HomeMy WebLinkAbout2012-08-22 Backflow Preventor (RPZ) Test Report - TH Mech Room - Fire System 2012-08-23 13:56 INTERSTATE TESTING 7637555365» P 11/13
Cross Connection Control Device Performance Test
Interstate Testing
2140141-st Ave. Nom.
Andover Mn. 55304
Phone (153) 744 -6149
OWNER INFORMATION _.
o Name a Street Address
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tats Dp Code Owners Contact Perron Telephone Number
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FACILITY INFORMATION
Na me ` Street Aderoee
Fir 4 W e l i 6,■1 A 4. / AI 'S ti S ♦ ., . # . "V
spy � 2rp Code Cowfie
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Assembly Type ❑ DC ❑ DC C Eve - gave
Size � '+ ❑ RP Detector
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INITIAL TEST
0 ht a toned Dtd not open PSID Q [�p tlpM ❑ Leaked _
C 7 " � PSID
Static 1 PSID Static.
• MST °closed tight Opened at PSI)
Darned ��
Static PSID PSID Static
DETECTOR BYPASS ASSEMOLY INITIAL TEST retiaf vatMe
U Closed Eght CPIreed tight lened at PSID
❑ Leaked o Did not open
Q Leaked
Static _ PSID Static PSID
DETECTOR BYPASS ASSEMBLY FINAL TEST
❑ Closed Opened at PSID
0 Closed tight
Static PSID Static PSID .
PRESSURE VACUUM eldwaiii PRESSURE V UM SRIAI(ER FINAL TTE�SyT�
1r Inlet Valve el ..t. r 1. "�'..""
9❑ )119.2t _ P81D • tight Opened at PSID Static + ti0� PSPSID open
Static PSID
COMMEfITS
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!HERESY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CO N ID E ME E PERSONALLY.
Tester Name (print) ! io h i _l er— Registration No. o�s3Z 3 9J Time of Day
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Tester 31Cneturo _. CS
cs,_ P/.71 ,., .r Phone No.'Lk3 1 Vi,/ 4i Sr, Dabs 42422/