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HomeMy WebLinkAbout2012-08-22 Backflow Preventor (RPZ) Test Report - Trash Room 2012 -08 -23 13:57 INTERSTATE TESTING 7637555365» P 12/13 Cross Connection Control Device Performance Test • - interstate Testing 2140 141st Ave. ?i0V. Andover Mn. 55304 Phone (763) 744 -5149 OWNER INFORMATION • Comm Name - Stroud Address -re_S..i.1 o 1 4 • / �` �se C r quo Zip Code Getters Conrad Person telephone Number FACH_VTYINFORMATION ( Name w .� / Sweet Aedroe. - l r %.-L; - 'QV j;' / TIP code Cowdy OrIk J rr // Me�I� 4 -- ASSOmb+y tDobson - 13 Cr ., 1 ' / . S' �l,.n: ors Manufacturer 7 7cX L )7 Number '/ 3c SI7s • y Qasaenblr Type !gyp 0 !3P Detector 0 DC 0 DC for u ti VNISVB INITIAL r ST „ ti peen a t , PSID 1 4 • • Deed t U Did not open Q Static PS PSID ID Static Raft IEST ❑ Closed tight Opened at _ PSID Clamed VII Static PSID Static PSID DETECTOR BYPASS ASSEMBLY IPIMAL TEST E sI tight tit pt�ensd at PSID © Leaked ❑ Leaked U Did not open Static P910 Static PSID DOCTOR BYPASS ASSEMBLY ANAL TEST dosed tignt Opened at aSiD ID Closed VA PSID Stork P510 Stsdc PRESSURE VACUUM 4 A INITIAL TEST REINSURE ;.T UM • • • • i R FINAL TEST 4f� (� lr e tw r� i e st d wpivt PSID e- 4 4rdrd :Opened it PSID IJ Cbaed Light et O Old not open ►-a t '� Static PSID COMMENTS ,, -" 'I 4 1/ 2 4 a---s I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CON Ig_1515Y ME PERSONALLY. Tester Marne (print) f l y , e 1 / ) .e,-- Registration No. 04. Timis of Day � / a--1- / Toetar SionatUte c PAL -!�f Phone No. "763 7W !,/ Sag Dee _ !1 JL