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Home My WebLink About2021-09-13 Harris Service Backflow Preventer Test ReportsBACKFLOW PREVENTER TEST REPORT E= Address c56,C3 HARRIS city y '1 t• `�6�k' 909 Montreal Circle `P St, Paul, Minnesota 66102 651.602.6606 Telephone No. Date, E= Address c56,C3 ) . L w? C'- city y '1 t• `�6�k' "P 'lam%.r -,-s C`r j k— Owner Telephone No. Date, Make and Model of evlcot"` Size t ._. Serial No. e LocationofDevice ratC�'.,Ya.u'....�.. / Lm� `L`.t�i �c'a'4s �AC,%ll Check Valve III Check Valve 112 Pressure Differential Across Oi Pressure Differential when Relief Opens Strainer Teat Before Leaked I—L ; Leaked I—L ` None Repair` Closed 1;k Closed I—L `� P.S.I. P.S.I. Cleaned Describe Repair Leaked � Leaked Final Test Closed Closed �-._...L' ` "t F.S.I. P.S.I. Cleaned EL Cleaned `jj Cleaned Ea Comments/Materials Used: Replaced: E;i Replaced: Q `Q Replaced: Disc EL `� Disc Disc: Spring Spring E� Upper Guide Guide Lower Pin Retainer Pin Retainer Spring Hinge Retainer Hinge Retainer Q Diaphragm: Ea Seat Seat Large: �L Diaphragm `I�. Diaphragm Upper cc Lower `I—L Small Q QSeat: `� �, IZ Upper � Lower � L `�� Spacer: �L Lower Flnel Teet Closed Tight Closed Tight Opened e— ba Roduoed Pressure The above report Is certified to be true, Certification Number OBB216F Dale tr""!'..7`.GC l Initial Test By Nick Dubej Representing HerrlS Repaired By } Representing Final Test By (_} Representing While - City Yellow - Customer Pink - File HC -i608 BACKFLOW PREVENTER TEST REPORT s A r z Aoress City ,h Zip t HARRIS J 909 Montreal Circle , dob�umber > aL SL Paul, Minnesota 66102 661.602.6606 s A r z Aoress City ,h Zip t Owner ( 4 Telephone No. Date J Make and Model of Device Size Serial No. Location of Device I-tec',.<1Sv�8i Check Valve 01 Check Valve 112 Pressure Differential Across tit Pressure Differential when Relief Opens Strainer Test Before Leaked t—L `� Leaked I—Z `� None ISL' '�I' Ropelr Closed Closed P.S.I. P.S.I. Cleaned iZ "� Describe Repair Leaked Leaked Final Test � Closed P.S.I.�ry J " s Pa.,.Closed L f -�� Cleaned E;L Cleaned I—L "tom. Cleaned Q Commenta/Matedals Used: Replaced: � Replaced: `l—L.. Replaced: Imo. Disc Disc `-ice Disc: Spring Spring "E;;j� Upper Guide `r—L� Guide Lower Pin Retainer Pin Retainer Q Spring �L `Q Hinge Retainer Hinge Retainer EQj Diaphragm: Seat Seal �L ` � Large: �L Diaphragm Diaphragm Upper `Q Q Lower �L �L Small �L Seat: f—L Upper �L Lower I—Is Spacer: I—l� Lower Final Test Closed Tight Closed Tight Opened at4' ` ba Reduced Pressure The above report Is certified to be true, Certification Number 066216F Date e'f Initial Test By Nick Dubej Representing Harris Repaired By Representing Final Test By Representing White - City Yellow - Customer Pink - File HC -1000