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Home My WebLink About2000-03-20 Mid City Mechanical RPZ Annual Test Report ANNUAL 'TEST REPORT 111 REUUC 1'IZESSURE 'LONE+' 13ACKIiLW'—" ?I,VL,N'1'1?ItS JUBLE CHECK VALVE ASSEIVII»,IES MANUFACTURER Watts MODEL 909 SIZE 3/4" SEKTAL# 24003 NAME OF FACILITY Valvoline Instant Oil Change COUNTY Washington ADDRESS (Street, City, Zip) 5965 Osgood Ave. , Oak Park Heights LOCATION OF DEVICE IN BUILDING Lower Level Check Valve No. I Check Valve No. 2 Relief Valve (For RPZ Only) Initial Leaked Test ( ) Leaked ( ) Opened At ee. PSI Closed 'Tight ()e) Closed Tight (k) Reduced Pressure Did Not Open ( ) • llESCRIBE Cleaned REPAIRS ( ) Cleaned ( ) Cleaned ( ) Replaced: ( ) Replaced:[ ( ) Replaced: ( ) Disc ( ) Disc Disc holder ( ) Disc Assembly ( ) E2 © 2 ow 2 ( ) Disc Holder ( ) 0-Rings ( ) t5 L/ l5 stein ( ) Stem ( ) Stem ( ) D ( Retainer APit O-Rings ( ) Spring ( ) 2 8 b ( ) 0-Rings ( ) Diaphragm ( ) Seat ( ) Seat ( ) Seat Spring ( ) Spring ( ) 1 b ( ) Spacer ( ) Guide ( ) Guide ( ) Other--- ( ) Bushings ( ) Bushings b ( ) Describe Below: Other-- ( ) Outer--- ( ) Describe Below: Describe Below: • SPECIAL COMMEN'T'S: Final Closed Tight Test ()( ) Closed Tight ()c) Opened Atzi a PSI Reduced Pressure INITIAL TEST BY Ai rIt90-121(re DATE 3- 2v-ad SIGNATURE GI.,rte REPAIRED BY DATE SIGNATURE FINAL TEST BY: Mid-City Mech. Corp. I)ATEs' 9107 Davenport SI. NE SIGNATURE Blaine, MN 55449 (612-757-7100) CERT # O/0 5-2. %`