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HomeMy WebLinkAbout2010-03-05 Mid-City Mechanical Annual RPZ Test Report - Watts 71136 03/08/2010 12:35 7637868640 MID CITY MECHANICAL PAGE 02/02 ANNUAL TEST REPORT REDUCED PRESSURE ZONE BACKFLOW PREVENTERS DOUBLE CHECK VALVE ASSEMBLIES MANUFACTURER Watts MODEL 009M2OT SIZE 1" SERIAL# 71136 NAME OF FACILITY Valvoline Instant Oil COUNTY ADDRESS (STREET, CITY, ZIP) 5800 Neal Ave. N., Oak Park Heights, MN Store #96 LOCATION OF DEVICE IN BUILDING Lower Level SERVICES WHAT SYSTEM Main line right after the meter, irrigation is separate CHECK VALVE NO. I CHECK VALVE NO.2 RELIEF VALVE (FOR RPZ ONLY) INITIAL LEAKED ( ) LEAKED ( ) OPENED ATE 1 TEST CLOSED TIGHT 9() CLOSED TIGHT ( `/) REDUCED PRESSURE DID NOT OPEN ( ) DESCRIBE CLEANED ( ) CLEANED ( ) CLEANED ( ) REPAIRS REPLACED ( ) REPLACED ( ) REPLACED ( ) DISC ( ) DISC ( ) DISC. ASSEMBLY ( ) DISC HOLDER ( ) DISC HOLDER ( ) 0-RINGS ( ) STEM ( ) STEM ( ) STEM ( ) RETAINER ( ) RETAINER ( ) SPRING ( ) O -RINGS ( ) 0-RINGS ( ) DIAPHRAGM ( ) SEAT ( ) SEAT ( ) SEAT ( ) SPRING ( ) SPRING ( ) SPACER ( ) GUIDE ( ) GUIDE ( ) OTHER - -- ( ) BUSHINGS ( ) BUSHINGS ( ) DESCRIBE BELOW: OTHER - - ( ) OTHER -- ( ) DESCRIBE BELOW: DESCRIBE BELOW: SPECIAL COMMENTS: NeXT ittlki . 00E: 4 v/2- FINAL CLOSED TIGHT (X) CLOSED TIGHT (? ) OPENED AL.) Si PSI TEST REDUCED PRESSURE INITIAL TEST BY r Ar-Z DATE — 4 _ /0 SIGNATURE . `V , Q._,-,..... REPAIRED BY DATE SIGNATURE FINAL TEST BY: MID -CITY MECHANICAL DATE SIGNATURE )‘_y --.._. 9103 DAVENPORT ST. N.E. BLAINE, MN 55449 (763) 786 -8617 PHONE CERT. NO. (763) 786 -8640 FAX