HomeMy WebLinkAbout2013-08-29 Backflow Preventor (RPZ) Test Report - Trash Room - Chute Rinse 2013-09-04 12:01 INTERSTATE TESTING 7637555365>> P13/13
Cross Connection Control Device Performance Test
Interstate Testing
2140 141st Ave. NW.
Andover Mn. 56304
Phone(763) 7444149
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Owttw Name Strout Adams
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• MEAL TEST
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COMMENTS
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I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY.
Tester Name(print) D a Pi P-1 ill 1 /J A` Registration No.a 6C 3-23 8 rilras of Day
Tester Signature C 2,•01,-.. '1- -et Phone No.76 3 Date 225)1-R