HomeMy WebLinkAbout2022-11-28 Interstate Testing Backflow Assembly Test Reports Nov.29.2022 11:28 AM Interstate Testing
7637555365 #2607 P 2/ 3
biterstate'Testing,',LC
is.o..i s Backflow Assembly Test Report
Anoka,MN 55303 (RPZ,DCVA,PVB,SPVB,)
(763)7446149 't
interstatetesting.comcastnet Citv Oak Park Heights
Property/Owner. Information
Valvoline-#010096
PropeC Mdr$s: Ad'rem
5800 Neal Ave. N. .
City: Suite: x$p�
Oak Park Heights MN_ 55082
Pretty Contact/Pbone#t:lNpesec Phone:
Jason Rodri uez 201 692-8610
Peoperty Owners Address:: Addres
105 Main Street Ste. 3 Hackensack NJ 07601
City Statr, Zip:.
Hackensack NJ 07601
Pcoperty'owuer/Pbone Mkt = Phana
• Heritage Fire Security (201)692-8610
Type or Assembly/Work Performed
PVB SPVIl DCVA'
est X •.it RB ,... Test.. : Re.•Ir ,....,RB .... Test:.... R r 'RD ., Tent,,,_,._R .air AD •
Rackflow'Assembly Information
Size: . ;:M er Model: . . • Serial : : • S Servl d:
1" Watts 009M2 71136 Domestic
Location of Assembly a ownsta rs, y me er
Backflow Assembly Test Results
...Type oY Check Valve#1: Shut.ONValve#Z Relief Valve/ • check Valve#2
4nb� . Mr In Valve
RPZ Om_ Closed__.X_ open nosed. X Opened of 2.4 paid Open.....-Clotted.,_; .--
Pressure MIL 8.4 pod Dial not Open
EVA Open Closed Open Closed °Pes posed
Pr sure 010. peid Pressure Dift„ psid
p'I ispv . open _ Closed gimped at psi°
Open Closed. _
Pressure Alta paid Did not open_._.,,,
Comments:
•.
PASS; ,�C`,FAIL ,
Tester's Information
Tester's Naive Tester's Signatures Certification if: .Dates
.Donn.Miller .a . e . BF065323 .1.1-28-22
Nov.29.2022 11:29 AM Interstate Testing 7637555365 #2607 P 3/ 3
Interstate Testing,LLC .�.44•
ox 53 Backflow Assembly Test Reps 1
Anoka,MN 55303 (RPZ,DCVA,PVB,.SPVB,)
(763.)7446149 Heihts
Interstatetestingl�►conttastnet. City: Oak Park
Pro jt weer�nformatlon
ProPertYN;ulne: ;.Valvoline_#0.10096
Propart r Adderoda
5800 Neal Ave. N.
Ctuit te: Zip:
Oak Park Hei.hts ).4 55082
Property Contact/Fiona#:`: Name: Phone:
Jason Rodri,guez (201)692-8610
Property'°wht ;Address. Address:
105 Main Street Ste. 3 Hackensack NJ 07601
State Zip:.
• Hackensack NJ 07601
PropertyOw er/Phone:#s Name; Phone:
Herita a Fire Security201 692-8610
Type of Assembly Work Performed
. pvB • SPv>f }CVA;
Test X R AIr �_..RB_,___
Backflow Assembly information
sloe: _
Make Modell: Se al :. al`Service
1" Wilkins 375 A376420 Irrigation
Location ofAssembly I5ownstairs, by meter
Backflow Assembly Test Results
Type of.. ChediYalve# Shut 01!Valve#2 RellefVatve/ ` Check Valve#2
:mb1 .r Inial Valve
Ili Opeb Closed Open Closed X Opened at . 8 psld Open Closed X
Pressure OM 9.6 psid Did not open
"4. . . .
DCVA Open Open Closed . Open._..._» Closr _
Pressure DUE_ psld Pressure Dile paid
e . . ►'
PVBfSPvo Open,._., Closed Open_
Closed -Opened al paid
Ptessur4.DUE__.._.._._psid Did not open
Comments:
PASS; •FAILt
Tester's Information
Tester's Name.: Te$ters Signatures Cent fication.# Date:
• Donn Miller ' f� BF.065323 11-28-22