HomeMy WebLinkAbout2013-08-29 Backflow Preventor (RPZ) Test Report - Fountain Room Sep. 16.2013 03: 31 PM EIGENHEER 7634344103 PAGE. 3/ 4
Test Sheet
Client Presbyterian Homes
Address 13575 58th St N Pipe Dream
City Oak Park Heights
MN Plumbing Inc
zir
Owner/Contact Jim Armstrong 612-396-4798
Phone 651-775-5850
Fax
Municipality 'MST 4
Test Date: 08/2912013
Location of Device: Fountain Room under stairs
Serves: Fountain
Make and Model Size Serial # Yr
Wilkins 975XL .75 30278966 R.bld
Check Check Pres. Dif Across Pres. Dif Across Strainer
Valve #1 Valve #1 Check Relief Valve
#2
Test Before Leaked Leaked psi psi Nonc( )
Repair Closed- Closed Cleaned ( )
Describe Repair: 5th year rebuild
Final Test Leaked I,eAed 9.1 psi _3.6 psi
Closed AD .
Materials Used:
Certification:
T hereby certify the Foregoing data to he correct and that the tested device is functioning
within the limits ()Idle standards.
Firm Name: Pipe Dream Plumbing Inc. 3333 l'nerson Ave S,Mpls., MN 55408
By: Thomas Sidla Back now Tester Certification 4 063692-BF
Remarks:
Pipe Dream Plumbing, Inc 4914 Colfax Ave ti, Mpls., MN 55419 Fax: 763-434-4103