HomeMy WebLinkAbout2020-07-14 Harris Service Backflow Preventer Test Reports BACKFLOW PREVENTER TEST REPORT
HARRIS
1U 1
909 Montreal Circle HARRIS
-,Jobikturaper , _
,..›Ci'•6 3 4.../H i St. Paul, Minnesota 55102 n
651.602.6606
Address City _
(c•,)0(41 C) B( S-6 /6\ Ue„. 4/1_ ocoe_,,,isrole_ p,,e,c4,k4 Zip
Owner Telephone No.
Date
0.---oe-7,.- cy.. . V\Acc., , 763 -310-7zo3
Make and Model of Device Size di, _ Serial No.
5 Cl' 7.-S-\71,L 2.... ;(2. Li L/26 ZoiLi
Location of Device
Pressure Differential Pressure Differential
Check Valve#1 Check Valve#2 Strainer
Across#1 when Relief Opens
, .
Leaked f1 Leaked
17-R .S.I. P.S.I. None
Test Before
Repair
Closed
l::: Closed
[::: Cleaned
Describe
Repair
Leaked [ill Leaked
Final TestP.S.I. P.S.I.
Closed , Closed .--7, 2--
Gleaned c;11 Cleaned 171 Cleaned cal Comments/Materials Used:
Replaced: EReplaced: cal Replaced: Ei;j1
Disc LJ Disc ca Disc: ;a
Spring ca Spring [ Upper ;a
Guide EGuide cia Lower
Pin Retainer ca Pin Retainer 1:: Spring
"Z Hinge Retainer [:: Hinge Retainer 1:1 Diaphragm: c;41
t Seat ESeat t: Large:
eu
o. . .
e Diaphragm [ Diaphragm I:: Upper t:
A
a
la "
- -- C: Lower
ca Small ga
Seat: ;a .
Upper
.. .....
Lower
- 1:1;j11 cji Spacer: E.ill
ca ca Lower car
Final Test Closed Tight ria Closed Tight EQ Opened at.C4:"Lbs
Reduced Pressure
The above report is certified to be true,Certification Number et:4-- ,2 ,Cek..": 7 (Li -;)0 7 C
Date — e----
Initial Test By ' Representing
Repaired By Representing
Final Test By Al-,"-\2:----.' Representing
—,,, 1„„
White-City Yellow-Customer Pink-File
HC-1008
BACKFLOW PREVENTER TEST REPORT
909 Montreal Circle
HARRIS 1H1 HARRIS
.,.„Job Number ‘ St. Paul,Minnesota 55102
5(-'/4: 1-<<-1i(--( ( 651.602.6606
Address City Zip
c I
.,Du Au , Ai _ CeZ. V._ 1')A,-4,--Nf-- 1-Ve t4,0) --
57.5
Owner
Owner Telephone No. Date
310- z( 7?
Make and Model of Devi e0Size Serial No.
Location of Device
Pressure Differential Pressure Differential
Check Valve 81 Check Valve$12 Strainer
Across#1 when Relief Opens
Leaked cji Leaked I--- Pal. RSA. None
Test Before
Repair
Closed E;;;i1 Closed Ca Cleaned ca
Describe
Repair
Leaked ra Leaked
Call
Final Test
Closed 014;1 PSI. RS.I.Closed I
1:::;Cleaned ca Cleaned fa Cleaned Comments/Materials Used:
Replaced: 1: Replaced: Ca Replaced:
Disc 1: Disc cal Disc:
Spring cal Spring EUpper
Guide ca Guide [ Lower
Pin Retainer E:1 Pin Retainer 1:;11 Spring Ci-e-a
T Hinge Retainer Hinge Retainer 1: ii Diaphragm: 1:
E
0
t Seat ca Seat 17 Large: r-
a
o.
e Diaphragm cal Diaphragm 1::: Upper
el
o.
a
cc [7al E;i1 Lower
fa Cal Small 1:;k
Seat: C:
Upper
Call E-- Lower
Spacer: E--
Lower
Final Test Closed Tight -4;11 Closed Tight Cal Opened at,;%17:as
Reduced Pressure
The above report is certified to be true,Certification Number(.(e..k,,12(CC g'r- Date ?.--
A-2,-,--""z-
Initial Test By Representing
Repaired By Representing
Final Test By --,->--'----- Representing
White-City Yellow-Customer Pink-File
HC-1008
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