Pump Room, Fire System Low 10/19/20 10/19/21 6 6510 6510-00-001-RP Febco 825Y J011452 3/4" Back entrance, mech rm, right wall-Boiler & Chiller High 08/21/20 02/21/21 6 6510 6510-00-002-RP Watts 909QT 535185 3/4" Back entrance, mech rm, right wall-Boiler & Chiller High 08/21/20 02/21/21 6 6819 6819-00-001-RP Wilkins 825Y 1943691 1" Outside-Chiller Make Up High 10/26/20 06/25/21

BACKFLOW DEVICES LOCATED AT MDA FACILITIES

SAMPLE

CHI Master

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