HomeMy WebLinkAbout2018-08-29 Interstate Testing RPZ Test Report Aug 30.2018 01:37 PM Interstate Testing 7637555365 50299 P 2/ 2
Cross Connection Control Device Performance Test
Interstate Testing
,2140 141t Ave.NW.
Andover Mn.55304
Phone(763)744-6149
OWNER INFORPd6ATION
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Size r Asaembty Type _BC DRP Detector 0 DC 0 DC Detector ❑PVB/SV8
INfY14L TEST
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n°�l� oeed tight P310❑Leake � ❑Lealoed Op� cwtopenStatic 10 ,
PSID Static o PSID
❑Caaarl*Oa 0 Closed WV Static PSID Opened at PS10
Static P810
P7 PLC` TOR BYPASS ASSEMBLY INf31A1.TEST
❑ tight Ctoead tight stiffit Op n ed vela
p0l PD
❑Leaked ❑Did not open
Static P31D Static PSIO
DETECTOR BYPASS ASSE:MY PRNAL TEST
0 Closed
Stitt
tightPSID od
setight aticPSID Opened at PSID
PRESSURE VACUUM BREAKER INMAL T PRESSURE VACUUM 8REAKER PfleAL TEST ---
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open PSID Might Opened at PSID
❑ closed
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Static PSID
COMMENT......... _ _..:..... ._
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I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY.
Tester Nettle(print) 7)..c ti i l/.,...... Registration No. . G.:__3,,Z3Tdme of Day
Tester Signature��,,,v‘f7"/- 4 Phone No. (763) 744-8149
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