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HomeMy WebLinkAbout2024 Interstate Testing Reports Aug.09.2024 10:24 AM Interstate Testing 7637555365 #6313 P 17/24 Interstate Testing,11C P.O.Box SS. Backflow. Assembly Test: Report Anoka;MN 50303 (1�PZ,DCVA,PVB,SP'VB,) (763)744-6149 mteirstatetestlrigeceincast.net '-$ '.• _ • Property/Owner Information Pi'opel'tif''iarne1 : Boutwell Landin. Pro 0. 1*'11 4 4;.. 545Ad0 Nolan P-rkwa Oak Park Hei.hts , 55082 PiPapifiirEy Plwnit�t '. Name: Mow • :.; Mike Mader T (651)275-5012 >pro tcyo as :" Atidnes 56QQ Norwich Parkway Oak Park Heights,MN 55082 _ . . . Cip�: Siad Zip; • Oak Park Heights . MN 55082 Protier4t-O*00%ne: :: Name nowt . .. . . Presbyterian HomesiBoutwell Landing) 1651)275-5012 Type of Assembly/Work Performed. RPZ'. f�'B. • $ `' . .. .. .. D:CVA TeSt X Repair—RS— Test. Repair AR, Test. Repair RB_ Test_ Repair RD_ 6 Backflow Assembi Information Sle:.:`... Radek m ltw4t2ei 3/4" Wilkins 975XL 1690679 Chiller Feed Locideaa{Assemb1y;BSAbui ding,Boiler Rooni Backflow Assembly Test Results T�rpe o1 Ch044 Veuve: .• 7:shut Otrvalve*Z. • Rellelvalet/ C iedc'Vall:Qe#2 !i htY. .r' i i:.. ' y ,Arr inlet•Valve • Rp ppm Mud__ open,. , Closed 7� opened et 2.6. .RJJd •open. Ctased_2 •pressbrafnft, 9.0 psid Dideotapes DCVA .: open_Hoard ogee cbaed opeaa:ed..,,_,,__ • Pressure OM pstd iireasi+refHfL piid own—.nod Opened at_,,,,. p td VBI.,. • • °pen Gaped prate out. paid Did lioz+op eti Comments: PASS �,ZS�.FAX Tester's Infoirmation Tostr's:Narnet' Tester', Si iture fatton�wt Date Donn Miller �� � p ✓� BF065323 08-06-24 Aug.09.2029 10:23 AM Interstate Testing 7637555365 #6313 P 15/29 . . , .. . .. : . ,, „ , .. . . : • . . • . . .• • ,• • •. . • Interstate Testing,Ile Backflow DAssembly.Test Report. Anoka,MN 5S303 (RPZ DCVA,PV•11,$PliBt) (763)7444149 • ' ty:.,. IntOrstatetesting.tomtastnet • N.!"y...i .. 1: . . ., . • . . . ......., ,. piweity/Owner;infonnatjon. ........ .. , . . . •: frc,Pe"1!477':. . :•.:... .. 'Boutwell Landing •1"04"ertit•Mitreit*is-•:,• •...• . . • .. ... . : ,..... . ... .•••:• • • ,5450 Nolan Parkwaz . .. . . . - ../ ••• • • • ••State Opt •• •.. . ..: . . - • • . . • . - . :. .• . , • • .: . .:. Oak Park Hei.hts ii 1.. • 55082 .:;11'.0*IYCliitta0/191010.4k: NM.: . • Pltente . • • • • • ••.• .•.•". :...• ••.1.: : Mike Mader . . (651)275-5012 •;... _- •. . ..;‘„ • . : Addreiz . . f(4.)71:'...-9 ,. ‘7.A..47.7..4 • 56.' Norwich Parkwa Oak Park Hei.hts MN 55082 . . . . . • .::• . .:,' '' . 2. ••• :•: • :•• •••••.:,-•::.:,.. C tyi ' 'State ' . Zip. . .:: . •- .•.. . ..,... ,'.;:.:.:OakPark.Heipts • . MN 55082 ......0 -.0 . ,......, i • Pri..p040.3*Tioriflittli:": Nam% " . - . . " . • Phone' ...•:_:.......,.. .i Bout -5012 ........ Type of Assembly/Work PeTfOirnictiRn PVS ... . . . . SPVB . .. .. . DCVA Ten. X •R air . R • . Test. Re .it 1,......, ..... miajam _ =* . Re Ten R— epalr Its_. • BackfloW Assemb ; InforMatiOn . . . . !..:site ...:::..:.: , -ti.. .: .. • .....,: :..-:Miideli.:•.-% •. .: - .. •••••• ' •Siditiliii ••. •:•.' ••••,'::;•:.. : ' *I •';'•14 3/4" • Wilkins 975XL W121089 Garbage Rinse Locallon.of Assemblyi t 'A :ui 4.mg, gar.age room , " . , • . . . , Backflow Assembly Test Results •.. ....17yjiti.iir..: ...:: Oteckyalvie::#k... • .• : ....c7'..ttiat•Offlf:*0*-4..• ••j.. ..• Rellifystr0/.•.•• ... • .• ChedViralVe.#.2::.• . .. • ...".L.. .11nb1 '.. .••_... ;..;...;.•• :: • .:•• • .• • :.: . •Mrinl,tYave• • • .-.:• . :;• :•..... •..,: .: :e. • • '..., : . ••. oz,.••• :.• Open_ Clesed.ac, Open..,____. Closed....X.,_ Opened al...4,..,,psld Open. ..:....Closed.....2.,L . •. ":: ; - • •' •Pressnee011t 8.8 phi 'Did led Open . , . .. • • • • - . . . . ... . . . . . . . , ..iii..,:,.•'...''• Open..."_. Cloned Open , Claud— . Opoo..._,..„ Closed___ I""V It.. . . ' :.. .,.' ' •PtISSUrit Di ft. ,Wel Preeeure.00L, , phi . . .. . .. -. „.„ • ... _ •,_ ... _ . . . . PVB/SPVEt., °Pm— amid.__,... Opened at....,,_pod , • Open_ Gaeta_ : .". , • ;H .Preontel OIO. pelet. . Old not open_ . . . • ' . . 4. ... .. . cOrOittent$: . . 'PASS..:„L....FAIL: :. • . . „ Tester's Information :. •Ii.. .legthninie:•'•. '• '.••: . ' ....T.esite•OlitnAturee• • ••• • • :•• :. CetrittratIont..• .:. :" : Pate.: Donn Miller in ..):24: BF065323 08-06-24 - A .... ..,.. ..... ...... ...... . .. _......... ,.... Aug.09.2024 10:24 AM Interstate Testing 7637555365 #6313 P 16/24 Interltfloxire:ing,LLC Backflow Assembly Test Report AllOitat MN 55303 (12.11,DCVAk PVB,SPV13,) (763)7464149 hitersbitetesting.tolncaStnet City: Ptopertyglwfter Information Pmiertt N*110. • ' Boutwell Land in. Ad•rOsk ' . • 5450 Nolan Parkway Ste* Zp *, • • . ' Oak Park Heirs 1V114 • 55082 ; •PrOpOry.0.11ia4/110040' Name: Phoutt • • . Mike Mader (651_1275-5012 ProPecti0Biteilt:$41*,;:; .kidr : s 5600 Norwich Parkway Oak Park Heqhts1 MN 55082. Ix Ctty: : .,.Oak Park Heights MN 55082 VilMOMION•aemosamo POPOV • Name: hoot Presbyterian Homes(Boutwell Landing) (651)275.5012 Type of Astembly/Work Performed ReL: • • '"i : .Plre :SP4".;7: ppm Test X Repair Tett Repair RB Test Repair HD_ Test_Repair R9 Backflow Assembly Information „ • : . .. ...,..Mode . . : : : S Semi 3/4" Wilkins. 975XL 1690666 Boiler Make U. Loath*of AisernbirliSA bui ding,0147. 00m Backflow Assembly Test Results Typof : quii.d(y.sve•#1:' "" :ShOt OriVialsie : Roio vain/ atecicv:400 AsserabI 1' • : ' V, ve " Opon tiosed sree open anted opened at 26 Fold Open (40(R4 X • • Pnadosto Cliff, 7.0 pad •tdd ootoyoo DevA . Open.._. Gond opep anee4 Open aeSed Prewar.*Olff. Presture DIM____ pd PVB/SPVB Opee aosed Opened at pd OPOO :400d ptossure 0 psid Pld tot owl cOMMOIRS: PASS X FAIL• _ . Tester's Information Nis.1•11111.11.110.0.10.1. TestName Teetee'eSigatOio Ceetlficatioe!:.ti Pate: • •••4 • Donn Miller BF065323 08-06-24 . . .