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HomeMy WebLinkAbout2020-02-28 RPZ Annual Testing Report Mar. 24. 2020 9: 30AM Bruce Nelson Plumbing & Heating No. 9203 P. 1 1- 1272 South Point Douglas Road St.Paul,MN 55119 (651)758-9354—office PLUMBING & HEATING SERVICE, INC Est. 1976 (651) epeison h.com www,brucepelsonph.cottl REDUCED.PRESSURE BACKFLOW PREVENTER ANNUAL TEST REPORT Manufacturer , iLt�. Model t A M " '.. 3G?T' Size . ��•� Serial # 1195-ne • Owner hAV5;ck. C •5 ' Property Address • ,• . • 10:- .) - i•7,' ICL,I. 1\-\0 1‘ 7ol,,,a')'r /011\; S$2- r ,Loc (�etion,of Device . I�oo( .f rU , gin,". .— ,. I . -r o .£'`f • CHECK VALVE CHECK,VALVE. 1 •; DIFF. PRESSURE Comments •#1 r2 ` • • RELIEF VALVE • I.NIT• LEAKED R LEAKED - OPENED @ • TEST CLOSED !CLOSED . .. DID NOT OPEN PRES, DIFF,,ACROSS CHECK #1 ( 9 fir, n . • • • CLEANED ' • CLEANED , CLEANED • ' REPLACED REPLACED • . REPLACED' ' ' DISC . DISC •• DISC: • R 'SPRING : • ' SPRING , • 'UPPER' • • • E , GUISE. ' GUIDE • •. LOWER • P PIN RETAINER PIN RETAINER . SPRING. 'A HINGE PIN ' HINGE.PIN ' DIAPHRAM; ' I SEAT • SEAT ' . • 'LARGE: • R DIAPHRAM ' • •• DIAPHRAM ' . UPPER".. ' S • ;OTHER; ' OTHER;' • • ' ' LOWER : •: • • .' SMALL.. SEAT: • UPPER . LOWER . 'SPACER: ' .B . ' •LOWER • •• OTHER: • • ', ' FINAL'CLOSED x�` • I 'e CLOSED (� 1OPENED @ •n1• . TEST G ,``{.•...v5')..v5')) '� REDUCED PRES,. . ' DATE TESTED / REPAIRED, ,g- g--•c0 ' • " TESTED 1 REPAIRED BY \\C.LC.1401� CcRT'FICATION # —t12057