HomeMy WebLinkAbout2013-07-02 NAC Mechanical RPZ Report - Svcs Softeners 24 Hour Service
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: l .1-1`{ 6s)V4 4( Bax(c, S f i( ,(i r fiv S-579[2
OWNER/OCCUPANT/CONTACT PERSON:fiji SL 60 a,cu ( )
CONTACT PHONE#: (-1 k c�J �r l 4.7 (e 1 Ais(7 -
DEVICE LOCATION:J(kc La C Rik\ FLOOR#: I ROOM#: JI'7/(7
SERVICES WHAT SYSTEM: 5 dc4tek,e,
1`
MAKE:( b[0 I MODEL:9a) SIZE: 2_ SERIAL#: p-7_ 3 I
INSTALL DATE: OVERHAUL DATE: q--.#4-01 TEST DATE: `e)-C l3
#1 CHECK VALUE RELIEF #2 CHECK
PSI/DIFF BPSUDIFF _ VALUE
TEST BEFORE REPAIRS OK
FINAL TEST $-c l ok
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): Waite „e"-cemet a `-i^
CERTIFICATION NUMBER: 65;-
COMPANY NAME: NAC Mechanical&Elec CONTRACTOR LICENSE#:
COMPANY ADDRESS: 1001 La bore Industrial Ct COMPANY PHONE#: 651-490-9868
CITY: Vadnais Height STATE: MN ZIP: 55110 ,CONTACT PERSON: Charlie Kistler
ATTACH COMPLETED TEST REPORT TO PLUMBING/GASFITTINGIRPZ PERMIT
APPLICATION AND SUBMIT WITH FEE