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Home My WebLink About2023 Interstate Testing Report Aug.02.2023 12:08 PM Interstate Testing 7637555365 #4076 P 10/24 Interstate Testing,I4C P.t?:130Z SS Backflow Assembly Test Report Anoka,.MN 5S303 (RPZ,DCVA,PVB,SPVB,) (763)744.6149 lnterstatetesdagN:omcast-net tY= . . . Property/Owner Information' _Presbyterian Homes(Boutwell Landing) • prootti dreks : AddreseG • . . . 5597 NoryvIch Parkwa . .. awl Anter Zips :Oak Park Hei.hts 550:2 POPertr..c01.4110P.Sne#: Phone: ;Mike Mader (651)275-5012 die ' Prbpaert�►,On►�ts Ac'ldt`eicfiAd ` : . 5600 Norwich Parkwa Oak Park Hei.hts MN 55082 tr• . Mata Zlys Oak Park Hei.hts MN . 55082 Pt4{ T OwiterjPbOite#:, Name Phone: ;Presbyterian Homes (Boutwell Landing) J651)275-5012 'type of.Asse�nnbly/Work Performed• . ... _ r.::.:...• :•i•3. • - •pH•A .Test,,,_Repair__..ltB . ,.Ttst ReeairRI9Test Repair .ptB„M, , Test,., Repalr BackftOw Atsembly information Modal.. rial 0' Sy;t7ernsitiOcedi. 3" Ames . DC200 RA0802 Fire Su.•ression Location of Assembly:. nsi.e urc , .a room B.ackfflow Assembly Test Results Type a . x,eck v #i : sbut OfVahte 1l2 Aelel.Vatvc/ . • Check Valyeatg Asse Air(ntat Valve Chided Open. Closed . 'Opened et ,psfd t Open. nosed• l�� Pressure DIK psld Did net open . DCVA, Open Owed--� open c X Opel Word X. Pressure VIZ 3.5 paid Proaure DiK3.8 paid Open, Oosed opened PVBrS'PtlB; o�d , Pure OW paid Qpm'...—` faomed 014 tai. • ontmetitaf. PASS=:.X...FA(L, ' . . . Testex's Information; .Testier Name: ; * Teaser's Signiuwe: Certdfcatton'0t. bate Donn Miller / p �� BF065323 08-01-23