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Home My WebLink About2003-04-04 Mid-City Mechanical Annual RPZ Test Report - Watts 51202 r-1 ANNUAL TEST REPORT /^ REDUCE. 2RESSURE ZONE BACKFLOW l .VENTERS DOUBLE CHECK VALVE ASSEMBLIES MANUFACTURER Watts MODEL 009 SIZE 1 / 2 " SERIAL# S1202 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 CHECK VALVE NO. 1 CHECK VALVE NO. 2 RELIEF VALVE (FOR RPZ ONLY) INITIAL LEAKED ( ) LEAKED ( ) OPENED AT TEST CLOSED TIGHT (t-1 ( CLOSED TIGHT ( — REDUCED PRESSURE ''` 5 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: FINAL CLOSED TIGHT ( ) CLOSED TIGHT ( ) OPENED AT,2 SI TEST REDUCED PRESSURE INITIAL TEST BY A (< �, 5 - DATE (/% 6 ( - (13 SIGNATURE �; �� REPAIRED BY DATE SIGNATURE FINAL TEST BY: MID -CITY MECHANICAL DATE ` I" Y '0) SIGNATURE it-z/ 9103 DAVENPORT ST. N.E. BLAINE, MN 55449 (763) 757 -7100 PHONE CERT. NO. 0 el (763) 786 -8640 FAX