HomeMy WebLinkAbout2001-06-06 St Paul Regional Water Services RPZ Test Report REDUCED PRESSU, BACKFLOW PREVENTER TEST,EPORT AND
•
:STABLE DOUBLE CHECKS
SAINT PAUL REGIONAL WATER SERVICES •
ervice Name: `l.. .- I L Contact Person/Tele a,A rt44-ef ,` S-.29 (QS'
ddress: L4,"25 511 SI"- !" - City: et Pk• . Stater4 Zip: '
evice Location: j a__1_ _ ) _ Serve what system: 1 aiwa i_rri�tD
ccount Number. Serial Number 4: __i_22.13
- J
'R P Z-- Make: LY-4 As Modest:j?$ Xi-Size: *L
Istatl Date: 5 -/ 0 ` ra O o Air Gap installation Date 5--/O - .qo a
dei uild Date. $" - /O - . ..00 S Teat Dato: 6" -/0-'- a.0c) 0
Check Valve#1 Check Valve#2 Differential Pressure Relief Valve
Annual
Report
Pressure S . ' Pressure 7•`>I Opened at 3-a psid reduced pressure.
Did not open
XCleaned Cleaned wed
Raced Replaced Reptsced
R _ x Disc Disc Disc,upper
E --_e,�/-_ spAna Spring Oise,Lower
P Guide Guide Spring
A Pin Retainer Pin Retainer t7'raphragrn,Large
I Hinge Pin Hinge Pin Lower
R X Seat Seat Upper
Diaoragm Diaphragm , Diaphragm,Smelt
S
Other,describe kYI a Other,describe Lower
Upper
Seat
Lower
Upper
Spacer,Lower
ja,pri2„Ottrer.ctescxbe
(IX I Sign and date Tag
(IOCtMIIU
13442- DateTested: (e `p IThe above is certied correct. Sned
Tested by (Print Name) \n,&ere.", Ri• "Od U I Gel tsuation Number 61 3&7-
Company
Company Name:--A$j .4C c iz.* t C J 4. ••
License Number /
Company Telephone Number t•C I - 78, 4 --35'-s�S
All'sectianS of ti its report must be completed• J'tumber of Dever 5+4113EDe itit
Q
Retum to: Saint Paul Regional Water Services First0
evi $32-21 $2
8 4th St E Ste 400
Saint Paul. MN 53101-1007 22 and over $15