Loading...
HomeMy WebLinkAbout2017-04-06 Mid-City Mechanical Annual RPZ Test Report - Irrigation - Zurn-Wilkins A376240 04/13/2017 08:28 7637868640 MID CITY MECHANICAL PAGE 02/03 ANNUAL TEST REPORT REDUCED PRESSURE ZONE BACKFLOW PREVENTERS DOUBLE CHECK VALVE ASSEMBLIES MANUFACTURER Zv rc/.t;II MODEL 3 7 5 R U SIZE I " SERIAL# i1 ,3-76 290 NAME OF FACILITY `1J DI,`„& -=ti5 I- 6.'/ S1ar"6 COUNTY ADDRESS (STREET, CITY,ZIP) 53o) Need 14✓ Al ©1k /qArir Aiel9 A.+51 44/1/ LOCATION OF DEVICE IN BUILDING ,:L.A o ,mor (- SERVICES WHAT SYSTEM Z-rrv�C.�t:e./L CHECK VALVE NO. 1 CHECK VALVE NO. 2 RELIEF VALVE (FOR RPZ ONLY) INITIAL LEAKED ( ) LEAKED ( ) OPENED AT2-161)SI TEST CLOSED TIGHT ( )) CLOSED TIGHT (() REDUCED PRESSURE 16‘6 DID NOT OPEN ( ) DESCRIBE CLEANED ( ) CLEANED ( ) CLEANED ( ) REPAIRS 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: /VD ref r5 retu ; FINAL CLOSED TIGHT ()() CLOSED TIGHT ' ) OPENED AT.'-r.47 PSI TEST REDUCED PRESSURE Q INITIAL TEST BY 6 mac. e l A DATE Ll-6` I7 SIGNATUREpeso 44.40 REPAIRED j BY DATE `—' SIGNATURE ----___. FINAL TEST BY: MID-CI.TY MECHANICAL DATE -6e' (7 SIGNATURE oZ 9103 DAVENPORT ST. N.E. BLAINE, MN 55449 (763) 786-8617 PHONE CERT. NO. . r 03 q'Lc (763) 786-8640 FAX