HomeMy WebLinkAbout2013-07-10 NAC Mechanical RPZ Report - Boiler Room -Chiller Feed 07/31/2013 14: 50 6514394061 BOARD OF WATER COMMI PAGE 03/06
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Mechanical & Electrical Services www.nac-hvac.com
1001 Labors Industrial Court,Suite 8,Vadnais Heights,Minnesota 55110 tel: 651-490-9868 Fax: 851-490-1836
RPZ Report
BACKFL,OW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS: ?_®lc 41a44, 4- JV 6kkk.u- c cu
OWNER/OCCUPANT/CONTACT PERSON:
CONTACT PRONE N: k - [ri c, ;42 (D c i- 3n -- 61..),
DEVICE LOCATION: 150 i i.,o(' 0, FLOOR N: ( ROOM N: 1„! (.3 ,
SERVICES WHAT SYSTEM: (h /kr J ect,
MAKE:()Alfa(' MODEL: O 9'2 SIZE: I` SERIAL N: j 55-'
INSTALL DATE: OVERHAUL DATE: - ^0b() TEST DATE: .7^0—c2.01 3
#1 CHECK VALUE RELIEF #2 CHECK G
PSUDIFF BPSI/DIFF VALUE
TEST BEFORE REPAIRS OK
FINAL TEST z 3- o
DESCRIBE REPAIR IF ANY(TF 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):
CERTIFICATION NUMBER: so3•��(7 P
COMPANY NAME: NAC Mechanical & Elec CONTRACTOR LICENSE N:
COMPANY ADDRESS: 1001 Lahore Industrial Ct COMPANY PHONE N: 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