HomeMy WebLinkAbout2022 Interstate Testing Report Aug.08.2022 10:09 AM Interstate Testing 7637555365 #2050 P 1/ 2
Xnterstate Testilr�g,LSC
SpleB°xS5 Backflow Assembly Test Report
Anoka,MN 53303 (RPZ,DCVA,PVB,SPVIO
(763)74461.49
interstatetestingt icontcastnet Citr
Property/Owner Information
Property Name: Boutwell Landin•
ProperiyAO:1mpi; Addresc
5259 Nolan Parkway
• � City, State: Vol
Oak ParkHe,.hts
55082
ProPertY contact/Pbofelis NOUN Phone:
Mike Mader (651)275-5015
Property>&smote Address Addreaa:
5600 Norwich Parkwa Oak Park Hei•hts MN 55082
City State Zip:
Oak Park HeI.hts MN 55082
PropertyOWner/P.houe# Name: Phone:
Presb terian Homes Boutwell Landin 651 275-5 15
Type of Assembl /Work Performed:
RP'L • PVB ` $PV8 • DCVA
Test .X 'e ' 'B T'. t..,....,.R s ir RB Test ._.._. k; s: RB ...... Test;_,_R' ,air RB�,_,.
Backflow Assembly Information
Size, Make: Mode); .#:: • Seryfoed:
5erfa] Wim:
2" Watts 009M2 236673 Fire S stem
Location of Assembly; Mach rn, on own ouse
Backflow Assembly Test Results
• Type of. Check Valve Shut Oft Valve N2 Relle(Valve/' Cher Valve`#2
1 Alr Inlet V. e•
Rpz open Closed.,.,__ Open Closed X Opened at_ 2,4 psld Open.,,._,_Closed X ,
Pressure DIM 9.4, paid Did mat open
DCVA s °Pen Clamed---�- Open Closed__,_,_ open gond
PressureDIMM paid Pressure DIK_ paid
PVB/SPVB °pen _...,._ awed Opened ac paid
Open dosed
Pressure D4 paid Did not Open
Comments:
PASS, X .PAIL
Tester's Information
Tester's Name: Tester's Signature: Certiffication;<t. Date:
Donn Miller /' � BF065323 08-02-22