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Home My WebLink About2024 Interstate Testing Reports Aug.09.2024 10:28 AM Interstate Testing 7637555365 #6313 P 23/24 • • Interstate Testing,LLC Backflow Assembly Test Report P.O.BOX SS- Anoka,MN 56303 (Rna DCVA,PVB,SPVB,) (763)7446149 InterstatetestinpeouicaaLnet Citir _ Cr(Wk0. A)/ Property/Owner Information (4o na?K Prf.p:e.itrmnez -Presbyterian Homes(Boutwell Landing) . ?nipeitt44400t; 44rase 5600 Norwich Parkwa • " " , • : . State Zip: ' • : Oak Park Hep.hts 082 •1).44**. )coatioptnisti Name' Photo: Mike Mader 275-5012 •VrOper0:qer*:A446104 itsicaviv 5600 Norwich Parkwy Oak Park Heights,MN 55082 . , : • • : eitr• " State zip: " Oak Park Hei I hts MN 55082 PrcOrq:0111101#06:1: • Num " • •maim : •, ,Presbyterian Homes(Boutwell Landing) (9.51)275-5012 Tyre of AsSembly/W0c Performed :Rpz ' - :Pvs • .DCVA Test_L.( Repair RD . Test Rgilor_KB Test ReOalr_RB .Test„Repair Backflow Assembi information • sae.: Mod •Setit15:: ?: .SYstenitMtedl, • 3/4" Wilkins 975XL 1191851 • Trash Chute Rinse Location of Assembly:A.L.trasloom 4 BaOcilowAssemtdy Test Results e Of : Cheekifidae#1 glut Off Valve#2 itallelY.Atitirei • • Litecit Valve#2 " valve 1 :Rpz Open,. aosett_IL Open dosed„ji_ °paned at 2,8 ;p.stri °pert*apses X : • • Pressure DM 9.0 pd 1M d 143t sPen . . • • . . .. .bcvA open_ Misled Open Mud Coed____ •• : •PURLU . Ptd Posture . odd • ArB/SPVit °Pen.' Cbsed opened ,,,_411da OSec4 aofed • Preiture pig._ d 134I not opeti . • , • Comments .PASS FAIL Tester's Information *tie*Nantes.' •' U*04 Signatnne: ' ettifikatton • Date: ,.... •. . . _ . Donn Miller B F065323 08-06-24 . _ . _ , Aug.09.2024 10:28 AM Interstate Testing 7637555365 #6313 P 24/24 Interstate Testing,LLC Backflow Assembly Test Report P.O.BOX SS Anoka,MN 55303 (141,DCVA,PVI3,SPVB,) (763)7446149 loterstatetestiogecomcostnet Citr Property/OwnerInfortnatton .Prop4MYNanic; Presbyterian Homes(Boutwell Landing) leapetty4kess: Addrest• 5600 Norwich Parkwa thy: • Slats 21p: • Oak Park Hel.hts M 55082 r1700ettkcatitaCt gme: Phone: Mike Mader (651)275-5012 :V0pety.CtOtnetit*We* Addres . 5600 Norwich Parkway Oak Park Heights,MN 55062 "" City: • Sista " Oak Park Hei.hts . MN 55082 " OPOIrtr OV tier/note#: Name:" " Phone presb .erian Homes(BoutweilLandin?) (651j 2755012 Type of Assembly Work Perfotmed IIPZ : SPITS DCVA . , Test !tejsalr..... Test ROW RB Test ROW RB Test Repair RR Backflow Assemb Information Sze Mak*: : :Modelk " :41/1:41:. *Stet Sertlee* 3/4" Wilkins 975XL 1191850 Boiler Make Up tocatjon cif Assernaly;boiler room Backflow Assembly test Results Typo or died(Valve Stitit Off Valve#2: : Relief Vat* 1. check Valve#2 AIrinlet Valve • Rpz Op _es Closed Open__ Oozed_I_ Opened at„Lk_Paid Open-Closed X . Pnessisre Olet,, 9.5 phi Didnotopen . - T DCVA. C"" Open Closed Close* Pressor*011t paid Pressons DOE Old •PVB/SPYS GP" coed _ °Pewit Psid Open, Closed Pressure DM Ott • 014 not open_ Comments' P414 Testeit Information Tester's Sittiaittie;! ; , Cestilkatio41: Date.. Donn Miller p BF065323 • 08-06-24 „:64.,, • , . .