HomeMy WebLinkAbout2013-07-03 NAC Mechanical RPZ Report - Mech Room-Boiler Feedwater Tank 07/31/2013 14: 50 6514394061 BOARD OF WATER COMM' rHUt b4/bb
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Mechanical & Electrical Services www.naahvac.com
1001 Lahore Industrial Court,Suite B,Vadnals Heights,Minnesota 55110 lel: 651-490-9868 fax 651490-1636
RPZ Report
BACKFLOW PREVENTOR (RPZ) TEST REPORT
JOB ADDRESS: j5O 15 Nall ek g
OWNER/OCCUPANT/CONTACT PERSON: (fC6 k , C 4
CONTACT PHONE#: eel ic --so 11101,4
DEVICE LOCATION: M 7(e ( d t 1_ FLOOR#: ROOM#: $ 1 (:
SERVICES WHAT SYSTEM: l (-ef Fe r 'a 1 = 6-
MAKE:W 1 1)74■_> JMODEL: 7L I SIZE: it l 12 SERIAL#: 1 6 60 3
INSTALL DATE: OVERHAUL DATE: �q,"Q 0I O TEST DATE: 7—3—Q0 3
#1 CHECK VALUE RELIEF #2 CHECK
PSUDIFF BPSI/DIFP VALUE
TEST BEFORE REPAIRS OK
FINAL TEST q-c f
C5
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): 141,64(A evrt c, v e�
,CERTIFICATION NUMBER: (p IV 3 3--6F
COMPANY NAME: NAC Mechanical&Elec CONTRACTOR LICENSE a:
COMPANY ADDRESS: 1001 Lahore Industrial Ct COMPANY PHONE 0: 651-490-9868
CITY: Vadnn is Height STATE: MN ZIP: 55110 CONTACT PERSON: Charlie Kistler
AITACH COMPLETED TEST REPORT TO PLUMBING/GASFITTING/RPZ PERMIT
APPLICATION AND SUBMIT WITH FEE