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Home My WebLink About2018-06-14 Mid-City Mechanical Annual RPZ Test Report - Irrigation - Zurn-Wilkins A376240 Jun 14 18 04: 44p Crock's Plumbing Inc. 763-494-9170 p.5 ANNUAL TEST REPORT REDUCED PRESSURE ZONE BACKFLOW PREVENTERS DOUBLE CHECK VALVE ASSEMBLIES MANUFACTURER Zurn/Wilkins MODEL 375RD SIZE 1" SERIAL# A376240 NAME OF FACILITY Valvoline Instant Oil COUNTY ADDRESS (STREET,CITY, ZIP) 5800 Neal Ave.N., Oak Park Heights, MN Store#96 LOCATION OF DEVICE IN BUILDING_ Basement SERVICES WHAT SYSTEM Irrigation CHECK VALVE NO. I CHECK VALVE NO. 2 RELIEF VALVE (FOR RPZ ONLY) INITIAL LEAKED ( ) LEAKED ( ) OPENED A' SI TEST CLOSED TIGHT ( CLOSED TIGHT <) REDUCED PRESSURE 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: -7 , 7- 2:27ciS FINAL CLOSED TIGHT ( ) CLOSED TIGHT ( ) OPENED AT PSI TEST REDUCED PRESSURE INITIAL TEST 1111U AP_ (J DATEly 77? SIG1\ATU' J � - REPAIRED BY _ DATE SIGNATURE FINAL TEST BY: MID-CITY MECHANICAL DATE SIGNATURE 9103 DAVENPORT ST.N.E. _ BLAINE,MN 55449(763) 786-8617 PRONE CERT. NO.6/-73 (763) 786-8640 FAX