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HomeMy WebLinkAbout2023 Interstate Testing Reports Aug.02.2023 12:05 PM Interstate Testing 7637555365 #4076 P 5/24 interstate Testi.LLC Assembly ito i SS: Backflow ATest Report Ainc16a..MN 55303 (RPZ;DMA,PVB,SPPVB,) (763)744-6149 Interstatetesdng@comcastnet .lty1 _ • Property/Owner Information MI YYII I Iii YiYY�YYY ^iYri�l Pr+operty;Name;' • Boutwell Landlnc . Ptoperty*ddt ss .` d 5350 Nolan Parkway Sista 244 . _Oak Park Heights MN 55082 -Pr ... :Cas .Phorieit: lamas Phtvw Mike Mader (651)275-5012_, Property Owners:Addres Adonsa 4 ;.. ; 5600 Norwich Parkway Oak 'ark Heights,,MN 55082 dam. States ZIp: Oak Park.Hejghts MN 55082 :P•l'opttrtk: er/Ph0Ott#; NaAte: now. Presbyterian Homes (Boutwell Landing) (651)275-5012_, e ofAssembl /Woark.Pelrformed R. . .. :: SPvB:': DCVA Test...Lc Reek.RD,— Test, , Rbpal<r;ro. RB ; . Test Repair , Test„,_Repair Backflow Assembly Information Size:. .::Mabe;;:: Mode): ° : Seir1fa1:1 . :':Sy etat Se ced: ; . 3/4" Wilkins , 975XL 1690660 Boller Make Up tocartIon:ofpssentbly:S.B:'BoiferRoom, building B Backflow Assembly Test Results Typeof ChedtValvc#i Spelt ItrValyo a ttellefValve/ kV e42 . .. . AirinletVallve : ' .. Open aand,;,_-&– Open aosed X Opened at . 25 .odd Open. Closed X w PtsaxurcDifE 9.8 paid Did sot open._,,,,r„� DC.VA. °A"-- —T.. °PeaClosed °pea Closed Propure OIfG ,paid PrassureDUE pad PVBISPVB ©pea Closed. ,_ *pent*atpad 'treasure DUX .paid Open posed Old trot open Comments:, .. . . .PASS X'_FAa. Tester's Information 'Taster's Narnei Testieir's:.Sig etu ertliication Vit: . Date Donn Miller /. BF065323 08-01-23 Aug.02.2023 12:04 PM Interstate Testing 7637555365 #9076 P 4/24 Interstate Testing,t1:�. . . . to. T 55 Backflow AssemblyTest Report Anoka.AIN 53303 (RPZ,DCVA,PVB,SPVB,) (763)1446149 : intetstatetesdnggcoaacasr,net . Cit': . _. . • Property/Owner inforMation • P apta. 1�outwell.Landing ; � r i roperiy Aft**t:; Aedtese 5350 Nolan Parkway ,: :. air.. state '"Zips Oak Park Hei hts 55082 PropertyContsd jPtioatte#:• Name Phot •Mike Mader (651)275-5012 Proper}'0pueas 40dress �idld .. • . ... . . 5600 Norwich Parkwa Oak Park Hei.hts MN 55082 : citys sista; Zip: • . . . Oak Park Hei•hts . M 55082 • Property Ahensf f ilmi 1°t; :" Mine: , Phone. ,: : Presbyterian Homes(Boutwell Landing) (651)275-5012 Jo e o f Assembi .' .ork Performed . Test aXRepair._RR m, Tes4.,.„ ,..Reealr RB . TestRepair .RR Test__.,_Repair,,......,,}tB_ Backflow Assembly Information. Size. •. . 'Maker', ` htoitel . Sexi ier.: 2. t4 >tt►leed:. 3/4" . _ Wilkins 975XL 1690655 Garbage Rinse_ Lotatlon of Assembly:'Outside garbage area, near ceiling ' Backflow Assembly Test Results Type , :91ecir.Valve#!' .`' .;`ShutOUVatve#2 IReUefValvef . CheckVatse:#2: f.t IecYai RFZ. owe, a —A— Opats_ dosed X opened et.. 4,2 ,per open. Closed X Prespuq Dig-8.0 ..paid Old net opcn._�___w._ DCVA.. .: . Veen Uaend'`'_-^ Open c esed Pear Closed_ Pretiture Dia---•-psid Pressure Mit paid wits/011111M - 6° - doae4 OpeMd oc,.-_ ,., tote Maitre . . . ..psis G14sad_ - DXnot. - . . . . . _ i Comments; •• :PASS.:X ;FAQ:..,..;..._.. Tester's Information `Testees:Name:: : Tester's Stpnature: Certl&ation./ti ` .bate: Donn Miller e A,,,. f BF065323 . ' 08-01-23