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HomeMy WebLinkAbout2008-03-04 Mid-City Mechanical Annual RPZ Test Report - Watts 71136 . ■ ANNUAL TEST REPORT REDUCE', PRESSURE ZONE BACKFLOW Ph._, VENTERS DOUBLE CHECK VALVE ASSEMBLIES t-4 NUFACTURER Watts MODEL 009M2QT 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 CHECK VALVE NO. 1 CHECK VALVE NO. 2 RELIEF VALVE (FOR RPZ ONLY) INITIAL LEAKED ( ) LEAKED ( ) OPENED AT PSI TEST CLOSED TIGHT ( ) 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 ( ) 0-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: - >r;G ✓ dUQ/G‘f ' i°I$ic / /..--/ ✓ C ,r /11 ,,,- ir / 7 - g7 FINAL CLOSED TIGHT (L- )•CLOSED TIGHT ( ) OPENED AT 3 PSI TEST g`-2 REDUCED PRESSURE INITIAL TEST BY DATE SIGNATURE REPAIRED 3 ., y ".=;r BY /Vii lee F4 e/ C c, D ATE SIGNATURE ',_ TAL TEST BY: MID -CITY MECHANICAL DATE 3 y , SIGNATURE' 9103 DAVENPORT ST. N.E. BLAINE, MN 55449 (763) 786 -8617 PHONE CERT. NO. a' /0 S' ? 6 /f (763) 786 -8640 FAX