HomeMy WebLinkAbout2010-08-19 Backflow Preventor (RPZ) Test Report - Fountain Room 09/20/2010 14: 38 7637555365 DONN MILLER PAGE 10/18
Cross Connection.Control Device Performance Test
Interstate Testing
2140 141st Ave.NW. .
Andover Mn. 5&304
Phone(763)7444149
OWNER*4FO AT . .
—071or Nam Most Address
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Stre 9 11 Assembly Type O RP 0 RP Detector O DC O DC Detector O PVBJBVB
To r
�sdigaeatis g. ? PSIS
O€ ,7 n open
CI� - ¢ PSC
RITALTEST
OCkeedifght O Closed tight Opened at PS10
Sp P&I
ec D S c P
DETECTOR BYPASS ABLY MODAL TEST RP yo •
' D Leaked OOdnotoven MD
Static POD Sts is PSIO
ACTOR BYPASS ASSEMBLY ANAL TEST
O closed light 0 Closed tight Opened at P31D
Static. PS Static Pao
MEASURE VACUUM SWARM RflTW.TEST . i PliESsuni VAR:A1M en AKI(R TOTAL TEST
iStinkizattst Chisiumbea :ib[t kid Volga
PSI0 8 Closed tiQ1 :opened at
PSIO
O oed s o open
Stade PSC ,
COMMENrs
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i HEREBY CERTIFY THE TEST RESULTS ARE TRUE ANO THE TEST WAS CONDUCTED BY ME PERSONALLY.
T N t ) onn Miller n No. 03-02227 T - of Day
1 Phone No. (7 3) 744-6149 5 i 1f ca
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