HomeMy WebLinkAbout2026-01-09 Yale Mechanical Backflow (RPZ) Test Reports Yale Mechanical
Building Efficiency and Sustainability
A Service Logic Company
BACKFLOW PREVENTOR (RPZ) TEST REPORT
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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" AB18930
INSTALL DATE(MONTH/DAY/YEAR): OVERHAUL DATE(MONTH/DAY/YEAR): TEST DATE
(DO NOT PUT A FUTURE DATE IN THIS (MONTH/DAY/YEAR):
BOX) 1-9-26
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
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FINAL TEST
9.0 2.8 2.6
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 8Vt Street,Bloomington, MN 55420 ■ 952.8'84.1661■yalemech.com
Yale Mechanical
Building Efficiency and Sustainability
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) 1-9-26
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
9.2 2.6 2.8
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 West81StStreet, Bloomington,MN 55420 ■ 952.884,1661■yalemech:com
Yale Mechanical
Building Efficiency and Sustainability
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) 1-9-26
#1 CHECK VALVE RELIEF #2 CHECK VALVE
PSI/DIFF PSI/DIFF
TEST BEFORE REPAIRS
FINAL TEST
7.2 2.6 2.2
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'sr Street,Bloomington, MN 55420 ■ 952.884.1661■yalemech.com •