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HomeMy WebLinkAbout2018-06-14 Mid-City Mechanical Annual RPZ Test Report - Watts 71136 Jun 14 18 0444p Crock 's Plumbing Inc. 783-494-3170 p. 6 ANNUAL TEST REPORT REDUCED PRESSURE ZONE BACKFLOW PREVENTERS DOUBLE CHECK VALVE ASSEMBLIES MANUFACTURER Watts MODEL 009M20T SIZE 1" SERIAL# 71136 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 1,ower Level SERVICES WHAT SYSTEM Main Tine right after the meter, irrigation is separate CHECK VALVE NO. I CHECK VALVE NO.2 RELIEF VALVE (FOR RPZ ONLY) INITIAL LEAKED ( ) LEAKED ( ) OPENED Al2°PSI TEST CLOSED TIGHT ()ç) 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: FINAL CLOSED TIGHT ( ) CLOSED TIGHT ( ) OPENED AT PSI TEST REDUCED PRESSURE ,. / "<ei INITIAL TEST BYDa-e-ireedee-- DATEK-A/1F SIGN ATL A REPAIRED BY DATE SIGNATURE FINAL TEST BY: MID-CITY MECHANICAL DATE SIGNATURE 9103 DAVENPORT ST.N.E. BLAINE,MN 55449 (763)786-8617 PHONE, CERT.NO ---- - (763) 786-8640 FAX