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HomeMy WebLinkAbout2024 Interstate Testing Reports Aug.09.2024 1026 AM Interstate Testing 7637555365 #6313 P 21/24 • InterstateTesting,1411..c ' Backflow PoO.Box 55 Assembly Test Report ' Anoka:,MN 55303 tRPZ,OCVA,PVB,SPVB,) C763)744-6149 toterstatetiestioakoincastnett City:: 4 . ' .. ,. Ptopert)riOwner Inf9Fitiation,_ Proirtir.O.,.i.ill:::, . : :: .:.: presbxterlan Homes(BoutwellLandirj) :P1*!1tyA4k100.:''! f......:'. r •AddrOP . : • . ':..,: ' 5600 Norwich Parkway i - ' • , . : City: . 'Siam Zip; Oak Park Hei.hts A . 51182 re000:07 Onta0/Phol.*.'s;'-' Nap*: PM* '...',. ..... '.. .....'..'.-.. - .,:: .'. ''.,: Mike Mader (651)275-5012 . . Property Owners Address:': midi* ., : : i 5600 Norwich Parkwa Oak Park Hei.hts MN 5 08 : : : .. i :.• : • : I: : :.. :. : City: Zip: • .. . - •. • 'Oak Park HeisMs MN . 55082 jiiireperir 9.4m#01w4ii#: ..: Hama ...... --- -rtione • ..; _.., .. ::: .: : . presbyterlan Homes(Boutwell Landina) . (651)275-.5012 Type:of Astembly/Work performed:. 1 '. .-,wrz......:: '.'.:.< ::• ..:: : : ':-,.: ' :003: '. '• : : : ' :7 . : ::::SPirt.': : : •'. . . . ' ..7;::soc,v4. .: •,.. '..:, ,.,:.: . 'rest itepalr it9 Test Repair RB.— :reg.,-RePair—R0—., . . Backflow Assembt information Size: ....i ':: ':t4ticii:. ...;: - i : ': ',::*.t.sosta: ' : '. :' ::'. '. : ' ..Stitial*:::: .•;1-: . • . ' z.ljitithit SeMted: 3/4" Wilkins 975XL ' 1293783 Boiler Make Up Location ol'Asseinbik: - . t oi er room .. - . . • . • . . Backflow Assembly Test Results Tipp of' . ':':.... ChodClialv,e#1 . :''.1'..n, ::$aist Oirlia ilioir-77 •-Reltieligivei .• : ciocityai**2-'.77". , . Asiendkry:' • . . :: : ::. ,._._• : : ': .•:: :.;Alrinleti VOW& RPZ ::. : ,OU _ Ckmd—4,- Open_ Closed ..Z,_ Opened at ,2.8 pd Opti*_cb...4 x, .. Prt;Fure DIM 7.5 pste Did gotittdpftt . . . . ... . . . . •••••••••••••• : . Open.._ Closed_ Open CIGsed . .0p01,....,", Clost4,, . ::. :. • PiessUrd.MIL pd . Pressupt.Ditt psld ' 1 . ,....: •,-, . • • . II/B/5011B : " "—i CMS"---!'""- °payed ei_psid anFed Primer...00X iiski Wend open Comments; " . . . •P4S4 &,..,PAU?.- Tester's infp*Ta4tion .. . ... . . . : Teateea.Naivia.: . : . :: :Vtei;e*.iiiSigliiiinie: :.'.1 CetrOiatiiiie I: : :. • Date: . . . . , Donn Miller apt BF065323 06-06-24 . . . Aug.09.2024 10:26 AM Interstate Testing 7637555365 #6313 P 20/24 . . • • • • . .. : . " • • .. • _. • .. • . . . . . . . . . Interstate Testing,LLC . • Backflow Assembly Test Report. . : Anoka,MN 33o3 (Ri'Zi.:DCVA,PV110 SPV8,) (763)7444149 i . laterstattetesthigt.icomcostnet , • Pitsperty/Owner.Information: . 7 ._; -. . • • . . : •P;*perty 14040t:••• . ••• : . . ... , •, ......-.; • . ...• .,.. ..... Presbyterian Homes(Boutwell Landing) r . . 4 f°!gPertY444resik'''.... s:•.:' Adoro • • • . .• . . • - : ••• 5600 Norwich Parkway ,. - :. •: - . • •.':' : '. * ;city:, ' 0 0'state. zip, • , , : .. .. ' ..1. ' • . .., Oak Park Heights MN 55082 -• .1 :PrOPek*COAta4t/p1S,O.t:.: 'Now Plion i • . 1.. .• •• :.•..".::.:••. • '.•• .Mike Mader . . 651 275-5012 . ., :PrOper.**410e0•4407.0.10 • A4drts4 .• .. :.• ::.. :: : .•.: .•.: :....... ...:,:.•. . 560Q Norwich Parkway Oak Park Heights, MN§5082, . , , , • i • MAW: ..' 21p: . . a ' . . 1. . : 1: ... : : Oak Park Heights N 55082 Pri)000yO*OWP460:0:-. ' Nanlel .. . . . Presbyterian Homes(Boutwell Landing) (651)275-5012 Type et 014senibly/Werit Performed •, . • RPZ• • • • , • Test .?. ,Re., r...„ ' : .._ .. Test.,.., Re.air ... 'Re Test _.. •et Jr . . : __ . Test_Repair_Re_ Backflow ASSenlbli Information . :1.61.itt. . . .::•': .: , ii: : .: : • ': ..I.Model . ...: •I 7 .....:- .:Siiiiiiiii:: '7 .. :'. . ..: . • • <. ' 4. ,.-StieVirced?....: •: 3/4" • Wilkins . 975XL 1298744 Location otAssembly: • . areage m. Yves • Backflow Assembly Test Results ; .. Typo( .: . ..owic.valve itli.: .. ... ., ...eht4()Keels*0.2:!.. •• '.RellOt 1dv0.. . ...: • atedt ValYe...02;. Assemb .:f: : . :. • : :: :.' . . . •:... '. • . • : • .• • . . .-.• '..MilatikViiivo: . . . .: :' ':..:'• : :: - . • itpz. .•:. 01041m.,— Closed--X—, opo_. aosan.„.25,_ Opened at 4(1"pa Op _Closed, X , : ::: ., • • ' Presspee Dia 8.2 psld, PIO/la oPell .... .... . : . ...:. . . . . . . . , • . . . . . .. . licii.k. . , 00eaL_r_ Gaged-____ Open......_ Closed__, *pegs_ Closed .....: ••:,•., .. '•. Pressure.Olt • psid , ,Proses/re DOG. psi d A • .• : • . . ' -1, .:PVB/SPV13. °Peb.,-- Clased.,.,— Opeord ot, paid . . . • .• \ Presugire WM gisid Did native's, , . , - . - • Comments: . • • . IINISS. :1411.: • : . , . . . .. Testees information _.. .. . _ :....Tosto.6.:Nam•V' ... "•.' : s. :11',0**:5110titti. •. . .•.. • r;• ' .....Z.aficatio4 ti ' :'.--' :7-'-'!--'—.•Dat : . . . . . . Donn Miller 11 .-- .2-e-------— BF065323 08-06-24 . . . 1.) ... . . I - . .....,.,..,... - .-........... Aug.09.2024 10:25 A14 Interstate Testing 7637555365 #6313 P 19/24 °Interstate' esting,LLC V.O.Boa S5 Backflow Assembly Test Report Anoka,MN 53303 (RPZ,DCVA,PVB;SPVB,) (763)704-61.49 texstatetesting@I'Cotncascnet , N-it it . . Proyertyf Oweter.Infonnatlon. 1.PrppertyName. Presbyterian Homes_lBoutwell LandlnQ) , Proprt A4dtew.: r Addrisc 5600 Norwich Parkwa City: 91agf Zip; . .` : . Oak Park Hehts �N. 55082 P Ctintpitt.f Pltene#i: dimes Paoa& • Mike Mader 651 275-5012 1"(n asty rOw40ceAd00*.:,: .Addt+ s ParkwayPark 0 a 5600 NorwichOakHeights, 55 82 Cigr Slate: Zip: Oak Park Heights MN 55082 Property.`4;fit4 JAhOne# ,., ?wow Phone: . PresbZrterlan Homes(Boutwell Landing) (651)275-5012 Type ofAssembl. ./Work Performed . Test;„Reeair„.„�,RB, . Tet Repair RB.. .. Test R alr kw , Test_Repair.. ,RD_: Backflow Assembly lnformation sig: _,. : ...: �: l - serial* , at . 3/4" Wilkins 975XL 1298714 , Location ofAssembly:I.L.Trash Fm. (East) Backflow Assembly Tent Results 'li rp of.•.. Chad V.aive;#i:. :Shut Off Valve#2ReJldVatve/ Qteck Yah►e.#2: Assembi : Air In V; ire :. RPZ , Opts acted.,..X(__ open. Closed„A .. . Opened at ,. .0 paid Open Closed._.2 .. Ptessuit Rif. 9.5 psid INd»ot open.»,,,,,,.,,.. . . ....,.._.� . . __...___ ..,.....,.....,. !CVA open,,,., cIoscd open Closed . . . Opeq closed Pressure Di t.. paid , Presnni D11t, paid. PVB/SPVB tlPt l ©used Opened at_,_;-r,;.,paid ' . Open Closed Pressure DIX psid.. Old isotopia_ Commentsi , - ... . . ... ,...� PASS X ; FAIL.:._. . Tester's Information .Tester'.a::Name:: Testee.a Sigoatp reh ..:Certdfcat on:Ni Date: Donn Miller BF065323 08-06-24