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HomeMy WebLinkAbout2014-04-01 Mid-City Mechanical Annual RPZ Test Report - Watts 71136 04/14/2014 10: 57 7637868640 MID CITY MECHANICAL PAGE 02/02 ANNUAL TEST REPORT REDUCED PRESSURE ZONE BACKFLOW PREVENTERS DOUBLE CHECK VALVE ASSEMBLIES MANUFACTURER Watts MODEL 009M2QT SIZE 1" SERIAL# 71136 NAME OF FACILITY Valvoline Instant Oil COUNTY ADDRESS (STREET, CITY, ZIP) 5800 Neal Ave. N., Oak Park Heights. MN Store #96 LOCATION OF DEVICE IN BUILDING Lower Level SERVICES WHAT SYSTEM Main line right after the meter, irrigation is separate CHECK VALVE NO. I CHECK VALVE NO. 2 RELIEF VALVE (FOR RPZ ONLY) a.a INITIAL LEAKED ( ) LEAKED ( ) OPENED AT PSI TEST CLOSED TIGHT (v. ) CLOSED TIGHT (, ) REDUCED PRESSURE 9.c.. G.L., DID NOT OPEN ( ) DESCRIBE CLEANED ( ) CLEANED ( ) CLEANED ( ) REPAIRS REPLACED ( ) REPLACED ( ) REPLACED ( ) DISC ( ) DISC ( ) DISC. ASSEMBLY ( ) DISC HOLDER ( ) DISC HOLDER ( ) 0-RINGS ( ) STEM ( ) STEM ( ) STEM ( ) RETAINER ( ) RETAINER ( ) SPRING ( ) 0-RINGS ( ) 0-RINGS ( ) DIAPHRAGM ( ) SEAT ( ) SEAT ( ) SEAT ( ) SPRING ( ) SPRING ( ) SPACER ( ) GUIDE ( ) GUIDE ( ) OTHER--- ( ) BUSHINGS ( ) BUSHINGS ( ) DESCRIBE BELOW: OTHER-- ( ) OTHER-- ( ) DESCRIBE BELOW: DESCRIBE BELOW: SPECIAL COMMENTS: FINAL CLOSED TIGHT ( ) CLOSED TIGHT ( ) OPENED AT PSI TEST REDUCED PRESSURE INITIAL TEST BK Mt L_ °^J DATE (-(- I. 147/ SIGNATURE sr , , REPAIRED BY DATE SIGNATURE FINAL TEST BY: MID-CITY MECHANICAL DATE SIGNATURE 9103 DAVENPORT ST. N.E. BLAINE,MN 55449 (763) 786-8617 PHONE CERT. NO. X6'4/ 1686 (763) 786-8640 FAX