HomeMy WebLinkAbout2016-02-15 Bldg 15 RPZ Test/Rebuild Report - Wenzel-Plymouth Plumbing :KI-Feb. 16. 2016,11 : 24M:4 Wenzel Plumbing No. 6533 P. 1
W't ''i'..1. '.t.14.
RPZ TEST/REBUILD REPORTt
it: 5474 0
1959 ShawneeRoad, Suite 130, Eagan,MN 55122
DEVICE ADDRESS 1 64t 5"1M'.3r 11(14/b A
SERVICE NAME
CONTACT PERSON I (-1-p4 6.1.�-Z- 9 3 47- c/i Z3
TELEPHONE I PAW 41 12^' /90' 51 0-7
BILLING ADDRESS I
CITY 12-4/u w:, -
STATE, ZIP CODE
DEVICE LOCATION I &a d ` .1$ '
DEVICE SERVES WHAT SYSTEM ,A 4 ,d
SERIAL NUMBER ',r TEST YEAR
MAKE IrEdiY�.`o
1S
MODEL I ki,e1z,0 4-o-7 2nd
SIZE 1 Y" 3rd
INSTALL DATE I A 4th
CHECK VALVE #I L"REDUILD
CRECK VALVE#2 New Install
PRESS. DIFF. ACROSS#11 A 2' 1
PRESS. DIFF. ACROSS#2 5'4 Test Date: _.7,--/ic*
PRESS. DIFF. RELIEF OPEN %'
Describe Repair: (p110% A ,
EREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS
FUNCTIONING WITHIN THE LIMITS OF THE STANDARDS
BY: Brook Danner CERT.# 32901BF