HomeMy WebLinkAbout2022-06-20 KRAFT Backflow Preventer Test Reports FT 2441 VENTURA DRIVE'SUITE 100
WOODBURY,MN 55125
MECKANICALL&..c, MAIN:651-773-9000 FAX:651-773-9010
BACKFLOW PREVENTER TEST REPORT
Owner A Co, act Name T 'ephone
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Install Dat f Rebuild Due Date J
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Location 'Will RUM System Served
Check Valve#1 Differential Pre- ure Relief Value Check Valve#2
Leaked �1 Opened at �r •tr• psid Leaked_
Assembly Closed CA—! Did not open _ Closed .
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Final Closed Closed Opened at psid
Test reduced pressure
Double Check Valve#1 Check Valve#2
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 I Opened At --
Test
Comments/Notes.
Sign and Date tag um
Certified Correct,Signed RC'
L144 2,1 Date Tested: �i' PO a
Tested by(Print Name) RIPCK. ertification Number /2g
White-City Yellow-Customer Pink-Office
0 z4 KRAFT 2441 VENTURA DRIVE•SUITE 100
WOODBURY,MN 55125
""EC"AI\flCA"`'�' MAIN:651-773-9000 FAX:651-773-9010
BACKFLOW PREVENTER TEST REPORT
Owner • _
tact Name Tekohooe
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Addr. - y , (ro► (1 G- t,)-712l paii):c6 Zips.-cots7,0?
MakeI Sire',1 it-----W 9 —et/9 f r'
Install Dat � Rebuild Due Date i (�
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Location , j co _1 System Servedi. x5f�
(_ Check Valve#1 I Differenti I P saute Relief Value Check Valve#2
RP Assembly Leaked Opened at psid Leaked �(''
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Closed ' - V r LI Did not open �._ Closed I`
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Closed Closed Opened at paid ��
Test reduced pressure
Double ' Check Valve#1 Check Valve#2
Check Leaked Leaked
Valve Closed Closed . _
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cc
Final Closed Closed
Test
Check Valve Air Inlet
Pressure
Vacuum Leaked _ Did Not Open
Breaker Closed Opened Atco
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cc
a
w
cc
Final Closed Opened At
Test
Comments/Notes:
I
Sign and Date tag
Certified Correct.Signed 4- Date Tested: i_e O
Tested by(Print Name)RifC ,, I_i/' "eI o ertification Number_ 13/ 06f g
White-City Yellow-Customer Pink-Office
1
2441 VENTURA DRIVE•SUITE 100
WOODBURY,MN 55125
41(4 MECHANICAL E..L.c, MAIN:651-773-9000 Fax:651-773-9010
BACKFLOW PREVENTER TEST REPORT
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Address
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Install Dat4 Rebuild Due Date j
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Check Valve#1 Differenti._Pr: ure Relief Value I Chock Valve#2
RP I
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Assembly Closed ---K1___ _ 7,0 Did not open Closed
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Final 1 Closed Closed Opened at psid
Test reduced pressure
Double
Check Valve#1 Check Valve#2
Check Leaked Leaked
Valve Closed Closed
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1.11
CC .
Final Closed Closed
Test
Pressure Check Valve Air Inlet
, Vacuum Leaked . Did Not Open
Breaker Closed Opened At
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cc _ ,
, Final Closed_ _ Opened At
, Test
I Comment&Notes:
1,
-
1
S. n and Date tag
i f i
/41?" #PZ
Certified Correct,Signed Date Tested:
Tested by(Print Name) R(C..( lib) VI 010C(2°8--Certification Number
White-City Yellow-Customer Pink-Office
I(RAIF ' 2441 VENTURA DRIVE•SUITE 100
c4 WOODBURY,MN 55125
MVIECHANICALL.L.G. MAIN:651-T73-9000 Fax:651-773-9010
BACKFLOW PREVENTER TESTREPORT
Owner att Name T
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Add (.st•6 dt /rot(j� � �~ Zi
Make !V ic+-i1 '�1_ Siz �eti osq �
Install Date 0 pRebuild Due Date t
! 11
Location mach
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f_ , System Served peif,, 4.... frZ+) �J�.4... "'_
Check Valve#1 Differential es Relief Value Check Valve#2
RP _ _
Assembly Leaked - i Opened at r paid Leaked_
Closed ___X �tDid Leaked_
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cc
Final Closed Closed Opened at psid
Test reduced pressure
Double Check Valve#1 Check Valve#2
Check j Leaked _.. .__ Leaked
Valve Closed_. Closedto
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4
w I
cc I _
Final i
Closed —_-_- Closed
Test
Pressure - Check Valve Air Inlet
Vacuum Leaked _ _.. Did Not Open
Breaker Closed___ w____ Opened At
m
et
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w
rt
Final Closed Opened At-_
Test
Comments/Notes:
Sign and Date tag
Certified Correct.Signed Date Tested: 20
Tested by(Print Name) R(cK. Lib) et� ertffication Number 13f LJ
White-City Yellow•Customer Pink-Office
t4 I(RAFT 2441 VENTURA DRIVE•SUITE 100
WOODBURY,MN 55125
MECHA NICAL L.L.C. MAIN:651-773-9000 FAX:651-773-9010
BACKFLOW PREVENTER TEST REPORT
Owner C.,,, vct Name \ --
,..„.31Zone—
1 r)(114- ((5G1-1Cii Allan -5/07
Address6/6"3 . ........ , 9,..! Zip
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Make A mdk. ,,, Ai aio j 4veteryb7 — size.‘tih,a
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Install Date / Rebuild Due Date 1
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Location polo System Served -,p-Te.j,;(t.„
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Check Valve#1 DIfferenti Pr sure Relief Value J Check Valve#2
RP
Assembly
Leaked LI Opened at ‘ A. psid Leaked
Closed ---Ye— c Did not open Closedi
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Final Closed Closed Opened at psid
Tet reduced pressure
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Double Check Valve#1 L____ Check Valve#2
Check Leaked Leaked
Valve Closed Closed
Cl)
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cc
Final Closed Closed
Test
I
Check Valve Air Inlet
Pressure
Vacuum Leaked Did Not Open
Breaker Closed Opened At
to
cc
Fl.
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Lc
Final Closed Opened At
Test
Comments/Notes:
-
Sign anti Date tag _ _
Certified Correct.Signed /(17. 9e: 4- Date Tested:
Tested by(Print Name) Rick 11/.1411 e4CCertification Number tin:VC:7SY _
White.City Yellow-Customer Pink-Office
•
2441 VENTURA •SUITE 100
WOODBOODBURY,MN 55125
411141( MECHANICALL.L.C, MAIN:651-773-9000 Fax:651-773-9010
BACKFLOW PREVENTER TEST REPORT
Owner._. Co Name _ }-745_576,,, " _
`tie ` cl.�c r 1 6/
Address 1 J �L_a r(ft Trail +��6/ 4:ez Zi1)41
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t},Ma c . . _4 ke •1 Size i /2 t/
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Install Date„ Rebuild Due Dat N
Location pet
oryi System Served& 4 yv 4.,
,� � Check Valve#1 Different' I Pres re Relief Value Check Valve#2
RP
Assembly 1 Leaked Opened at paid Leaked_
I Closed a Did not open Closed_K_..-
1
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a
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Final Closed Cbsed . _ _ Opened at psid
Test I reduced pressure
Double Check Valve#1 1-- Check Valve#2
Check Leaked_______ —_-- Leaked
Valve Closed Closed
co
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IFinal Closed Closed
Test
Pressure — Check Valve Air Inlet
Vacuum Leaked Did Not Open __
—
Breaker Closed___ Opened At
1 i
a
I.,
ar
Final Closed Opened At
Test
I Comments/Notes:
Sign and Dat tag +
,00 , /6/1;0a& •
Certified Correct.Signed �t'rs�C--1 w Date Tested: 6-,A.0-
t V - V- _
Tested by(Print Name) RiC1( ti//)PI e/-ri2 --Certification Number 19P0670k5ef
White-City Yellow-Customer Plnk-Office