HomeMy WebLinkAbout2012-08-22 Backflow Preventor (RPZ) Cross Connection Test Report - Boiler Room - Chiller Feed 2012 -08-23 13:57 INTERSTATE TESTING 7637555365» P 13/13
Cross Connection Control Device Performance Test
Interstate Testing
V X140141N3t Ave. P W.
‘,..a., 2140
Mn. 55304
/ 1 Phone (7e3) 7444140
OWNER INFORMATION
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FACILITY INFORMATION
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Size Z/ " Assembly Type Pa .BP- 0 RP Detector 0 DC 0 OCbetetzor 0 PV V
s ld TEST i __c p ? - PSID
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Sid ti c Leaked d PSID Static 0 r PSID
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SISAL 'PEST
❑ Closed tight Opened at PSID
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Static PSID Static PSID
DETECTOR BYPASS ABLY INITIAL TEST n et yahl
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Did not open
Static 1i�
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DETECTOR BYPASS ASSEMBLY FINAL MST Cooed tight Opened at PSID
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Static P810 Mac, PSID
PRESSURE VACUUM OREAl(* Rena TEST ; PRESSURE VACUUM BREAKER FINAL TEST
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pe ened . Static PSID Looked p� Static PSID
COMMENTS t.
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I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDO_ WY.NE PERSONALLY.
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Tester Signature . �-: