HomeMy WebLinkAbout2018-03-26 Harris Service Backflow Preventer Test Reports BACKFLOW PREVENTER TEST REPORT
HARRis
Harris Companies
909 Montreal Circle
Job Number St. Paul, Minnesota 55102
_k: (. 651-602-6500 ;SERVICE
Addr ss City Zip
/' .()( ) a Ck Y,1-r-,c—e,, , +Lr ,u . Oce.C-(4"-S k. e,~ Via,�'` �'
Ownaor Telephone No. Date
(...-rt..- ., .+ e 0 c ('S 1r- 97,”-- 4j)34/ 3- Z 6-- I c'.
Make and Model of Device Size f Serial No.
L' 11 .,0„ .s -75—V 4._ f z. �� til L-I Z-C z c°v-/
Location pf Device
Check Valve#1 Check Valve#2 Pressure Differential Pressure Differential Strainer
Across#1 when Relief Opens
Leaked mg Leaked None
Test Before
Repan-
Closed
P.S.I.
Closed Closed 74 2 L_._` , �` s Cleaned
Describe
Repair
Leaked Qi Leaked
Final Test P.S.I. r P.S.I.
Closed ClosedcQ 1 / '
Le 4 11
Cleaned Cleaned fa Cleaned Comments/Material sed:
Replaced: Replaced: Replaced: £ 1 F t Ari\
Disc Disc Disc: `j}�{
-;.: 2_(c, "- tom`
Spring - Spring Upper 111.1
d
Guide Fa Guide Lower MI
ii
Pin Retainer cia Pin Retainer Limi Spring
Hinge Retainer Hinge Retainer Diaphragm: 11.
o
1 Seat Seat Large: IR
o_
Diaphragm KWDiaphragm Upper 1.11,,a
ai
cc E;1
i
Lower
E;a - 17a
Small
Seat:
Upper 4
I
L;Mil fa Lower
Spacer: ra
i
Lower
Final Test Closed Tight 1;4Closed Tight fa Opened at Lbs
Reduced Pressure { {r f C
The above report iscertifiedto be true,Certification Number C.Lpe ( (( 3 f Date ? 2 t 5 1
Initial Test By . C'{Ue--- - Representing
Repaired Bys Representing
Final Test By �� ( �• Representing -
White-City Yellow-Customer Pink-File
HC-1008
BACKFLOW PREVENTER TEST REPORT .1wimi
Harris Companies ,4\ RRis
909 Montreal Circle
blob Number St.Paul,Minnesota 55102 0,
C7.76 Sf("') 651-602-6500 ''SERVICE
Mdress City ,r, Zip
Owner elephone No. Date
Make and Model of evice Size Serial No.
(A)44A- o05."7)6 - 3r1 ' 17702 0
Location of Devic
ill e.C,V, C 1-1-. ..
Check Valve#1 Check Valve i12 Pressure Differential Pressure Differential Strainer
Across 311 when Relief Opens
Leaked Leaked E
None Lm
Test Before
Repair P.S.L / f P.S.I.
ClosedIQ Closed L( C ['"7 Cleaned
Describe ��IJJJ (( 4 C
Repair
Leaked Leaked
Final Test // P.S.I. ())_...��.. RS.I.
Closed Closedria
�{ L.( l
Cleaned -,v Cleaned CClllleaned Comments/Materials Used:
Replaced: Replaced: Replaced: Lil .- - frA I 1
Z5e1
Disc Disc Mai Disc: 11 - j& .
Spring Spring Upper la
Guide Guide 111.1 Lower
Pin Retainer Pin Retainer 11114. Spring
a
Flinge Retainer Hinge Retainer Diaphragm:
Cal
t Seat Q Seat Large: linti
a
Diaphragm - Diaphragm Upper s
0cu
rt Lower
Nim IM Small
_ Seat:
Upper 11
__ Lower
7p
(L' _ Spacer: fi
_- _ Lower (--1..
Final Test Closed Tight Closed Tight Opened at Lbs
Reduced .- -V•,Str
The above report is edified to be true,Certification Number 2�!%2, -F- Date Z4,-- 8
Initial Test By t v` 4'-- .J-- Representing %
Repaired ByRepresenting
,
Final Test By � t C.-. 1-A1 I' Representing
White-City Yellow-Customer Pink-File
tip-1008