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HomeMy WebLinkAbout2023 Interstate Testing Reports Aug.02.2023 12:15 PM Interstate Testing 7637555365 #4076 P 21/24 L :cc'. Initetratall:eTasting;GLC P.O.Boa SS Backflow AssemblyTest Report Anoka,MN 55303 (YRPZ,DCVA,PVB,SPVB) ♦may�(76w3`)'J44.6149: r� i/'� latOistatetW4l corncastneti �rJ to , • Property/Owner"Information Prt►pert't, •.:, .. .. : Boutwell Landing Pibperty`Ai : Adder. �`• --� �� - City:, ' .. . Stags z pi Oak Park Heights i 55082 Prop*P.Co tact/photie#t Rama: Phone Mike Mader 651 275-5012 Pru A". Address . . 5 j00 Norwich Parkway Oak Park Heights,MN 55082 Gtys. state. flip: Oak Park 5 a k�lei�hts MN 5 082 `r pert :Ow ier/Pbotte.#:. Nagle: 'Phones ::, Presbyterian Homes(Boutwell Landing (6511275-5012 Type of.Assenlibl.Y1 Work Performed • RPP :.. Vie;. DCVA Test-).i,Repair_R13— " Test 7 Reta)r RB .. Test Repair up , . Test ,„Repair -,—RR Backflow Assembl Infori nation Size::; :. :Make. " , .:.". Model:. ; iii at R:::: ' temSeJcei 1" Watts 919 QT 75963 Washing Machine Fill Location ofAssaiubly: Laundry‘Room, Behind Washing Machines Backflow Assembly Test:Results Type or: ,Ci*edc'Yaltre#i : " "' :Sbut Re1ue jVa1Vet • chem"wave"i • I °pan.r.:.; Closed X Open Closed X Opened su 24 ,psid open Closed X Pressmen 8.8 paid Did not open.. Dom': ops". Coned Open Closed open Closed Prtasune Dil[ paid Pressure Otk, paid rata isixneb Opan Qosed opened at'_. „psid Open Closed Prevw+ocplR paid :Did not open. Tester`s Information Tester's: Yerirro:: Tesi'et'a.Sign tare CerdA"rallon a • bate:• Donn Miller '. � JPLp S BF065323 08-01-23 Aug.02.2023 12:10 PM Interstate Testing 7637555365 #4076 P 13/24 lnter• P.OtTesting, L+c '} Backflow Assembly P Test..Re .ort Anoka,MN 55303. (Rn,DCVA,PVB,SSPVB,) (763)744-6149' lDterstatetestinggconacsstnet . City: Property/Owner Information Presb rise Homes Boutwell Landin .Prnpeg*.Ad Adtltemc • : , 5600 Norwich Parkway C(tyi stele: 2Ip:' . • Oak Park Hel•hts • u . 55082 . . Prop sttyCo **P..h000.Mt , .Nates:. Phonei • Mike Mader .,1651)275-5012 hropetKy OWnetiAAdiresa: 'Add: er 5600 Norwich Parkwa Oak Park Hei•hts MN 55082 City: . •• stats • 1v, . • . • Oak Park He,.hts MN 55082 . • .1*-011Y igntir'JPlOne'#r NALuE Phnom i . 'Presb erian Homes Boutwell Landin 651 275-501 `C f~of Assembl' Mork.i'erfo 'rr>fed .Test X Repair Re,�.,,,. Tgst Reptlr_RBTest.., .,,.Repair_RA...,... . est ---ltepafr ate— stxe•.. BackflOw.Assembly Informatfon ..Srit�al. 5 . d• .. 1" • . Wilkins. . .975XL 1327583 • • Pool FIll LoastiOn otAssernblj R oo oom Backflow Assembly Test Results TA*of Cbs• Vatvb• 0.I :. • ;Shut OffVal'ke'#2:' • BeUef:Valve/` Check Valve • Assenibi .: Aug.02.2023 12:14 PM Interstate Testing 7637555365 #4076 P 20/24 interstate Testing GLC PAL;Mix I3acow Assembly Test Report Anoka,,MN 5.$343 (RPZ,DCVA,PVB,SPV'B,) (763)744-6149: Interatatete$ting@comcasttuet City. . . Proper /Owner.information PSV.,rcy a Soutwell Landing Property A dj esF: ' A4dres • 1 - -• , N. ) (.\ ? City; res Zips • Oak Park Heights M 550:2 Pial Coat*Ctfilh.011#:; Nttnr. •Phones Mike Mader 651 275-5012 A**. Addreaic 5800 Norwich Parkwa Oak Pa k HeI•hts MN 55082 State: s . Oak Park Helets MN 55082 Propertyhfitta'f POoie#: Name Phunei Presbyterian Homes Boutwell Landis 651 275-5012 T: 'e of.Assembl . ork performed on: ±a :SfyB.: DCVA:.. • Test Re iK RB Test R R8 'Pest. e t Test Repatr_RB_ Backflow Assembly Information . . Size:. !Nikkei ,Model: Sei"lml.tii • 'Vsteits4rielvd; 1" Watts 919 QT 75972 Washlnq Machine Fill Location ofAssembiy: Laundry oom, behind washing machines Backflow Assembly Test Results Type of check Val*#1: : phut Ott.Valve#2 • fi t0f..Valve/: Clieclt*aloe 02.: : lnletVadve . .itpz Open. Uoved X Open . Cored Opened tt geld OpenClosed x , PresturepiR 8.0 pit( Dicknot open__ D1wVA Op named . Op p Closed Open open . . Closed PreeaureDlit paid Pr i furs Dttf. psld pf8/$p 9 Open closed , . 0peWed at, . . paid Open Cease Ptroes►reDiiL paid DId not open CamtaenCs: • '.PASS„„X,,;,,.(tAil.,._�;,,, Tester's Information :Teete01:Na se Tester's Stgnatuiret• :77-7cAtrOficatkiii tr; :Dorsi: Donn Miller BF065323 08-01-23 �' Aug.02.2023 12:07 PM Interstate Testing 7637555365 #4076 P 9/24 intestate Testing,' LK P.O.BoX 55 Backflow Assembly Test Report Anoka,MN 55303 (RP z DCVA,PIM,SPV13,) (763)744-6149 • isterstatstsstisgecomcasomit • • e.it•Y; , , • _ - , Pro•e . /Owner.Information Presbyterian Homes(Boutwell Landing) .. „ _... . 5600 No ich Parkw a .. . , : •-• ' ' :- : : : : CItyl ' " • Stew Zip Oak Park Hel.hts 1.111, 5 082 PilitieFtkirOniaCiPhOett Um.: Mr* Mike Mader 651 275-5012 PrOkilltOW,flei*A04/7.0gt.: 4ddres= : . • ' :. : • ' ' 5600 Norwich Parkway Oak Park Heictits,,MN 55082 041 ' .ttaW 2ipt . Oak Park Heights MN 55082 _ . .‘ - PrpliSity0W0eriPliSfie 0i Nam*: . " Phone: " ::Presbyterian Homes(Boutwell Landing) . (651)275-5012 woli•••60..11411, Type offissembly/*ork Performed .1 .:. " I WC.: . ' : : '.::: T FOB . .::-. .7: : ' .1 ::": : :s :" . . , • PevA. '' :. „ , , •... , . 1.4e......< .R.e tr aLez.,....y._. ..........m.i.._= v.__._,....ast Re ir Re_ Test R . 1r AB_ • Backflow Astembl Inforination Size v - ,' • ...1,fitke: :: .: ' :Model: -' ' ! ' *Mat :' : ' ':, , , 'System Setilled; 1" • . Wilkins .720A 1618677 Irk ation Location°assembly: ' a es o 'La sing, nex to raise• gar.en se's Backflow Assembly Test Results Typx.t of : :: ChecitYith0 In : ' Shut Off Valve 02 : ' Ittilifitatvet. :: Ohs*!Sive#2 A;*1014,Y:': . .' . . .:.:. 1, : : : 14: : Air inlet Valve:, ,•:. : ::: : • liki , Open__ Closed_._ oPen Closed •Opened et•: ,pstd :.Open Closed. i Pressure CIW pod .prd not*pea. , „ .• ' , . . Oak. : °P"-- awed. •—•- Open , CFssed_ Open Closed : . Mature DIM paid Pressure DIM 04 pvBispn Opel, ctosed..4... Open_ ClosOpened at__U.,_p44ed__Z,_ : flowers DIM 3.0 pOd Old not open Conitnalll* . . . PASS. 1710L. Tester's Information :Teltteli Name ' ' `Tektei:3tityiku're.1 • : : Cektificaticiits: 1 ' " : . Ntet Donn Miller f)j/1/ .)d,"--‘,.._ BF065323 : 08-01-23 A <tv•-\,. •