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2006-05-05 Bredahl Plumbing Backflow Prevention Report
^ 5. z6, I 3 c z REDUCED PRESSURE BACKFLOW PREVENTER -TEST REPORT 5 Customer: � , � e.a 8,7)v-Q. �( e �-�s�.:,�•� Com. s . Job Address: (street,City&Zip) 5-9 q S 6 cse - / /4,-t , Owner/ Occupant: T o o r a v..s -- s - Contact: -77e 6 Phone: 6 7/' Manufacturer Febco . Combraco Wath Wilkins Other. Model Size < i " 3/4" 1" 1-1/4" 1-1/2" 2" 3" Serial# 7 y 7 S Location of Device in Building- e_c_L-; Serves what system Boiler Feed Line Autoclave 0 e Vac..a c011 /4C-(44t , Cooling Tower Ice Machine Fire Sprinkler line Pool heater Lawn Irrigation Vacuum Pump Installation Date: Overhaul Date: Test Date: S- © ;, CHECK VALVE CHECK VALVE PRES DIF. PRES.DIF.WHEN STRAINER #I #2 ACROSS CHECK RELIEF OPENS TEST BEFORE LEAKED[ ] LEAKED[ ] PSI PSI NONE fit], REPAIRS CLOSED[ ] CLOSED[ ] CLEANED[ ] FINAL TEST CLOSED 54 CLOSED L 7 MPSI 3 ( PSI Describe Repair: X,e /d. - 5-74e The above above report is certified correct. Tested by:� Certification#: 7� 'D/4. y-6 •' ?— Date 5-- — G>e, Representing: 11BREDAHIL 10 PLUMB1NGINC 7916-73rd Avenue North, Brooklyn Park MN 55428 Phone: (763)424-2646 Facsimile: (763) 424-4404 ......., .0 . nwg P,'-'=,' IBRE DAHL ID PLUMBING INC. 7916— 73rd Avenue North, Brooklyn Park MN 55428 Phone: (763)424-2646 Facsimile: (763) 424-4404 St' water ater Dept. — I P.O. :o 42 4044---_ Stillw er, MN, 55082-0242 May 9, 2006 We have performed an annual backflow prevention testing at an oa on October 15, 2004. 1)-61?S yvl it--e---- I understand that you do not require a special permit or fee for this testing. Please find enclosed our test results for these back flow preventer. Best regards, e -4 randen Brown Service Dispatch Please see attachment