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HomeMy WebLinkAbout2007-04-23 Mid-City Mechanical Annual RPZ Test Report - Watts 51202 ANNUAL TEST REPORT — REDUCE'. 2RESSURE ZONE BACKFLOW Ph.. VENTERS DOUBLE CHECK VALVE ASSEMBLIES M4NUFACTURER Watts MODEL 009 SIZE Y2 SERIAL# 51202 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 S Td r _ 4 rA- MA, k F(°d� ` 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 RESSURE 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: 6, (, ca n ed C k c c k "5 t -- ts I ;4 ,7-,-r , Tc s r (4 /-1 ✓ 6, - r -Gs -e. FINAL CLOSED TIGHT (1/( CLOSED TIGHT (V( OPENED AT2. PSI TEST '2, g' REDUCED PRESSURE INITIAL TEST BY (1 /(c . 4 v 7301 DATE q – ' ') SIGNATURE 7 -- r REPAIRED BY pi / k - FG v 6 - 1 1 DATE ti" 2 3 -° -7 SIGNATURE l/P ' AL TEST BY: MID -CITY MECHANICAL DATE "( - 3 ° — 7 SIGNATURE %!/i i 9103 DAVENPORT ST. N.E. BLAINE, MN 55449 (763) 786 -8617 PHONE CERT. NO. 2- a- l (763) 786 -8640 FAX