HomeMy WebLinkAbout2013-07-03 NAC Mechanical RPZ Report - Svcs Board Room Chiller f _ .--- -- - _ . . ... -- - I
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IMIIIII A 24 Hour Service
Mechanical& Electrical Services www.nac-hvac.com
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1001 Lahore Industrial Court,Suite B,Vadnais Heights,Minnesota 55110 tel: 651-490-9868 fax: 651-490-1636
RPZ Report
BAC+� K}F LOW PREVENTOR (RPZ) TEST REPORT
NT-44i &A
AA ADDRESS: '1 AA S-C. /V 0 J3 ox 6,,-/J-I I k ic4I,dItt 5Co gp1
OWNER/OCCUPANT/CONTACT PERSON: a/ S i, - / 9 i v c C
CONTACT PHONE#: f.['f c --75a,1 Cluj t-k-? _ 6 ,c-- i ® _b
DEVICE LOCATION:J)') ai I FLOOR#: Z.L I ROOM#: b'�,
SERVICES WHAT SYSTEM: P Ci o-( tr., y14 C j J((ref-
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MAKE: kin,f4. TMODEL: 0(2`t SIZE: %7 t; SERIAL#: 1 11 4 Y I
INSTALL DATE: !OVERHAUL DATE: r-3 3 TEST DATE: '_3 13
#1 CHECK VALUE RELIEF #2 CHECK t.
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PSI/DIFF BPSI/DIFF VALUE
TEST BEFORE REPAIRS OK
FINAL TEST * b D• S O k ,
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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): C ;ip-t(.I
CERTIFICATION NUMBER: &2 3(9 3 3--E
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