Loading...
HomeMy WebLinkAbout2021-03-31 Bruce Nelson Plumbing & Heating Svd - RPZ - Backflow Annual Report - Pool Room Apr, 12. 2021 10: 56AM , Bruce Nelson Plumbing & Heating No, 0745 P. 1 1:4-2-4119"311i) F.5' 1\ RUCE I\Ir LSON1272SouthtDosRSt,Paul,MN 55119 (651)738-9354—office (651)731-2804—fax PLUMBING & HEATING SERVICE, INC Est.1976 www.brucenelsonph.com • •REDUCED.PRESSURE BACKFLOW PREVENTER ANNUAL TEST REPORT ' Manufacture kS. ' Mode Size : Serial # I`1 57L, . co. •• 1 ' a - ' k , ..' . . . .. . : • . ..' . •• dwc'Br no IA.A- .0.,..16Y\clu,.?___:....._ _______ • ' • • Property.Address • •\ 1 0 ri1A:7\--(11,,, \ Oh S—)/\ Lti l' in 13- --2 Li L, • D Location. Device • { . • ' . • CHECK VALVE • . CHECK.VALVE: • • DIFF. PRESSURE Comments • 41 • #2 •*, • ,• ' • RELIEF VALVE ' ' IN.IT• LEAKED LEAKED .: OPENED @ ,p...)..... • TEST CLOSED -1.° • SCI' CLOSED ' '.(' ' R DID NOT'OPEN • . PRES, DIFF,�ACROSS CHECK #1 ' • •' • ' • CLEANED CLEANED . CLEANED • ' . • REPLACED • REPLACED , REPLACED' : . DISC 'DISC •DISC: R . :SPRING . ' SPRING , . •UPPER ,• . E . GUIDE'. GUIDE • LOWER ' • P PIN RETAINER PIN RETAINER • SPRING: • • ..A HINGE PIN • •• HINGE.PIN ' DIAPHRAM; Di •1 ,SEAT • • • E SEAT •LARGE: • • • •R DIAPHRAM '• •• DIAPHRAM UPFER • ; ' ' ' • S :OTHER; • • OTHER;• • ' . ' LOWER • :: • . • • ' SMALL. ,• • • • . 'SEAT:• . ' , . ' UPPER . • LOWER ' • ' •' ' ••SPACER: . • • ' ' •LOWER ' • OTHER; • ' • • • • • • . • • FINAL'CLOSED ' ' . .0 ' CLOSED •• ' ' E . OPENED @ • TEST • • • .REDUCED PRES,. . " ' DATE TESTED I REPAIRED. 51 l Z( • ' . • . • . • ' • • . • ' . . • TESTED I REPAIRED BY. f(1 \50. Jl(\-OCERTI•FICATION # •,6-DI (.D,5-.1 •