HomeMy WebLinkAbout2014-08-26 Backflow Preventor (RPZ) Test Report - Main Floor Garbage Area Aug.29.2014 11:03 AM Interstate Testing 763 755 5365 PAGE. 11/ 14
Cross Connection Control Device Performance Test
Interstate Testing
2140141st Ave. NW.
Andover Mn. 66304
Phone(783)744-6149
OWNER INFORMATIN _. -
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Pscley Nsine Skeet Address
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Mu, 3 is 11 1' Assaingataitim_S&RP-- 0 RP Detector 0 DC 0 DC Detector 0 PVBISVB
INMAL TEST
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tight gftir-t-ight Qp aned lit /2 ( MID
Ziefed ked
PSID 0 Lea I, U Did not open
Static 6 r PSID
FINAL'MST
00=W lig11 0 C10100 tight Opened at PSID
Static MID Static PSID
DETECTOR BYPASS ASSEMBLY INITIAL TEST
ReDIROBIZE
/3—C 01tfritised light Oglingittosed light PS1D
0 Leaked 0 Leaked nidednoatt open
Static PSID Static PSID
DETECTOR BYPASS ASSEMBLY FINAL TEST
0 Closed tight CI Cbsed tight Opened at PSI0
Static PSID Static PSID
PRESSURE SVACUUM OftlbrAttlt INITIAL TOT ' PRESSURE VACUUM BRIOAKER FINAL TEST
EILIntaliette iLlicialabsi
PSID I Closed tight :Opened at PSID Cloeliisel-Yttht
alrittfopon 0 Leaked Static P8I0
Static PSID
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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) 1)ri Al r /1/ , /ke .1... Registration No.0 6S3-23 g i Time of Day
Tester Signature C_9cr."-■ "---L-L-e..t Phone No.76,3 Date i2/216/- / y
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