HomeMy WebLinkAbout2013-07-02 NAC Mechanical RPZ Report - Heating Loop ( r� ` _.
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Mechanical&Electrical Services www.nac-hvac.com
1001 Lahore Industrial Court,Suite B,Vadnais Heights,Minnesota 55110 tel: 651-490-9868 fax: 651-490-1636
RPZ Report
BACKFLOW PREVENTOR (RPZ) TEST REPORT .
JOB ADDRESS: l Ll A L L'1(k 1T" " JT54-.. l &_, Y /54 dfw�r/ I1 r?5Q C
OWNER/OCCUPANT/CONTACT PERSON: 3J 1 (ck 'C%' Ce k 4 r
CONTACT PHONE#: g.ct/, -5a I t.. J_s..I- 0 _6 a; 7C
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DEVICE LOCATION:irk-EC ,t= Ca( 4 I FLOOR#: ' I ROOM#: /'67/'0
SERVICES WHAT SYSTEM: ktfa..."r. 40,
MAKE: 1(c) JMODEL: Q SIZE: t SERIAL#: A.en s7c76,
INSTALL DATE: 'OVERHAUL DATE: Q'I L"I _TEST DATE: 7 —ZQ/ 3
#1 CHECK VALUE RELIEF #2 CHECK k
PSUDIFF BPSI/DIFF VALUE
TEST BEFORE REPAIRS jj OK
FINAL TEST (# - j.- ,
DESCRIBE REPAIR IF ANY(IF THIS IS A NEW INSTALLATION AND REPLACES AN EXISTING DEVICE,
INDICATE THE SERIAL NUMBER OF THE DEVICE REMOVED):
TEST DONE BY(PLEASE PRINT FIRST&LAST NAME): t(JC(, s S fret)�, r
CERTIFICATION NUMBER: & 3033-6 I
COMPANY NAME: NAC Mechanical&Elec CONTRACTOR LICENSE#:
COMPANY ADDRESS: 1001 Labore Industrial Ct COMPANY PHONE#: 651-490-9868
CITY: Vadnais Height STATE: MN ZIP: 55110 ,CONTACT PERSON: Charlie Kistler _
ATTACH COMPLETED TEST REPORT TO PLUMBING/GASFITTING/RPZ PERMIT
APPLICATION AND SUBMIT WITH FEE