HomeMy WebLinkAbout2013-07-03 NAC Mechanical RPZ Report - Svcs Irrigation 114.--v----
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Mechanical& Electrical Services www.nac-hvac.com
1001 Labore Industrial Court,Suite B,Vadnais Heights,Minnesota 55110 tel: 651-490-9868 fax: 651-490-1636
RPZ Report
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BACKFLOW PREVENTOR (RPZ) TEST REPORT _
JOB ADDRESS: )L4 241 WAA J(- 1 O 150,1(lP 54-H t(u;Jar/f 55-0gd
OWNER/OCCUPANT/CONTACT PERSON: i ` (0 / ' j r cin.P-44A°CONTACT PHONE#: i ti4 YAW
DEVICE LOCATION:'}-E?�� ;C'0 FLOOR#: 1 ( ROOM#: 7C 6i
SERVICES WHAT SYSTEM: cr e 'O
! c I SERIAL#: . 0 9'7q MAKE: d= i,C �. I SIZE:
INSTALL DATE: OVERHAUL DATE:f jj TEST DATE: 7-" -0)47/3 i
#1 CHECK VALUE RELIEF #2 CHECK 1,
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PSI/DIFF BPSUDIFF _ VALUE _
TEST BEFORE REPAIRS OK
FINAL TEST G -0)- c) - 0 a
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): ( ' 'S"am/co-u-X 1-1
CERTIFICATION NUMBER: CO 3, 3 3---6F
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COMPANY NAME: NAC Mechanical&Elec CONTRACTOR LICENSE#:
COMPANY ADDRESS: 1001 Labore Industrial Ct COMPANY PHONE II: 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
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