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HomeMy WebLinkAbout2016-03-23 Mid-City Mechanical Annual RPZ Test Report - Watts 71136 ANNUAL TEST REPORT REDUCED PRESSURE ZONE BACKFLOW PREVENTERS DOUBLE CHECK VALVE ASSEMBLIES MANUFACTURER Watts MODEL 009M2QT SIZE 1" SERIAL# 71136 NAME OF FACILITY Valvoline Instant Oil COUNTY ADDRESS (STREET, CITY, Z1P) 5600 Neal _Ave. N. Oak Park Heights, MN Store #96 LOCATION OF DEVICE IN BUILDING Lower Level SERVICES WHAT SYSTEM Main line right after the meter, irrigation is separate CHECK VALVE NO. 1 CHECK VALVE NO. 2 RELIEF VALVE (FOR RPZ ONLY) INITIAL LEAKED ( ) LEAKED ( ) OPENED AT PSI TEST CLOSED TIGHT ()......) CLOSED TIGHT ( ) REDUCED PRESSURE DID NOT OPEN ( ) DESCRIBE CLEANED ( ) CLEANED ( ) CLEANED ( ) RIPAIRS REPLACED ( ) REPLACED ( ) REPLACED ( DISC ( ) DISC ( ) DISC. ASSEMBLY ( ) DISC HOLDER ( ) DISC HOLDER ( ) 0-RINGS ( ) STEM ( ) STEM ( ) STEM ( ) RETAINER ( ) RETAINER ( ) SPRING ( ) 0-RINGS ( ) 0-RINGS ( ) DIAPHRAGM ( ) SEAT ( ) SEAT ( ) SEAT ( ) SPRING ( ) SPRING ( ) SPACER ( ) GUIDE ( ) GUIDE ( ) OTHER--- ( ) BUSHINGS ( ) BUSHINGS ( ) DESCRIBE BELOW: OTHER-- ( ) OTHER-- ( ) DESCRIBE BELOW: DESCRIBE BELOW: SPECIAL COMMENTS: FINAL CLOSED TIGHT (X ) CLOSED TIGHT (x-') OPENED AT 2_/ PSI TEST REDUCED PRESSURE '—' INITIAL TEST BY AiL)tt6 0-4,-A‘ \,.. DATE '?'. - 16.7,, SIGNATURE ' t...,....-77 REPAIRED BY DATE SIGNATURE t--, FINAL TEST BY: MID-CITY 'MECHANICAL DATE f. Z I•/(4) SIGNATURE - .. 9103 DAVENPORT ST. N.E. ,...-- BLAINE, MN 55449 (763) 786-8617 PHONE CERT. NO. N i:L'60 t Co ki (763) 786-8640 FAX