HomeMy WebLinkAbout2013-08-29 Backflow Preventor (RPZ) Test Report - LL Soiled Laundry Room Test Sheet
Client Boatwell Landing pipe Dream
Address 13575 58th St North
City Oak Park Heights
MN MN plumbin g Inc
Zip 55082
Owner/Contact Presbyterian Homes/JimA
612-396-4798
Phone 651-775-5859
Fax
TEST #
Municipality Test Date: 08/29/2013
Location of Device: Lower Level Laundry Room (soiled laundry)
Serves: Shoot Rinse
Make and Model Size Serial# Yr
Wilkins 975XL .75" 3027832 Rbld
Check Check Pres. Dif Across Pres.Dif Across Strainer
Valve#1 Valve #1 Check Relief Valve
#2
Test Before Leaked Leaked psi psi None ( )
Repair Closed- Closed Cleaned( )
Describe Repair:
Final Test Leaked Le d _8.5 psi _3.2 psi
Closed 1 se
Materials Used: -�
Certification:
I hereby certify the foregoing data to be correct and that the tested device is functioning
within the limits of the standards.
Firm Name: Pipe Dream Plumbing Inc. 3333 Emerson Ave S,Mpls.,MN 55408
By: Thomas Sidla Backflow Tester Certification# 063692-BF
Remarks:
Pipe Dream Plumbing, Inc 4914 Colfax Ave S, Mpls., MN 55419 Fax: 763-434-4103