HomeMy WebLinkAbout2018-04-13 Harris Service Backflow Preventer Test Report BACKFLOW PREVENTER TEST REPORT
Harris Companies .
909 Montreal Circle HARRIS
1 , mgrs : St.Paul, Minnesota 55102
(__.)-)L,),,,.) 651-602-6500 • � S E R V I CL E.
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Address City' z '�\ Zip
Owner Telephone No. Date
Oct Rn-LA plea._ 6/V-q3' -co3L-1 Li-(3-1 s,
Make and Model of Device Size Serial No.
W11[00,5 17 c—xL Z VZ'I w 7 GZGL(
Location of Device
11-OK,IP-t,V\ � `)O of r 5 t A VV 0 U-W w`O. 5 7.1/111---
Check Valve#1 Check Valve N2 Pressure Differential Pressure Differential Strainer
Across#1 when Relief Opens
Leaked Ytu Leaked
Test Before LA P.S.I. P.S.I.
Repair Closed Closed Cleaned
Describe
Ci ���( "r
Repair air l b CAA1�iv"1�‘'(,& A4AAC-C.
Leaked MIr_ Leaked
r�a
Final Test f„ I P.S.I. Li -6 P.S.I.
Closed Closed Le Er
Cleaned WS
Cleaned Cleaned Comments/Materials Used: a
Replaced: La Replaced: Replaced:
Disc EU Disc Disc:
Spring Spring Upper IIQ
Guide Q Guide _ Lower
Pin Retainer Pin Retainer Spring I
-o Hinge Retainer binge Retainer Diaphragm:
Seat FQ Seat Large:
a
w Diaphragm Diaphragm Upper gal
a
cc
Q Ea Lower
Small
Seat:
Upper
Lower
Spacer:
Lower
Final Test Closed Tightq:a Closed Tight LIQ
Opened at t.OLbs
Reduced Pressure
The above report is certified to be true,Certification Number Date
Initial Test By Representing inn
Repaired By 2 LQ(,, f . 120 Representing ``A,",,'�,�`-
Final Test By `P`4'-k- 1'eire Representing ""'( 5
White-City Yellow-Customer Pink-File
HC-1408