HomeMy WebLinkAbout2016-12-20 RPZ Rebuild & Test Report (5901 - 5945) - Metro Testing RECEIVED
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Reduced Pressure Zone Backflow Preventer Valve & Double Check (D ) AssegMaajneights
Rebuild & Test Report Am ---Pm
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Test Yr. Check Valve#1 Check Valve#2 Differential Pressure Relief
1 2 3 I) Leaked ( ) Closed (pO Leaked ( ) Closed (K) Did Not Open( )
Overhauled( )
Install ( ) Pressure : f-I Pressure
7.t, Opened At: 3. b
R Cleaned Cleaned Cleaned
E Replaced Replaced Replaced
P Poppet Poppet Poppet
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 I # 2 Shutoff Valve:
I hereby certify the foregoing data to be correct and that the device tested is Pass g
functioning w' limits of the standards. Fail ❑
Signature: a
Assembly Final Test
Date: I -.)Q Ib Performance:
COLE FORD BF066445 I GARY FORD BF058476 1 ALAN FARR BF066481
Metro Plumbing I Metro Testing,LLC 9112 Davenport Street NE,Blaine,55449 612-221-5888 Pass al
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.