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Home My WebLink About2001-02-21 Mid-City Mechanical Annual RPZ Test Report - Watts 51202 ANNUAL 'TEST REPORT REDUCE', PRESSURE ZONE BACKIQOW I'REVENTERS 'DOUBLE CHECK VALVE ASSEMBLIES MANUFACTURER Watts MODEL 009 SIZE 1/2" SElt1AL# S1202 NAME OF FACILITY Valvoline Instant Oil e Chan �� Change COUNTY ADDRESS (Street, City, Zip) 5800 Neal Ave! Oak Park Heights, MN LOCATION OF DE IN BUILDING Check Valve No. I ' Ch eck Valve No. 2 Relief Valv ` ' (For RPZ Only) Initial - Leaked Test ( ) Leaked ( ) Opened At Z PSI Closed Tight ( ) Closed Tight � ( ) Reduced Pressure `" `, cl Did Not Open ( ) DESCRIBE Cleaned REPAIRS ( ) Cleaned ( ) Cleaned Replaced: ( ) Replaced: ( ) Disc ( ) Replaced: ( ) ( ) Disc ( ) Disc Assembly ( ) Disc Holder ( ) Disc Holder Stem ( ) O -Rings ( ) Retainer ( ) ) Stem Retainer ( ) Stem ( ) 0-Rings ( ) Spring ( ) ( ) O -Rings ( ) Diaphragm ( ) Seat ( ) Seat Spring ( ) Seal ( ) ( ) Spring ( ) Spacer ( ) Guide ( ) Guide . ( ) Other-- - Bushings ( ) Bushings ( ) Other -- �' ) Describe Below: ) Other-- - Describe Below: Describe Below: ) • SPECIAL COMMENTS: Final Closed Tight Test ( ) Closed 'fight ( ) Opened Al PSI Reduced Pressure INITIAL TEST BY liMir rj Z! DATh, I SIGNA'T'URE ; ,,.,.r ) �, REPAIRED BY DA'Z'E SIGNATURE FINAL TEST BY:AU— 'ity jugghxd2rp. DATE SIGNATURE q l0 - 9 1 - 07 - Davenport St. NE, Blaine, MN 55449 4.6.1-2--75777I00) CERT 1 017,5-27- i . ,.... .... ....... .._.... _ ..._...............,.. -.........._...,....... _ _•... ..s ..._.