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HomeMy WebLinkAbout2021-07-30 Interstate Testing Backflow Assembly Test Report Aug.04.2021 02:23 PM Interstate Testing 7637555365 #9331 P 2/ 2 Interstate Testing,LLC P.O.Box SS Backflow Assembly Test Report Anoka,MN 55303 (RPZ,DCVA,PVB,SPVB,) (763)744-61:4'3 Inter$tttet e$ang@comcastnet 1 ' city: . . Pro ,e /Owner Informtlon Pr� pertyMatme. _ Bremer.Bank (Oak Park Heights)) Property Addtess' *ddreseo 5990 Nova Scotia Ave. N. City% State: ltip: Oak Park Helhes 55082 Property Coatatt/Phones Name; vhoaet Kelly Hecksel _ , (651)312-3215 _ ProPetr>tY`Ovaters Address: address: 7101 West 78th St, Ste, 100 Minneapolis, MN 55439 City: Z1p: : Minneapolis _ ......_...MN �..., 55439M P"Vert)►Q*oei7 bozit: 4: . Noma Mork _Frauenshuh Management , (651)312-3215 e of f Assembl. /vWork Performed R 118 : SPv DCVA 1 - Test,X„ Repa.Ir. RRA Test. Repair ;,RR 'Test .Repair: lta . Test_Repair_RB Backflow Assembly lnformatton size: ' ' Make: Modell - ,Stdal#: :: System$ervfcedr 1-1/4" Watts 009M2 A00110 Irrigation .Location of Assembly: Resor room Backflow Assembly Test Results type of` , Chock Valve#1 ` ShutOff Valve.#2 . .Reilef Valva f Check Valve#2 Assembllr:: AI .InletValve ,t .Val Rn . : . open Closed,,.,,_ Open Closed...4.,. Opened at ,2,¢ psid 0 tom► Closed X Pyre tai 9.2 psid Did not open DCVA Open. Closed_ opan closed Open Closed Pressure DID. pad ' P, sure DltL paid . . _ _ 1' . . PVH/SPVB °pen-.--,; awed Opened at_,_.._pai4 Open, Closed. Phw a re DDT. , paid. Did not Open Commenter PASS X _ PAIL Tester's Information Te$teT'a Name. Tester's Signaturei.. Certification# Date:• Donn Miller /0� p BF065323 07-30-21