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Home My WebLink About2024 Interstate Testing Report Aug.09.2024 10:21 AM Interstate Testing 7637555365 #6313 P 12/29 lnteirsttieTesting,LLC P.O.BoXSS Backflow Assembly Test Report Altokaa MN 55303. tom,DC VA,PVB,SPYB,) (763)744-6144 �',) . tnterstatetrsting@comcast:net 'tY• . Property/Owner infoir`nation Vrripeirty:,lrl**...• : .:. . .. , .. Boutwell Landin• Property.Addres : .: Ad4rrs . 5259 Nolan Parkwa • : .. CIRy: State ZIPS 'Oak Park Hai.hts 082 w Contac.pons#;,.: woo: pram: . .',Yiropeirgi. • Mike Mader (651)275-5012 Property owaiess: err:Md Address; ' :::. ..:'. •:5500.Norwich Parkwa Oak Park Heights MN 5 0 • :•` .•,'Ctry: Stat.* ZIP: ,•'. . . :., Oak Park Heights MN . . 55082 : :Pi PO*0.*11- rf01004::0i:> Name; .. Phonic Presbyterian Homes(Boutwell Landing) (651)275-5012 Type:of Assembly/Work.Performed Test .x...Re. .a 02..,.,. . .. Test. ... . Rt'.••Ir ,, .Re. .. Test._.. le. 1r. .. RB: ,. Test.R.patr—..,R8_ BacirtiOV ssembl Information Size;.'.. .. ::Modal: ' ,,. . _ ' . Seriah t. System Sesvt . 2° ; . Watts 009M2 236673 Fire System Lucatloir of AssemWy� Mech Rm on'townhouse Backflow•Assembi. Test Results . Type n�' .` :. : Chick Vallie`#i. • `.Shut:011 ValveA; :. .'..: .:: ValneJ . • .Check Valve,.#2 Assetinbl`: inktYNv .:. . RP"Lr : . open Closed.:.2_,..( Opea_ Ctoaed_A-- dpenad at . •4 Wad :'.Open. Closed ...,, • ' Pressure 01 ct9.8 pale Dldnet open ' :DGVA;: OpNI Cl . osed . . •openClosed open Closed ' ' : Pnrasut*Di pale ' .?renting DIM psld '` '-' _ I . . . . . . , PVBJ$PVB: Opal._ c$osed w_.__ Opeaal et pard Preemie DIt Opeq Closed Preemie _paid • lint/sot open Commentsi .PASS: : : PAJI.: Tester's Information Yearns Name:• -Tester's Signaturca CeeNBcatlon it .. Date: '• . Donn Miller p BF065323 08-06-24