HomeMy WebLinkAbout2016-01-14 Metro Testing RPZ Report RECEIVED
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Reduced Pressure Zone Backflow Preventer Valve & Double Ch.ck (DCatAfFewatIty Vhalve
Rebuild & Test Report --- AM PM
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est Yr. Check Valve#1 Check Valve#2 Differential Pressure Relief
1 2 3 4 Leaked ( ) Closed L) Leaked ( ) Closed (,() Did Not Open( )
verhauled ( )
Install( ) Pressure : `�� Pressure : ( Opened At: _.3
R Cleaned Cleaned Cleaned
E Replaced Replaced Replaced
Poppet Poppet Poppet
P Spring Spring Spring
A 0 Ring 0 Ring 0 Ring
Rubber Seat Rubber Seat Rubber Seat
I
Other Repairs Other Repairs Other Repairs
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S
Certification I # 2 Shutoff Valve:
I hereby certify the foregoing data to be correct and that the device tested is Pass 1
functioning within the limits of the standards. Fail ❑
`t7
Date: //// /
Signature: / /
'7/i ��' Assembly Final Test
Performance:
COLE FORD BF066445 I GARY FORD BF058476 I ALAN FARR BF066481
Metro Testing/Metro Mechanical Consultants,LLC 31222 Cedar Creek Rd,Hinckley,MN 55037 612-221-5888 Pass
Plumbing Bond License:PC646918 Mechanical Bond Certificate ID:5054-MB Fail ❑
1
This report is for the purposes of recording only;Owner is responsible for safe operation and upkeep of scheduled maintenance.
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Reduced Pressure Zone Backflow Preventer Valve & Double Check (DC) Assembly Valve
Rebuild & Test Report
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Test Yr. Check Valve#1 Check Valve#2 Differential Pressure Relief
2 3 4 Leaked ( ) Closed 96 Leaked ( ) Closed 6) Did Not Open
Overhauled( ) c, —
Install ( ) Pressure : Pressure : '� ' Opened At: S
R Cleaned Cleaned Cleaned
E Replaced Replaced Replaced
Poppet Poppet Poppet
P Spring Spring Spring
A 0 Ring 0 Ring 0 Ring
Rubber Seat Rubber Seat Rubber Seat
I
Other Repairs Other Repairs Other Repairs
R
S
Certification # 2 Shutoff Valve:
I hereby certify the foregoing data to be correct and that the device tested is Pass N67.6 i
functioning within the limits of the standards. Fail El
Signature: `N '
Date:
l//y r Assembly Final Test
Performance:
COLE FORD BF066445 I GARY FORD BF058476 1 ALAN FARR BF066481
Metro Testing/Metro Mechanical Consultants,LLC 31222 Cedar Creek Rd,Hinckley,MN 55037 612-221-5888 Pass/E
Plumbing Bond License:PC646918 Mechanical Bond Certificate ID:5054-MB Fail ❑
This report is for the purposes of recording only;Owner is responsible for safe operation and upkeep of scheduled maintenance.