HomeMy WebLinkAbout2023-03-10 Yale Mechanical Backflow (RPZ) Test Reports Yale Mechanical
Building Efficiency and Sustain 1,+y
A Service Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 Memorial Ave N Oak Park Heights
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
DEVICE LOCATION: FLOOR#: ROOM#:
MRI equipment room 1
SERVES WHAT SYSTEM:
Humidifier
MAKE: MODEL#: SIZE: SERIAL#:
Wilkins 975XL2 3/4" AB18930
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 3/10/23
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
9.0 2.8 Tight
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
CERTIFICATION NUMBER:
James A. Duda
30726
HVAC• PIPING•SHEET METAL•MILLWRIGHT• PLUMBING
220 West 81St Street,Bloomington,MN 55420 • 952 884.1661 •yalemech.corn
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Yale Mechanical
A Service Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 memorial Ave N Oak Park Heights
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
DEVICE LOCATION: FLOOR#: ROOM#:
MRI equipment room
SERVES WHAT SYSTEM:
Boiler
MAKE: MODEL#: SIZE: SERIAL#:
Wilkins 975XL2 1&1/2" ACE6315
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 3/10/23
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
9.0
2.0 Tight
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
CERTIFICATION NUMBER:
James A. Duda
30726
Kw.PIPING
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Yale Mechanical
Building Efficiency and SustainJbilry
A Service Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 Memorial Ave N Oak Park Heights
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
DEVICE LOCATION: FLOOR#: ROOM#:
Sprinkler riser room
SERVES WHAT SYSTEM:
Irrigation
MAKE: Apollo MODEL#: SIZE: SERIAL#:
Rplf4a 1&1/2" 37672B
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 3/10/23
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
7.2 2.4 Tight
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
CERTIFICATION NUMBER:
James A. Duda
30726
HVAC• PIPING•SHEET METAL• MILLWRIGHT• PLUMBING
220 West 81st Street,,Bloomington,MN 55420 11 952.884.1661■yalemech.com