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Home My WebLink About2023 Interstate Testing Reports Aug.02.2023 12:06 PM Interstate Testing 7637555365 #4076 P 8/24 . , - . . . . 111*80,teTestitig,11C. ' •;Backflow Assembly Test Report IP.Ok Box 55 Anoka,MN 55303 tRPZ,DCVA,P1/B,SPVIO (763)744.-6149 interstatetesting.compstpet . .C.ity: • . .. . ,Property./pwiter InformatiOn.. , . • •I'r#040.1Y:01.1*:. . , .... .',• : .„:.• • .. . • . . • , .• . 2 Boutwell Landing . , .. .1rrOtterty04.0* • 1: ..,:'• ::. 5450 Adc.10.0* • :. :. ... :, . : ' • • •. Nolan Parkway . . . . . .. - • •• , : ."•: .. • , .• :. -: .. . • • .• •:..•:.ctkyt • • • • ' . tube Zip' . . ':.•::. :1, .1' : •. . . .' • Oak Park Hel•hts 55082 ' • Phalle: • •pft41.0.*:(0!;..Oct Ph°:, I' l/1: e -..• Mike Mader . . (651)275-5012 ,Ptapit*y.OWii*OthrittOr. Addrest . • :. ' . : ...• . •:. :-.• ••.•••'•5600 Norwich Parkwa Oak Park Hel•h MN 55082• . . • : .". ••.. .. : . ..,, . tr •• • - sum • Zije • . . . • .. - ..• : . : Oak Park Heights MN 55082 Iti.iiperty.:ovits4A0elii.:.. Name:. . . . " " • Phone; . ..,.• ... . ...• -i:, . ..•• -..•. , Preabyterian Homes (Boutwell Landing) (651)27575012 Type of Assembly/Work Prfornied • :. rtra:::'i.• '. : : :::s :' .:' i '.. Plio. . '.:' . '. 7.:.. : ..• .:..sevi$: : . " "••:: . •..• . . ' . :004.....:..'.. :Test) Repalr RH— TeSt Repair RS. . Test R * . RB Test,Repair_RB—• Elac.Ittlow•AsseMbly Information . . . :. .size:.. . ':••.':.1...MAkc.•:': : -' • - , ..MOdet . : ;`. .•,,' ..'...Sittiit0i' :.:' : ..il .. • .;Sys*iilittifts*di, ,...'•; . , 3/4" . Wilkins 975XL 1690679 , Chiller Feed .............• Looationof Assembly: BSA bui ding, Boiler Room . . ,. . . Backilow Assembl Test Results :•:.: Type Or • •.:.•''.C4eck.Va.1*#1' • -1 •: •:.'Wt:CiffVake 02.• .: '..• • Relief Valve/ •'.. .0,0CV.10e 02' . .' . .,. As4iettitily: :*. '..• ,': ,', • ..••.• :.,:,.. 4- . ... • • • • .. AirligetVaNe• • ... • L:. . . • ,;.. ,.I i:•:. :.102' • .. Nan_ Closed,....)< Open_ Closed_..2__( . Opened et, 2.8 paid •Open—..,_Closed . •1.. • : • : preouuto VIM 8.5 psid Did not open . . • . . . . .. • .... . •..: , ' . • DCVA ..'•.•: OPeo...•—•-. Closed:— Open. , . . (Used • OM— Closed . .. ..7 .•:. , . :: . •• .... Pressure DIM . lid. Fraser,DM. •peld . • . . • PVIJSPVB - °P"'-- Cills".•!--'-- -Opened at, • paid . . ' .' ' PruseureDlif: psid . Old AO; . . . Comments .. eAss:...4;,j1411. •'. . . . . Tester's Information Too •p:14401.10 • .• '• ' .•••TOi4VgAinatiine: ' •.' • • • •••.: ci.iiificatiaii 4: • .''. • . . : 'Doc'• - , . . . .. .., . . .. . . , .. .... ... .. .. ...... • • • - • ' 08-01-23 Donn Miller _ A _elv,-J----7---71 --.- ---- BF065323 • . .,..._ _ _ . , Aug.02.2023 12:05 PM Interstate Testing 7637555365 #9076 P 6/24 Interstate Testipi,LIC 8 :; Backflow Assembly Test Report • Aaoke:blN 55303 (RPZ,DCVA,PVB,SPVB,) (743)744-6149 Iaterstatetesdnggcomcastnet Cltyt J Propex p Qw>aer,Infortflation p »e:... Boutwell Landing 5450 Nolan Parkwa • City V. Static Oak Park Hel hts 5508 nit : Pro�peiC�Y''Co�etJ.♦�A eN Name:: Pliano: :'Mike Mader. 651 275-5012 Property:Owt rsAddresx: Addresx • ' 5600 Norwich Parkway Oak Park HeightsiMN 55082 t State: Zips Oak park Heights MN 55082 Proporty'Owner/Phoiae Vit,:. Name: Plume: Presbyterian Homes Boutwell Landing) , (651)275-5012 Type ofAssembl ork Performed. ss►v+ :. ': . r�t;vA . Test&Repair_RR,._,,., Tgst , Repair , RBS Tit: Repair . i.est_Repair ,_,.RB BackftowAssembly Information sitar.: • :••. :moo ;' . Muriel:. • 5etto 3/4" . Wilkins 975XL W121089 Garbage Rinse Location of Assembly:BaA Building, garbage'r'oom Backflow Assembly Test Results Type of•.: ad;Valve#1: shut'Oil Valve.02 ROtlyailve/ Check Valve�l3. MQpab :: l ra tint Valve .RP. . .. open closed X Otion dosed X Opened at 3.2 .paid Open Closed X • Pressure Dui 8.2 paid • Did not epee DCVA.. ope° Cbsed open Closed Open Closed Premise DIlL . pard PressureAOlt psld • :PVII SPV$: Opana Closed Opened at paid °Pall Closed .P'redun OAT. ,paid Dtd not open tonmtetttsi PASS.;:: ,RAr1,---�., Tester's Information Trsteet'e Namet ` itior's Signature Cert icat?ion+e Dare:. Donn Miller `� BF065323 08-01-23 Aug.02.2023 12:06 PM Interstate Testing 7637555365 #9076 P 7/29 int014te Testing,Ile Backflow Assembly Test Report P.O.Box SS Anoka,.MN 55303 (RPZ OCVAPPVB,SPVB,) (763)144-6149: Interstat.etestingetowast:het City; Property/Owner Information : • - „ PropertyName , _ . , Boutwell Landln9 x.ropeoyAddi.eig: Addros 77,7.7 5450 Nolan Parkwa Slat* ZIp: Oak Park Heights MN S5082 PeOpetiy:-40tWc011100e#: Haat' now " Mike Mader 651 275-5012 'PrOPOOrt.**Irt AtIghtst Addres. ' ' ' • .• 5600 Norwich Parkwa Oak Park Hei•hts MN 55082 ttite: Zip Oak Park Heiehts . N 55082 PkOPerti OWOO/AlgtifiC Nall'et" Phone: Presi?yterian Homes(Boutwell Landing). (651)275-A012, Type Of ASSerf101y/WOrli Performed • firk • :1!VB • , DCVA I'm X e TestaaEa.a. KI , RO Test_Repair_EB Ra ilackflowAsseMbi informatiOn • Ake . .11kitteli• • ' : • I . • 3/4" Wilkins 975XL 1690666 - • Boller Make Up Location otAsseirday:IA bulting, Boiler-Roorri Backflow Asseinbi Test Results Inn!?Of . pita Valve#1 Shia Off Vatse W2:: Relief:Velvet Check Pkite W2 AintetnWs! • Mr Ilitetvabe OP= epee closed X Opened nt, 3.2 ,psid Open Coded 1 : !lemma*DIM 7.0 pOtt Did wit opit.n . • •• • • Dark • OM,— awed a***4 OPett—,. Closed ' Prat:nye . psld ' PreSsurit pslil • • pvittispids OPea 00614 °posed psid Op _ea Closed ' • Pressure Dltf. psid Did not open , Comments: • PASS X . . Testers Information "ASe4sigriattOfv: • 040014;00iiii : Date Donn MIller S AOBF065 323 08-01.-23 I - "