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HomeMy WebLinkAbout2024 Interstate Testing Reports Aug.09.2024 10:19 AM Interstate Testing 7637555365 #6313 P 9/24 Interstate Testing,LLC P.O.Bolc Backflow Assembly Test Report Anaks,MN S.5303 (RPZ,DCVA,PVBSPVBj (763)7444149 bitetstittetestinggeoracastftet CitY.: Protierty/cier Information . . . • er°PellY P'.41!*e: • Boutwell Lan. • . . leaner*Address: • : Addilow ' • . 13575 58th St. N. • State Z411 Park Heights Mt* 55082 :fir.0.000Yi&ittp*OPOcilifOii. Obit:------ Phone: 'Mike Mader (651)275-5012 _ . AddrasP • • : : • 5600 Norwich Parkwa Oak Park Hei•its MN 5508 • • • • . . •C4ty:' ' • Sista: 21pr • Oak Park Hai.hts MN 55082 -11.*.tipett#011ittifr/111:00 tiamet ° • Phone . . presbyterlan Homes,Toutwell Landln9) (651)275-5012 O Type of Assembly/VVorlt performed -• •an • : • '••• : • Spvs:::: • • • • pcv.k. ' • • • • • • • • _ " • Test X Repair Rp_ . 'rest Repair ittis Tett Repair RO. Test—.—TePatr—RD Backflow Assembly Infprznat19n stiel :/.44166:' " •:•.!.modok : : settiaLik_ :: csysitinorocid::: . • 3/4" Wilkins 975XL 3027840 Trash Rinse Location of Atitembly; Man oor, areage • ea Backflow Assembly lest Result. Typeof ciiiicic.Vithie.:# • : SbutOf1VaJv #2 • Relief yab4/ • Clteck VaPit •Attittribi,t;:. . : :• • *. Air fillet Valve : • i• : Opts' Closed,25* OFKKI aOsid—A..? Opened at 2M paid OpenCloud X 000Pressure Dig: 7-8 ps14• d not*pea • • 0 . . . . . ••••••••••••••••111.1.10•4•1, . iteir A " Open aosad Open__ Cloud._... Open Closed mu , , • Prassul*DItt. pd 0Avatar*Dirt paid _ 4 . PVB)SPV.B' °rten OWNS•*!--Pad Open , Closed ' 'Pressure DOT pski Did oat open - . „ COM/Rent/SI00 • 0 0 0 ?A$41...:41L FAA' • Testest's Information Tester's Name1 : Tester's Signature : . :•1:.Certilkation#i Datei. Donn Miller BF065323 08-06-24 Aug.09.2024 10:19 AM Interstate Testing 7637555365 #6313 P 8/24 Interstate Testing,Lit P.O.Ociat SS Backflow Assembly Test Report Anoka,YLN 35303 (RPZ#•DCVA,Pint SPVB,) (763)7446149 hiterstatetestingecomeestnet Citr Property/Owner Information _ Boutwell Landin. • pkoneriv Addraii:i ":: H Addrisz :.7-75- Tv -- 13575 58th St N • " Maw pp Oak Park He hts . 1,k. 55082 . !POPOV COittIMVPhistle$.1 : Nat*: rime: Mike Mader 651 275- 012 :PrOeli}r..,O*Iiel*Adckesig Addrein • • ; : .: .. . : . 5600 Norwich Parkway Oak Park Helohts,MN 55082 : •. ": :'' ": " : ': City! ' " Swat ' Zip: : j .: • AOak Park Heights . _ MN _55082 ' Name.. ..fr9POrtt oi,mirrnitoSsit: ' Plionst" . : • : , :•:, , Presbyterian Homes Boutwell Landliiq . (651)275-5012 Type of Assembly/Work 7Med RZ _ Test X Repoir_RS Test Relit! Rif_ , Tat—RePatr, ss •Test—Repan it8,. Backflow Assembly Information i stiel : :: Hmaiik::'; .::,—• . ' :, • vie -: . , ,. .S - • :•:.'. iittal lit ' : . : 51010enSerstRed:: 1-1/2" Wilkins. 975XL 3065467 Irrigation . . LetetlenisfAsieinbiplower eth Room _ Backflow Assembly Test Results Type or . -Chedt,Vai*011ti.: :' . :Siitit Off Vats*02:: •••• ' RelletValvej .' ClietkValve la iiii,._..,;(4..../111i ' ':',,,,',... ... .. ,.,;_:..... .......4 JAMILItVal!fi'.... ' .. •. . '... i:- :: : :::. :::' °pa_ Oeeed,;,),L open___,* Clesed___&_. OPenedat 3.0, paid Op. _Closed X : ' • , PressIstieD16, 9.0 old CIld Dia tropost — , ....., .., .... - . . .. . . OCVA:'.1. , °P"'-,6'-'- ci'md'---- Open____.,_ Closed__,,__ Open_ Closed - •: : ' Pressor*VIM paid Pre,survo DIM—Oskt . . • . . tivortra . Om, Closed....._, Opened ill pild i Open: _... Closed_ . Prossope DICE_pita . Old hot open_ • • • . . • . ., . Connsests: :PASS..,...2L FAIL • . . . . - Tester's Iaormation Testeelitgaiite:: .: • : Te#004Signitiire: . .. : : : Certification 0i, • Dorm Miller ' . a ..P6("-- BF065323 08-06-24 . .. ..... . .._ ..., . . ........._ __. Aug.09.2024 10:18 AM Interstate Testing 7637555365 #6313 P 7/24 . , Interstate Testing, it P.O.BORO. Backflow Assembly Test Report Anoka,MN 55303 OtPZi DCVA,PVB,SPVB,) (763)746i49 InterstatetBstingemnaignet City: . . • PrOpert)r/Owner Information ProPetirf4r4, Boutwell Landln. •Pmprn3rAddr.s AddiarsF : ' • : . 13575 58th St. N. • state • Vps . , . . Oak Park Hei.hts 55082 • PkOiletty : tin'tz Phones • ". Mike Mader 651 275-5012 PrOilefty:0140414:Addl*P: Addiess: " • : .5600 Norwich Parkway.0g_tt Park Heights,MN 55084 SAW 21p: "Oak Park Heights . MN 55082 POW*O.WieglOidit ivame: — noise .>Presbyterian Homes(Boutwell Landing) _ (651)275-5012 ,T3Ve pf ASSer1141Ork RPZ " : .• : . ROA . „ Testepolr_R8_ Telt ReMilr .Rtit Test Revell; R$ -Test Repair,RB packtloi4 Assembly Information Stze, M,J Modek •••••• : • •; Svtem : ce sent 1-1/2" Wilkins 375XL B082054 ftroom000rmarmirmrroopsee..........••••••••••••••••i Location of Aistembiy:Lower Ekilier Rodin • Backflow Assembly Test Results Type (1*dc V.0*.01 I'qttit:QtrVatOe B2 Rotorsvo.• • Che**V.OVe. sern MrIletYaIve itpz open coned Opened Open_Closed 2( Pressigellitt 8.5 pstd pm mot epee, , . . . . . DCVA Open OPen Closed Open Closed • Proxmire DID._psid ikon:ere DOE psid . . PlIB/SPVB °Pen a°se4 Gomm la PIN Open Closed : : Present,Pitt psid • Did mot epen Comments; ;PASsLMlL • • Tester's Information Tcstgoi'mlio: :Crtificatio4 Donn Miller B F065323 08-06-24 Aug.09.2024 10:18 AM Interstate Testing 7637555365 #6313 P 6/24 Interstate.' a iog,LLC PA.BOSS Backflow Assembly Test.Report Anoka,MN$5303 ( RPZa DCVA,PVE,SPY%) • (783)74461:49 • inters tatetesting®!camcastnet %-sty: Property/Owner In ormation - . P00eirtpN ;. . . , Boutwell Landing 13575 58th St. N. City:' RAW . :Zips . Oak Park Heights M 55082 :P: CohOlie#;.;'' NaNM": Piton: •. .• .il: F Mike Mader . . . , 651 275-5012 . . . :. 560. Norwich Parkwa Oak Park Hel'hts MN 55082 CIry:. . . . glum ZIP=. Oak Park Hei.hts MN . 55082 001).0.!V tl O '. • 01..0i..:" *auxPhone. . . . . .. :/Presbyterian Homes Boutwell Landinst _ . . (651)275-5012 T. a of Assembl . ...0Performed ,+fix :• .. .. '..pm ..:• : ... • : : ..•... ...spya••••. ..•: , : :. ~ :.• •••:. v, • • rk . Test..X, Re • r RB . Test. . ,,..Re t elr....... RB . . Tat , , . . 11 Test_R, Ir_;R8 Ba ckllaw Asse>inbl. Information stlkerModel:. Se.. .. d�: .Srvice 1-1/2" Wilkins 975XL 3065453 Location of Assembly:Lower Boder Room Backttow•Assembl Test Results Type of•::. 'theck:Valve$1:.; ,.:..Shat:OffV'alvt #z .: aieiefVr•,ve/• `.. : Check. alVe#Z..: Aaaamtiw . • '.Alr Val e Rte: • op..t. . clotted-.,, .... Open, Closed. . Opened at .2.6 P • Opett,�„Closed..�., Prs weOIQ 6.5 ,psid .Mid net open .• .7 .. . ' p4A. M.-QP _ Gored Open closed. ,. .Open awed . P,mrsure RIR . ,Veld :Presetthe DJll. psis! CibaAed Opened at . $4 OP pvBJspvBO .n, gond : Mantra tra DI IG . paid •Dltl:not open , . . . .. t . . b , . i i Comments: PAs8..L.5,,..:0*. . Tester's Information .: 7Cegti stkiim+e:::: • : .: �'tt�8oew's Sl�t!urr: • • CtktiiB+caHvn il:i' Date:. . . Donn Miller X�J p PP✓�6BF065323 08-06-24 Aug.09.2024 10:16 AM Interstate Testing 7637555365 #6313 P 3/24 Interstate Tearing,LLC - . P:(1..Sok SS Backflow Assembly Test Report Anoka,MN 35303 (RPZ,.DCI&PVB,SPVB,) (763)744-6149 intoritatetestinggootncagtnet City: Property/Qwuer Information. Prppel`q!a tt<tet, $outwell banding 13575 58th$t. N. City: frets: Vpt Oak Park Hel'hts 082 P!'q eilty:Colftt /Phone#;;:< Wont; Phot z ' Mike Mader (651)275-5012 Property Owners A ldrieo : Aa►e 5600 Norwich Parkway Oak Park Heights,MN 55082. City: "stater • lips . Oak Park.Hei.hts MN 55082 Proi:erty Owrnoc e; r. . Names' Phone: ...erpsb terian Homes(Boutwell Landinj) . (651)275-5012 T e of Assembly/Work.Performed. RPS .g a .. sri ►g ,.'... . : .DCVII 2,c ... • ,... T t Re atr , RB'.. .. . Test.. . • it Test„__,Repair RB........, Backflow`Assemb I Information. Size::. aki4. : o, It '.' : to •>di 3/4" Wilkins 975XL 3027832 Trash Chute Rinse Lkation of Assembly;:Lower Laundry Room Backflow Assemtbty Test Results Type of:. •0101*Valvve:#1 . :Sh149l7Yalye s2....... R Y+► j . : Ch0C Valve ox Rpz Open Ctooed X—� Open,._ Ciosed.. .,_ Opened at 2 5 Rstd Open. Closed_,&. Pressure gift 9.5 psid Did not*Is ,....., oCVA .. open Cued Open Cased Open closed,. Preswu.Olt: paid PessattreDift psld • hV$f 5PV13 Open dosed Opened at . pdd ao eii . • eursOid pstd. Ma not open Comments: . :Pass; ,..Fin• ..; Tester°s Information •7e>4terrs�Name Tester's Signature- tion+i:: Date:: :Cectiflca Donn Miller f '� BF065323 08-06-24 Aug.09.2024 10:15 AM Interstate Testing 7637555365 #6313 P 2/24 Intert; it*,Gtr • . . P.O.BOX SS :Backflow Assembly Test Report Anoka,MN SS303 (RPZ,DCVA,PVBI SPVBJ i (769)744-5149. b►terstatetestirigecomalistnet Clt.Yw I Prape>rty/Owner Information P • roperty e: ` Boutwelt Landingp �;Add,t `±: ..:.'' Adijc5 . . • .. 13575 5 58th St. N. dgrr Stitt .. Up Oak Park Heights MN . §5082 r. ' P .: . cental.!bioneif:. .Name: phone: Mike Mader ....4.....16.5;11322222.L...,_,.....„......, :Pioperty`Owiwre ddreas:. .A'ddrsss: i.5600 Norwich Parkwa Oak Park Hei• is N 5.0:2 Stsue Oak Park Heights MN 55082 Proparttchv br/Pitoi�e#: T- Naoae; ' Phonic Presb ,erian Homes Boutwelt Landin 651 275-5012 ,e.of Assem bler/Work:PerIOrmed a :Pis :Sts: : : : EVA 1`est.,X 'Repair,_,,,,, RA,,,,,,__ Test. Repair ;Re -„ ,. . TettRepairs RR ,'Tost,_.,Repatr._,_ ..Ra_,..., Backflow Assemb information :Site: .. . M -; . Model:.. .. , . .x. s ,.` ; 401:474 3/4" . Wilkins. 975XL 30278966 , Location ofAr sembly,rounIain Toom, under stairs Backflow Assembly Test Results Ih _ Type'of . .. t tede:to #i 7.:S1tut•OftVaIve#4.:: :..Ren+ iilve/: •t iedVat a#2 Assemb)y : w � ,; . Air IntetVa ►e.. . RPS. Open . Closed X Open Cloud_l__< 'Opsn*dat 2,6 paid Oper4 dosed. X , ' Pressure Mt; - pstd DSdnetopint DCVA. .. ., °Pie 19osed Open,,--- taosed_,_1.,, Open 00,e4____ ' . ProureDM pita Pressure Ott_psid FVBJSFVB Open_,-.,.., closed. Opesedtic . pffiD • o ciao Pratrate DIff pad. . . Did nig Walk Comments: :PASS. ;,:PA1 :: Tester's Information :: : Teatteii Names. .. :T*60,s Signaturei. . .0 ertiftcatiotn it: ; Donn : Date:. `Miller BF065323 08-06-24 . . /..0.1,/,-,,,