HomeMy WebLinkAbout2013-07-03 NAC Mechanical RPZ Report -Mech Room-Heating Loop 07/31/2013 14:50 6514394061 BOARD OF WATER COMMI PAGE 02/06
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Mechanical & Electrical Services www.nao-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: ',co('S COD .- N 5 ■ \tJ ( ,(/I 1 n 5-54
OWNER/OCCUPANT/CONTACT PERSON: LL)CLS k. C ,/( �c
CONTACT PHONE#: J f u k_ �-4 !�[Ai a4 -- _ Q `
:DEVICE LOCATION:/rl-td AA:ca. 4 I FLOOR#: ( I ROOM#: s►r.C4
SERVICES WHAT SYSTEM:
MAKE: t..,14 MODEL:yottmf SIZE: 1 112 SERIAL#:
INSTALL DATE: 7-1--bW67 OVERHAUL DATE: _TEST DATE: e.)—5-aQ 13
NI CHECK VALUE RELIEF #2 CHECK
PSI/DXFF BPSYDIFF VALUE
TEST BEFORE REPAIRS l
OK
FINAL TEST - 0- a 0 i
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): WO C�e_ UVVL V t'C L
CERTIFICATION NUMBER: p �033-6r
COMPANY NAME: NA.0 Mechanical& Elec CONTRACTOR LICENSE#:
COMPANY ADDRESS: 1001 La bore Industrial Ct _,COMPANY PHONE#: 651-490-9863
CRY: Vadnnis Height STATE: MN ZIP: 55110 ,CONTACT PERSON: Charlie Kistler
ATTACH COMPLETED TEST REPORT TO PLUMBING/GASFITTING/RPZ PERMIT
APPLICATION AND SUBMIT WITH FEE