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HomeMy WebLinkAbout2005-04-04 Mid-City Mechanical Annual RPZ Test Report - Watts 71136 ANNUAL TEST REPORT P REDUCEI, PRESSURE ZONE BACKFLOW P1...:VENTERS DOUBLE CHECK VALVE ASSEMBLIES 'ANUFACTURER Watts MODEL 009M2QT SIZE 1" SERIAL# 71136 NAME OF FACILITY Valvoline Instant Oil Change COUNTY ADDRESS (STREET, CITY, ZIP) 5800 Neal Ave. N. -Oak PArk Heights, MN LOCATION OF DEVICE IN BUILDING Lower Level CHECK VALVE NO. 1 CHECK VALVE NO. 2 RELIEF VALVE (FOR RPZ ONLY) INITIAL LEAKED ( ) EAKED ( ) OPENED ATI PSI TEST CLOSED TIGHT (4CLOSED TIGHT (,/ REDUCED PRESSURE DID NOT OPEN ( ) DESCRIBE CLEANED ( ) CLEANED ( ) CLEANED ( ) REPAIRS REPLACED ( ) REPLACED ( ) REPLACED ( ) DISC ( ) DISC ( ) DISC. ASSEMBLY ( ) DISC HOLDER ( ) DISC HOLDER ( ) . 0-RINGS ( ) n 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: FINAL CLOSED TIGHT ( ) CLOSED TIGHT ( ) OPENED AT PSI TEST REDUCED PRESSURE INITIAL TEST BY /I ( (`� F ��% C DATE 1/ — ` SIGNATU '��7 REPAIRED BY DATE SIGNATURE FINAL TEST BY: MID-CITY MECHANICAL DATE. - i{ - ` 1- ' SIGNATURE - 4 7 fd ?":'-z,. DAVENPORT ST. N.E. BLAINE, MN 55449 (763) 786 -8617 PHONE CERT. NO. 43 2 A 9 `f T (763) 786 -8640 FAX