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HomeMy WebLinkAbout2021 Interstate Testing RBA Reports Aug.18.2021 10:48 All Interstate Testing 7637555365 #9520 P 18/21 interstate Testing,LLC Backflow Backflow Assembly Test.Report Anoka.MN 55303 ('RPZ,DCVA, PVB,SPVB,) (763)744-61149 tnterstatetestingOcomcast.net Citi: Pro A erty/Owner:inf©rniation •P%per rName Boutwell Landing PrOper►,Addr s Address 13575 58th St. N. ati:1 . State: Zip; Oak Park Hei.hts 55082 Property►Contact/Pho4e#i Nainei 0 e: Dean Evenson 612 503-7498 Property Owners Address: Address: 6600 Norwich Parkway Oak Park Heights, MN 55082 City: States Zip:. Oak Park Heights MN 55082 Prol*rtY.O.wi erirbOnel#: Mum Phone: Presb terlan Homes Boutwell Landin 651 275-5012 Type ofAssembl. /Work Performed RPZ ."B , . ..: SPVliDCYA est X R air RB .Test Re alt' RB Tes Re r RB Test._,.,. it RB Backflow Assembly Information sum 5erts t» ivied: 3/4" Wilkins 975XL 3027832 Trash Chute Rinse Location ofAsseinbly Lower aun.ry 'oom Backflow Assembly Test Results Type,of Check:Valve#1 •, Shut Oft Valve 12 Relief Varve/ Check Valve#2 Assembly; ` Alranlet Viihre Open_ Closed X O x . Ri'Z . Open dosed Opened id 2.5 pdd open Closed PressureOltY., 9.0 pad Did not even DCVA Open Qosed Open. Closed. Open• C10 d Pressure OL paid Preaksure Diff: _psid MI/SRVB' :Open aimed_,,,,___ Opened at paid Open Closed Pressure DIt1 .psid Old not Open • Comments PASS X .FAIL, Tester's Information Tester's Tester's Signature: Certification#i Date:: Donn Miller BF065323 08-17-21 Aug.18.2021 10:49 AM Interstate Testing 7637555365 #9520 P 19/21 Nntelrttate Testing,,LLC P.O.Box 55 Backflow Assembly Test Report Anoka.MN 55303 (RPZ,.DCVA,Pira,SPVB,) (763)744-6149 interstatetestingecoftcas4net C tY Prop. Owner! formatfon P "fir. Boutwell Landin• PropertyAddress. 13575 58th St. N. City; State: Zip: Qak Park Heights MN 55082 PriopertyCont4d/Pboneli: Nana*: Phoael Dean Evenson 612 503-7498 Property Otfmor1 Address; Aa4resa, 45600 Norwich Parkway Oak Park Height', MN 55082, City: State: Z'tp:. Oak Park Hei•hts MN 55082 PropertyOwnerfPhone:T Name; Phone' Presb erian Homes Boutwell Landin 651 275-5 12 Type.of Assembly/Work Performed Test X .R r Re Lest R alr ire 'rest Re r'. Re Test_._ Re Backflow Asseimbl Information . Size: Maks: Model: Se; #: S m Serviced: 1-1/2 Wilkins 975XL 3065453 , Location otAss6mbty: Lower Boller Room Backflow Assembly Test Results Type of Check Valve lei Shut Oft Valve#2 ` itellefvaive/ Check Valve#2 ambl Air Inlet Vie • . ipz, Open hosed--X,- Open Closed X Opened at +2. psid Open Closed._ Pressure lMtL 6.8 ,psld Did test open DIVA Open Cksed ~ optat Closed Open Closed_ Pressure Ulti. .pald Pressor.DIM mid PYB SpV8. Open . .nosed Opened atpsht OpenClosed ,Pure Dlit, ,paid Did not open Comments: PASS a FAIL Tester's information Teeter'.pName; Tester's Signature: Certiticafon#: Date: Donn Miller Q BF065323 08-17-21 Aug.18.2021 10:50 AM Interstate Testing 7637555365 #9520 P 21/21 Interstate Testing, LLC P.O Box SS Backflow Assembly Test Report Anoka,MN SS303 (RPZr,DCVA, PVB,SPVB,) (763)7446149 lnterstatetesting@conicatstnet. City: Pro.*erty/Owner Information ptoperty e' Boutwell Landin• Property Address: AddrOs= 13575 58th St. N. Cikr, state: Zip: Oak Park Hei•hts i► . 55882 Property tamgtad/Plbone l ate: Peon: Dean Evenson (612)503-7498 Property Owners Address: Addm : .•.�. 5600 Norwich Parkway Oak Park Height MN 55082 city; stater tip: Oak Park Hei•hts MN 55082 Property #i flame: Phone: Presb erian Homes Boutwell Landin• 65 _75-501 Type of Assembly/Work Performed RPZ OV'e sP'Vt3 � ': UCVA. est X Re air RB est Re Ir RB Test it B lest .,._Re air RB Backflow Assembi 'Information Size: . . Make: Model::. Serial 0: system Serviced: 1-1/2" Wilkins 975XL 3055467 lrri9ation Location of Assembly:'-ower IVfech Room Backflow Assembly Test Results Type of. Check Valve#1 Shut O11 Valve 02 ItelieIValve/: Check Valve#2 Assem l Air InletYalve RPZ'. Open Closed X Open Closed X Opened at :3,2. ;mkt Open Cloned X Pressure OA 9.2 psid Did not open DCVA Open Claoed ° Closed -.-,- Open Closed Pressure Dili psld Pressure DIN. paid PVB/5P'V8 Open posed o pen Opened at. . . .psld .Qoso4 Pressure psid Old not open Comments; t►ASS.� X ; FAIL Tester's Information 1 este s Name: Testers Signatures. . Certification a: Date:' Donn Miller P 1/V BF065323 08-17-21 Aug.18.2021 10:46 AM Interstate Testing 7637555365 #9520 P 15/21 Interstate Testing,LLC P.O.Box ss Backflow Assembly Test Report Anoka,MN 55303 (RPZ,DCVA,.PVB,SPVB,) (763)744-6149 tnterstatetesting( comcastnet if ': Prope Owner Information P r' e, Boutwell Landin• Propert r Address;: Addrete '13575 58th St. N. CitVn State Zip: Oak Park Heights MI* 55082 Property Contac#/Phone#. Name: Phnom Dean Evanson 612 503-7498 Properly Owners Address:. Addrers: 5600 Norwich Parkway Oak Park Heights, MN 55082 City: States Zip: Oak Park Hei.hts MN 55082 Property Owner/Phone:ii: Names MIME. . . . Presb erian Homes Boutweil Landin 651 275-5012 Type of Assembly f Work Performed .1 !um pys stivir DCVA Test ..X....Re, r _.... RB -- Test Re. tr...._.__RB.._...... Test Re air. RB _ Test,_..., ' tr,-_-RB Backflow Assembly Information size: Makes ' ModeL . •Seri it; , m. errviced: 3/4" Wilkins 975XL 3027840 Trash Rinse Location ofAsserably: Main Floor, Garbage Area Backflow Assembly Test Results Type of Check Valve'#1: Shut of(Valve#2 Relief Vaive/ Check Valve#2' A ..mkt Air InletV- ye [n men--:- (-Sealed X Open__._ Closed X Opened at 2,5 psis. Open Closed X Pressure DIM 7.4 paid And not apes------ DCVA Open.._,.. CCtoaed--„ open Closed open Closed pt+essure DIAL Paid Pressure DILL psld piss/spve` Open ClosedOpeq .Opened at-. ---- --psid Closed Pressure DIM_-- paid Old not open_ Comments: PASS X ,,PAUL _...:r Tester's Information Teeter'eName: .Tester's Signature: Certification:* Date: Donn Miller r BF065323 08-17-21 Aug.18.2021 10:99 AM Interstate Testing 7637555365 #9520 P 20/21 1ntevitate Testing,LLC P:O.Box.55 Backflow Assembly Test Report Anoka,MN 55303 (RPZ,DCVA,PVB,.SPVB,) (763)7444149 tnterstatetestlng@conicastnet City.: Property/Owner•Information PMPertYNe� Boutweli Landin• PpertY Ad ' 13575 58th St, N. car Stats.. Zip: Oak Park Hel hts 5082 Property contact/Phonef; Warne: Phone: Dean Evenson (612)503-7498 Pinpetty:Ow hors Address: . .Addy 5600 Norwich Parkway Oak Park Height, MN 55082 City States . . lip: Oak Park Heights MN 55082 Property Owner/phone 0: game: Phone: Presbterian Homes (Boutwell Landing) (651)275-5012 4 T e of.Assembl Work Performed. lPx Pus DCVA « Test X R rzaw RB Test R lr RB Test R r 'rest_ air RB._-w,. Backflow Assembly Information SIze: Make: Model:.: :.. ste ced• 1-1/2" Wilkins 375XL B082054 Location of Assembly; ower :oi'er -oom Backflows Assembly Test Results Type of ` Check Valve 01 ShitOlfValve HN2 • Relief Valve/ Check Valve 42 Assemb�i; Air Inlet Valve : RPZ Open....,,,,. Posedl, - Open Closed. X Opened et_ALL_psw• Pressure Diff.8.4 psld Did not open_ .. . I�CVA Open Closed Open Posed Open Closed • Pressure DUE. pslA Pressure Dill psld P1BJsPVB ®pea--•--• Closed Opened at, psid Open____.Posed Pressure DIn psi4 Did not open Comments: PASS, .X EARL Tester's Information Tester's Name: 'wisp's Signature: .Cerelfication:f; Date:. /0 . Donn Miller BF065323 08-17-21