HomeMy WebLinkAbout2021 Interstate Testing RBA Report Aug.18.2021 10:41 AM Interstate Testing 7637555365 #9520 P 5/21
Interstate Testings LLC
P.O.Box SS Bach Test Assembly. �l est Report
Anoka,MN 55303 (RPZ,DCVA,PVB,SPVB,)
(763)744-6149
nterstatetestlng@cotncast:net City:
Property/Owner.Information
Property Name:
Boutwell Landing
Property Add> ►. Address
5259 Nolan Parkway
Citn stater ?.ip
Oak Park Hehts MN 55082
Prole ty:COiltaCt/Photne0t Wanei Phoaet
Dean Evenson (612)503-7498
Property Owners Address:: Address!
5 00 Norwich Parkwa Oak Park Hei hts MN 55082
City: state: Zip
Oak Park Hei•hts MN 55082
Property..Owner/PboZAe 0; Name; Phoney
Presb erian Homes Boutwell Landin• 651 275-5012
Type of Assembly/Work Performed .
.RPy • PVR DCVA ""'.........
Test X Re it RB . Test R r RB TesR Re tr. Rt3 Test _,�,R atr.,,.,.1t1B
Backflow Assembly Information
Size: Matte: :. Model::. Se #: .:: ste Sewkaed
2" Watts 009M2 236673 Fire System
Location of Assernbly:'Mech fpm. on Townhouse
Backflow Assembl Test Results
Type of Check Valve#1` Shut Off Va‘ve 2 Relief.V`alve/ Check Valve#2
Assenibl Mr letYatve
Rpz Open Crows_ X Open _ uoeed__X Opened at 2.5 paid Open Ctosetf X
Pi turf ltr.. 9.8 pstd ptdnet open
DCVA
OPea Ctosed,w,,.-,._ Open Closed Open Open Closed
----
Pressure DM.,: paid ProasureDfK psld
PYB iso'm Open ClosedOpen dosed
. Opened at� .,,psid
Pressure DttG paid Did not open
Comments;
PASS ` X PAIL
Tester's Information
Tester's Name, Tester'$tgnatutes Certiaration St; Date:
Donn Miller BF065323 08-17-21