HomeMy WebLinkAbout2025-01-29 Yale Mechanical Backflow (RPZ) Test Reports Yale Mechanical
r Efficiency and *ust : r
A Service Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 Memorial Ave N
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
Peter 612-346-0004
DEVICE LOCATION: FLOOR#: ROOM#:
MRI mechanical room 1
SERVES WHAT SYSTEM:
Humidifier
MAKE: MODEL#: SIZE: SERIAL#:
Wilkins 975XL2 3/4" ABI8930
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 1-29-25
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
9.0 3.0 2.4
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
TEST DONE BY(PLEASE PRINT FIRST&LAST NAME): CERTIFICATION NUMBER:
Ryan Peterson BF739338
HVAC■ PIPING■ SHEET METAL■ MILLWRIGHT■ PLUMBING
220 West 81`t Street,Bloomington,MN 55420 ■ 952.884.1661■yalemech.com
Yale Mechanical
I:i r Efficiency :3n
A Service Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 Memorial Ave N
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
Peter 612-346-0004
DEVICE LOCATION: FLOOR#: ROOM#:
MRI mechanical room 1
SERVES WHAT SYSTEM:
Boiler fill
MAKE: MODEL#: SIZE: SERIAL#:
Wilkins 975XL2 1.5" ACE6315
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 1-29-25
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
9.2 3.0 3.6
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
TEST DONE BY(PLEASE PRINT FIRST&LAST NAME): CERTIFICATION NUMBER:
Ryan Peterson BF739338
HVAC • PIPING• SHEET METAL• MILLWRIGHT■ PLUMBING
220 West 81°Street,Bloomington, MN 55420 • 952.884.1661■yalemech.com
Yale Mechanical
Efficiency and
A Service Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS:
5715 Memorial Ave N
OWNER/OCCUPANT/CONTACT PERSON: CONTACT PHONE:
Peter 612-346-0004
DEVICE LOCATION: FLOOR#: ROOM#:
Sprinkler riser room 1
SERVES WHAT SYSTEM:
Irrigation
MAKE: MODEL#: SIZE: SERIAL#:
Apollo RPLF4A 1.5" 37672B
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 1-29-25
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
7.4 2.6 2.4
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,INDICATE THE SERIAL NUMBER
OF THE DEVICE REMOVED):
TEST DONE BY(PLEASE PRINT FIRST&LAST NAME): CERTIFICATION NUMBER:
Ryan Peterson BF739338
HVAC• PIPING• SHEET METAL• MILLWRIGHT• PLUMBING
220 West 81"Street,Bloomington, MN 55420 • 952.884.1661■yalemech.com