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HomeMy WebLinkAbout2024 Interstate Testing Report Aug.09.2029 10:21 AM Interstate Testing 7637555365 #6313 P 11/29 , 4 • intersiate Testiag, PA.Ocix 5.5 Backflow Assembly Test Report Anoka,MN 55303 (RPZ,DCVA,PVB,SPVB,) (763)7444149 litterslatategingeagncastnet City: Property/Owner Information Presbyterian Homes(Boutwell Landin9) Proper,*MI•ipasST, addrssF : • 5597 Norwic Parkwa • . . • Stater • Zip: Oak Park Hei.hts 55082. Pt*iietty:04 /Phoneiti Muse; ' Phone. Mike Mader 651 275-5012 •OirD *O**It:44140 ;. itdtres14 .: 15600 Norwich Parkway Oak Park Heights, MN 5082 ' StitisVp ; :00k Park Heishts MN 55082 Pti41014!y.Ovirtiatypititieit:. Nama Phone: Presb: erlan Homes Boutwell liandin• 651 27 -5012 Type of Assembly/Work Performed T air . . Test R ; Test. .. Re. RE) Test . •Repair_RB_ Backflow Assembl Information Size Makt -Model ' : ": 3" DC200 RA0802 Fire Suppression Location alksstenthll*: insicre Church,back room Backflow Assembly Test Results Typeof chicky40e*i. .:outouvsoe#2 s: itellitti#100/ chedcValve#2 :• Aremby Ah bidet Valve _ • Rpz Open Closed Open Closed Opened at pd Open Closed Pressure OM odd Old not Open , . . . . • ocitA:, open ckd Open , Closed Open Closed Pressure OW. 3.2 psld reviews Olft 3.6 old - • •• . • 11,11B/SPyil• 'Veit— awed Opsped et Oda : Open Closed Pressu re 014 paid old cot orris contmeate: PASS;_jL.FAlt Testers Information Testes Name: • Tistees Sighilituret • Ceetilifleatproal: • Date Donn Miller x0,4„. BF065323 08..06-24 • _