HomeMy WebLinkAbout2012-08-22 Backflow Preventor (RPZ) Test Report - LL Mech Room - Boiler Feed 2012 -08 -23 13:55 INTERSTATE TESTING 7637555365» P 6/13
Cross Connection Control Device Performance Test
Interstate Testing
2140 141st Ave. NW.
Andover Mn. 55304
Phone (703) 744 -6149
OWNER INFORMATION
Ceyaer I Sweet mow
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Starr ' , cod. O.r rrs Coaled Person _— _ 'Telephone Number —
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FadNty Name - Street Address
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......r., „ — mode! Serlel Number
Size / %. Assembly Type UAW .11‘11361easelor 0 DC 0 DC Detector 0 P WSV®
I mAL TEST m !�, YatY4
tight 0 fi4tiaa tight U PSID
o Leaked Did not open
Static PSID Static p- PSID
FINAL Clamed da t1t D Closed tight Opened at PSID
Static P510 Static • PSID
D "TECTOR BYPASS ASSEMBLY INmAL TEST
0 cioesd tight Cbeeo tight PSI
Cloaked Leaked 0 Did not open
static PSID Static Ps1D
DETECTOR BYPASS ASSEMBLY FINAL TEST
D Closed tight D Glossa agnt Opened at PSID
Static P51D Static PS10
PRESSURE VACUUM BAKER INI'hAL TEST - PRESSURE VACUUM BREAKER FINAL TEST
A !•. -. , .. AILIelelashee
DDid.iotop.n PSID : tight Opened et PSID ealitiedtht PS1O Waked
Static Static PSID
COMMENTS -- II 3 €2 % .• L 1•4 4 1 /...• < 7
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HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY.
-eater Name (Bret!) DL�I') it /h. //•e.,- Registration No. 04, , -23 , 3 ; Time of Day
`'aetar Signature ( �r ' Phone No. - 7 t•. '�V e ,� Dabs 214.2k