HomeMy WebLinkAbout2019-03-19 Harris Service Backflow Preventer Test Reports 1
8ACKFL WPREVENTER TEST REPORT
Harris Companies
909 Montreal Circle 1
Hm:A_ RRIS 1
Job Plumber St. Paul,Minnesota 55102
651-602-6500 SERVICE
Address dip
baba i �¢ - ,�# - 5
OwnerTelephone No. Date
a,L 1 h c.'rS7w . 1 .oil .- -if
Make and Model of Device Size F, Serial No.
Location of Device ��^^
'f ke poota Si}t IC <, , ) pis 1 t
Pressure Differential Pressure Differential
Check Valve#1 Check Valve#2 Strainer
Across#1 when Relief Opens t
Leaked Leaked i,i None
tl3efore 1
Repair 7 .x, R.,. _ P.S i.
Closed F Chi e r Cleaned ii
Describe
Repair
1 '3
714
Leaked Leaked Final Test P.S.1. P.S.1.
Closed Closed am?
76
Cleaned cif Cleaners CleanedLush
Comments/Materials Used:
Replaced: Replaced: Replaced (..µ
r
01cc ;11Disc Disc: i
Spring Spline ca Upper 1- m
41
GuideC41 Guide � Lower
Pin Retainer [;141Pin RetainerC;i Spring f I
E _ Cal
Hinge Retainer Hinge Retainer Diaphragm:
't Seat CSeat C;iLarge:
n.
in Diaphragm Diaphragm Upper Ca
o.
40
Cr -__—— L.
Lower
-
orsii
r Small
` pis
Cid Seat: I _
iitAll
--..._ CI Upper Lini
ci Lower !
1
Cid spacer: I ice;
war
Cill Lob Lower
`.
Reduced Pressure
Final Test Closed Tightr;jClosed Tight }
The above report is certified to be true,Certification Number_Ci_., ' °— Date e"`-,1
Initial Test-Sy ,
Representing _
Repaired By 4 „ Representing
Final Test fay Representing _
White-City Yellow-Customer Pink-File
HC-1008
BACKFLOVVPFI V NTE TEST_REPORT
Harris Companies ,
909 Montreal Circle til Nib
Job Number St.Paul,Minnesota 551012 V
651-602-6500 ;`. I C E
755 City
r4 Zip i
Owner Telephone o. Date
4.11 4 / jd- 'S 5"1—/ 417
Make and Model of Devices Size Serial No.
Location of Device
Pressure Differential
Pressure DifferentialCheck Valve ill Cheek Valve#2 /across 01 when Relief(}pans strainer
Leaked Leaked _., ,,.�.�_.�.,,_...............
None
/4
Test Before �m`
Repair Closed Closed ((—
C RS.l psi.111 Cleaned
Describe
Repair
Leaked Leaked ??
Final Test 9
t?S.l. 3 6 F S.i.
Closed Closed
Cleaned Cleaned Cleaned Comments/Materials Used:
Replaced: LH Replaced: 1' I epl aced:
tss1
Disc Disc ';1. Ice:
it
Spring c11,4 Spring ca Upper
Guide L Guide Lower
Di i Pin Retainer L Pin Retainer Spring Ca
ia
0 Hinge Retainer Hinge Retainer Diaphragm:
Ca
s> Seat Seat +a Large:
ciiDiaphragm ca Diaphragm ch Upper
,
r.c Lower'a,3 is i.
.. - Small I
._.
el
cl- c gnat:
clli Upper Q t
C11 Lower
- _ Spacers
cil ca Lower
Final Test Closed Tight Closed Tight Opened at _Lbs
Reduced Pressure
The above report is certified to be true,Certification Number 6; ,,,AP Date --1!
initial Test By .:_ Representing
Repaired By 4 Representing
Final Test By f G___._ Representing _...... _
White-City Yellow..Customer Pink-File
HC-1008
4