HomeMy WebLinkAbout2013-07-02 NAC Mechanical RPZ Report - Svcs 75 Softeners �,,‘ i
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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
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS: I _ d s �/ �C! mil 1
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OWNER/OCCUPANT/CONTACT PERSON: 445 tk 6,04/11\ jet, j+Pul r.'
CONTACT PHONE#: ,c t ci 1 &w t"-1 '� 6s-1- -0 -6,,)0? ?
DEVICE LOCATION:) i(i(I g FLOOR#: 1 ROOM#:`7
SERVICES WHAT SYSTE : '2S- 3y(4 r S
MAKE: tt:ir t�_ I /� l SERIAL#: FL z-,7
INSTALL DATE: IOVERHAUL J--0 Cif TEST DATE: -7".) °0 (9 r3
#1 CHECK VALUE RELIEF #2 CHECK
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PSI/DIFF BPSI/DIFF VALUE
TEST BEFORE REPAIRS OK
FINAL TEST g-- (-9 0
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): i h ----41 ,,641(Y)7 V C Cc
CERTIFICATION NUMBER: 6 303 -6R
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