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HomeMy WebLinkAbout2022 Interstate Testing Report Aug.08.2022 10:03 AM Interstate Testing 7637555365 #2048 P 19/19 lntepitate TeStitt&I,LC P.O.Box 55 Backflow Assembly Test Report Anoka,MN 55303 (RPZ,DCVA,.PVB,SPVB,) (763)7444149 interstatetestibgecomcastnet ltd►'• Property/Owner Information Propeny:N.amen Boutwell Landing.. Proper y Address Addressr 5350 Nolan Parkwa . City scats: 21p; Oak Park Heights JOIN ., _ 55082 Property Contact/Phonies:• tome: Plisse; Mike Mader 651 275-5015 Phliti to owners Addt'e*s Addict • 5600 Norwich Parkway Oak Park Heights, MN 55082 • City, Sie.te, dip. Oak Park.Hei9hts MN 55082 Prpperty Weer/Phoge# Manic Phone: Presb erian Homes Boutwell Landin 651 275-5015 Type of Assembl /Wore Performed Slave DCVA Test, X.Resit, RD,.�., Test , Reealr RB Test �,Repair- RH Test._Repair_RD-- Backflow D,,,.– Bar ow Assembly Information Slxe: M Mosel: Serial>lt: • S m enticed: 3/4" Wllklns975XL 1690660 Boiler Make Up Lacadon afAssembly: B.S. Boner Boom,building Backflow Assembly test Results 'type of Check:Valve lti • Shut Off Vaive 02 RellelVaive/ . Cheek Valve P2 AsserbiY Air Inlet'Valve _ Rpz Open. Closed,_.X Opcc► Closed . .X opened at 3,9 paid open _ Closed: X • Pressure Wit L6._Paid: Dld not(Op DCVA Open Ccoacd. Open_:__ Closed Open Closed Pressure DIIF paid. . Pressure OIlC_ pile PV.B/SPVB span—. nosed psis Open Closed • Pressure DM paid Did not open Comments: PASS ,X PAIL: Tester's Information Teeter's Name• Tester's Signature: Certification# tiara:: Donn Miller • BF065323 08-02-22