HomeMy WebLinkAbout2021-06-10 KRAFT Backflow Preventer Test Report , K4 C F 2415 VENTURA DRIVE•SUITE 100
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WOODBURY,MN 55125
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BACKFLOW PREVENTER TEST REPORT
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Install Date Rebuild Due Date
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Location 1:104System Served poll
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Check'VaIve#1 DNFerenti Pro sure Relief Value Check Valve#2
RP Leaked Opened at L4ii Ci psid Leaked
Assembly Closed .r gi v Did not open Clo
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Final Closed Closed Opened at .___.. psid
Test I reduced pressure
Double CheckValve#1 Cheek Valve
Check Leaked Leaked —
Valve Closed Closed
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Final Closed Closed
Test
" Check Valve Air Inlet
Pressure
Vacuum Leaked Did Not Open
Breaker Closed Opened At
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Final Closed Opened At
Test
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Comments/Notes: ..." • r'�# 410,._;, ,, to 1 eir'
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Sign and Date tag
Certified Correct.Signed _. _6,„ a6,41.A ...,
Date Tested: – O ✓° 4.;."
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Tested by(Print Name) S Certification Number af!''_.... 06/
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