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Home My WebLink About2022 Interstate Testing Reports Aug.08.2022 10:00 AM Interstate Testing 7637555365 #2048 P 15/19 inter tate Testing,fle. P.O.Box SS Backflow Assembly Test Report Anoka,MN SS303 (RPZ,DCV'A,.PV'B,SPVB,) (763)744-6149 interstatetesting@comtastnet. CltY.. Property/Owner Informadon Proper.Name' ,Boutwell Landing Property Address: Addrien 13575 58th St. N. Ctt�►r State:: Zip: Oak Park Hel•hts 55082 P Cotit`Ad Phone#t' .Namez Phone: nY Mike Mader (651)275-5015 Property. netnAddress: Addressi 5.10 Norwich Parkwa Oak Park Hei.hts MN 55082 a ty: Stara. 21p:. Oak Park Hei.hts MN 55082 PropertyOwner/Phone'#r Maga. Phone: • Presb erian Homes Boutwell Landis 651 275-5015 Type of Assembly/Work Performed . Rp PVB `gPve . DCVA. Test X Re t ..,, '9:_,.,.. Test.... R Ir .. . RB ....._. Tte...:_.... ' :,: r_ ..RB..,: TestRepair RB Backflow Assembly Information Site: M odd: Serlal S ,:m; enticed* 3/4" . Wilkins 975XL 3027840 Trash Rinse Location of Assembly: rain oar, ar.age rea Backflow Assembly Test Results • Type of ` Check Valve#I Shut Off Valve 02 :Relief Valve/ Check Valve#2 Assembl' : Air I let Valve Fin :. Open Clop X. Open Closed X Opened ot, ,2.6 psid Open,.,;,, Closed, X Pressure flttx. 7.5 paid. Did not open DCVA Off` Clo$ed Open_,_,_ Goma Open Closed, Pressure WO. paid Pressure DIM paid PVB/SPVB. Open-,.. Closed .Opened at paid Open Closed , ,Pressure Dia ... paid Did not open Comments: PASS .FAIL ,, Tester's Information Tester's Maine: Toga's Signatures: Certification 41 Date Donn Miller BF065323 08-02-22 Aug.08.2022 10:00 AM Interstate Tenting 7637555365It #2048 P 14/19 Interstate Testing, LLC P.O.Box 55 Backflow Assembly T t Report Anoka,MN 55303 (RPZ,DCV&.PNB;SPY! ,, (763)7446149 tntersstatetesdng@contcastnet C>ttY. . . _ Pro atiY/ Owner.Infornation . P Nnatee Boutwell Landin• Property Addr Adam% r 13575 58th St. N. thy: State: t Oak Park Heights 55082 PtropertyContact/Phone": Name: Monet Mike Mader . . 651 275-5015 Property Owners Address:, Address: 5600 Norwich Parkwa Oak Park Hei• t MN 55082 C1gw State; Zlp:: Oak Park Heights MN 55082 Property':Ourner/Phone:#t Name: . Phone Presbyterian Homes Boutwell Landin 651 275-5015 Type of Assembly/Work Performed RPS PVB SPV>V RCVA est X R lr Re "Gest R r RB Test R Ir. RB TestRe air RB Backflow Assembl Information Seo . Make: Modell: .Se #;.. • • Syatete Servl d: 1-1/2" Wilkins 975XL 3055467 Irri•ation Location ofAssetnbly: ower ec oom Backillow Assembly Test Results .Type of ~ Check Valve 02 Shut~Oft Valve 02 Relief Valve/ Checit Valve#2 Ass, nMy : . Air IttetValvtr RPS Open Closed 'X. . Open � Closed X., Opened et 3.2 psld . Open*Closed-- _ Pressure OM 9,2 PAd Old net open DCVA Open Closed Open . Closed Open Closed Pressure DIfL: psld Pressure DHL ...,psid Open Cbscd Opened at paid PV6 jSP1B~ Open closed Pleasure Out_ paid Old not Open Comments: PASS ;X; Fikn. Tester's Information Name.: Tester's'Signature; Certificationi.0. Date: Donn Miller ,(0,4„ ,p h^ .Q4 BF065323 08-02-22 Aug.08.2022 09:59 AM Interstate Testing 7637555365 #2048 P 13/19 Interstate Testing,LXa^` P.O. OX S5Backflow Assembly Test Report Anoka,MN 55303 (RPZ,DCVA,PVB,SPIV"%) (763)7444149 interstatetesdng4comcast.net City. Property/Owner Information ProP+dyNat>ne: Boutwell Landin• Property Address: adorers: 13575 58th St. N. flys Strati UPI Oak Park Hei•hts Alk 55082 Propeity.Conttd Pbone#�, inns P oat: Mike Mader . 651 275-5015 Pioliertyt)wr+ers Address: addreu: 5690 Norwich Parkway Oak Park Heights;MN 55082 State Zip Oak Park Hei•hts MN 55082 Proerty"Ownes/Phone.# Name: Phone:' Presbyterian Homes Boutweli Landin 651 275-5015 T e of Assembl f Work Performed RPZ PVB._ . :$PVB • DCVA .Test Repair,„,„„RB„„,,,,, Testes Repair RB Test_Repair,__t B _ Test—Repair RB Backflow Assembl. information Size: 14al4e: Model: Serial :Syste a fervit ed 1-1/2" Wilkins 375XL B082054 Location of Asiembly ower =of er =oom Backflow Assembly Test Results N. "fie of :- Check Valve#1 Shut OftVallve 02 flat!Valve/. k Valve#2 Assembler:: ` Air.lni Valve RFS Open Closed � Open Closed.21_, Opened at 42 pia open__.._ nosed rX_ Pmssure out 85 .paid Did notOpea 1 1 DCPA Open Closed Open Closed open . Closed pressure DIM.._. _,._paid Pressure ptid pvs/spv8 °Pan Closed Opened at psM Open „ Closed , Pressure DIM paid Did not open ' Comments: fig' PASS PAA,, Tester's Information Tester's Name: Tester's Signature: Ceririfca F', Date Donn Miller BF0653 3 08-02-22 Aug.08.2022 09:59 AM Interstate Testing 7637555365 #2048 P 12/19 Interstate Testing j.LC n� P.O.Box S5 Backflow Assembly Test eport Q Anoka,MN 55303 (RPZ,DCVA,PVB,$PVB,) (763)744.61.44 .}� Interst>I<LetestingOcontcastnot City; . Property/Owner Information. PrepiartyN>9lme:, yBoutwell Landing Propertn:A+ddi*ss: Micro= 13575 58th St. N. Ckyr Stater 21F Oak Park Hel.hts ii h . 5 182 lsrope+ty ontad/Pkori@#:' NM*: Phone: Mike Mader 651 275-5015 Property Owners Address: Addr 5600 Norwich Parkwa Oak Park ei.h MN 5508 • City: State: zip: Oak Park Hei hts N 55082 Property owner/Phone is: Name- Phots: Presb Brian Homes Boutweii Landin 651 275-5015 I •e of.Assembl Work Performed RPZ ' . pv0.. DCVA Test X Repair RB , Test,__Repair RBTest RepajrRBTest_Repair1RB.,,_._, Backflow Assembly Information Size: Make Model: Set ial'#:. :: cedr 1-1/2" Wilkins 975XL 3065453 Location of Assembly: ower :of er =oom Backflow Assembly Test Results Type of ` Check"Valve#9_ Shut Ott Valve#2 Relle Valve/ Check Valve#2 Assemblz Air:IntletValve ityz Open Closed--X open Closed X Opened at 3`0 .psid Open Closed X PressureDlU_ 7A paid Did rust open DCVA Open t1Q d'""`""" Open Closed Open Closed: Pressure iMtt ,paid Prce w'e DUL ,.,paid PV$/SPVB Open awed opened at: ;p31d Open Closed PasssunDift paid. Did act open Comments; PASS X; FAIL. Tester's Information 'tester's Name. Tester's Stgnaturee Certification#; Date: Donn Miller /� BF065323 08-02-22 Aug.08.2022 09:58 AM Interstate Testing 7637555365 #2048 P 11/19 interstate Testings LLC p a.sox ss Backflow Assembly Test Report Anoka,MN 55303 (RPZ,DCVA,PVB,SPVB,) (763)744-6149 intersetesting@ecotacast.net City: e � + Proerty Owner infotrtatlo.n Property,Namei. Boutwell Landing Property Address. 13575 58th St. N. tib. state: tips Qak Park Heights MK 55082 P,t oper*y contact/Photon: Nam: Phone Mike Mader 651 275-5015 PropeTty owners Address address: 5600 Norwich Parkway Oak Park Heights, MN 55082 CYq State: . . ZYp: Oak Park HeLhtS MN 55082 Preperiy'.OWllter PbPb ne:as o Name: . . Phone: Presb terlan Homes Boutwell Landing 651 275-5015 Type:of Assernbly/Work Performed Fest,X,Repalr_flfl ._,. Test Repair .,.RBTer ;jtepafr: R8Test Repair j..._,RR— Backflow Assembly information S zee: lilt of Modell: #t $ :,.vri ca.: . • 3/4" Wilkins 975XL 3027832 Trash Chute Rinse Location ofAssembly;.Lower Laundry oom Bac01oNl'Assembly Test Results 'type 01.: • Check Valve#i Scut oft Valve 4 2 Relll+1 WOO/ Check Valve 02 bl Aird;letVatve! RpzOpen Closed_-�,. Opp Closed,,,,,- ,_, Opened at 2.5 paid Open Closed X Pressure bJtf, 9.0 t paid Did not open OCVA. Opttr ClosedOpen. Closed Open . . Closed_..�_.. ProssiireDUL paid Pressure DIM pad PV, JSpv0 'Open dosed _ Opened 4t, .paid Open. Closed Pressure MK paid Didoat open Con*ntents: PASS X PAIL Tester's Information Tester's Name; Testeir's Sit . tare. Cerdtkatlon ai. Date: Donn Miller BF065323 08-02-22 Aug.08.2022 09:53 AM Interstate Testing 7637555365 #2048 P 2/19 xntetstate Testing,LLC. . : P.Q.Boz 5S Backflow Assembly Test Report Anoka,MN S5303 (RPZ,DCVA,PVB,SPV ,) (763)7446149 lnterstatetesttng@comcat.net pity: Property/Owner Information PropertyName Boutwell Landing Proles Addy; Addise 13575 58th St. N. Gigs State Zip Oak Park Heights 55082 •Properrt1,ccontact/Phoueil: Name Phonon Mike Mader 651 275-5015 Pr PII*0 Address: " Address: 5600 Norwich Parkway Oak Park Heights, MN 55082 City Stag Zip: Oak Park Heights MN 55082 P rtYQWt(e /Pbiose p.r Kam; Phone Presbyterian HomesBoutwell Landin S .. _- 0 (651)275-5015 Type of Assembly/Work Performed • i , . Pva " prYg Teat X ReEatr ,BB...,.. _;Test Repair RB . Test itepatr , RB,,,.,, 7'¢st Backflow Assembly Information Size: Makei Modell: ria1#. 5 .. m e sad: 3/4" • Wilkins 975XL _ 30278966 Location of Assembly; Fountaln1 oom, under stairs Backflow Assembly Test Results Type of Check:Valve#1 Shut Oft Valve#2 Relit/Valve/ Check Valve.#l2 Assembl Air Inlet Valve _ Rte. . °pen 00344_ Open ; Closed X Opened at 2,8 pall r Open Gaged X Pri,s3u Ma 8 8 psid Didnot!pep DOAOpen Clased pt, Closed Open nosed Feessure DUL: pstd Pressure DUL psid PVB/SPVn.: Open Cloyed Opened at, psid Open_ Closed Pryor*Ot(1,, paid: Didnot open Cviuments; PASS X _.PAIL Tester's Information Test*e*Name. 'Tester's Signature Certification#: ate: Donn Miller ♦ In`�i� BF065323 08-02-22