HomeMy WebLinkAbout2024-02-03 Yale Mechanical Backflow (RPZ) Test Reports Yale Mechanical
ry.
A Ser vica Lnaic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 Memorial Avenue N
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
DEVICE LOCATION: FLOOR#: ROOM#:
MRI Equipment Room 1
SERVES WHAT SYSTEM:
Humidifier
MAKE: MODEL#: SIZE: SERIAL#:
Wilkins 975XL2 3/4" AB18930
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 2/3/24
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
8.6 3.2
2.8
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
CERTIFICATION NUMBER:
James A. Duda
30726
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Yale Mechanical
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A Se vice Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 Memorial Avenue N
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
DEVICE LOCATION: FLOOR#: ROOM#:
MRI Equipment Room 1
SERVES WHAT SYSTEM:
Boiler
MAKE: Wilkins 975XL2
#: SIZE: SERIAL#:
975XL2 1.5" ACE6315
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 2/3/24
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
9.0 2.6
3.6
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
James A. Duda CERTIFICATION NUMBER:
30726
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Yale Mechanical
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A Service Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 Memorial Avenue N
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
DEVICE LOCATION: FLOOR#: ROOM#:
Sprinkler riser room 1
SERVES WHAT SYSTEM:
Irrigation
MAKE: Apollo MODEL#: SIZE: SERIAL#:
RPLF4A 1.5" 37672B
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 2/3/24
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
7.4 2.4
2.2
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
James A. Duda CERTIFICATION NUMBER:
30726
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