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Home My WebLink About2023 Interstate Testing Report Aug.02.2023 12:03 PM Interstate Testing 7637555365 #4076 P 3/24 interstate Testing,GLC' P.O.BOX e5s Backflow Assembly Test Repo. Anoka,MN 55303 (RPZ,DCVA,PVB,.SPV'%,) (763)744-614 interstatetesting etomcast.n.gat Cll'y: . Pro ertp� Owner In formatio l P+ opei tyr� ;Name. ,. Soutwell Landing P;tipeitir Ais<d s : :''< Addie w 5259 Nolan Parkway pity Statec. Zips ., : . : .. Oak Park Hei•hts , 55082 . Properti:Goritactfpbones4:: Maple: Phnue ::..: :.. Mike Mader . (651)275-5012 _. .Pr'BiteltrOWt'ittrt.Mdeeti : 4ddr.$ 5600 Norwich Parkwa Oak Pa Hhts ei MN 082 City:' .. 5State,, Zip: r, ' Oak Park Heights MN 55082 Pia ieriy onnta/pbpDo#C: Name; Mine: Presb erian Homes Boutwell Landin 6 1 275-5012 e of Assembly Work Performed : .'.•> . . spas.:• • u yA Ten X, Repair,..RB,,, Test_ReealrRB Test Ro lair; .RB rest—Relish' ._,_RB_._�,.a Backflow Assembly Inforlmatloi _ .�:..: .• ...�lnWd. Y '.rryan.r�■ iorirw�.r•.�� s e .y.: 2" . Watts 009M2 236673 Fire System �Locationo1Assembly;Mee'Rm.on Townhouse Backflow Assembly Test Results : I WOOlr:, : .. ..check:IVal #1', :SbiOt'OIIVali e42: a Relletvallve: :. : etk`Vattie#2::. ,'Alt et:fit ve:.. . . . I4pm Claw-4, Open Ctoa x Opened. Peaed at 2ps d *pew.WZ . ThrsOcureDift_ 9,0.._.,pstd Did mot open , DCPA Open Ctasod fin. Closed ', Optd.,.-:,... Closed • Pressure DIM, paid Pressure Dirt i►s14 PITOISPV8 ,:Opett . Cleoid Opened at_____r psid PremiumDirtOpen Closed ps Did not open Contrnetitas ` PASS'...4,.FAIL. : Tester's Information' Tcates::l amie:.: Tcste4signature: • Cert ation.ii. ' Date:. Donn Miller W p BF065323 08-01-23 ./'