HomeMy WebLinkAbout2014-08-28 Backflow Preventor (RPZ) Test Report - Boiler Room - Boiler Make Up Test Sheet
Client Boutwell Landing Pipe Dream
Address 5350 Nolan Parkway
City Oak Park Heights Plumbing Inc.
Zip l t 50 2 612-396-4798
Owner/Contact Presbyterian Homes/Jim
Armstrong
Phone 651-775-5859
Fax TEST #
Municipality Test Date: 08/28/2014
Location of Device: BS Boiler Room
Serves: Boiler Feed
Model Size Serial# Yr
Wilkins 975XL .75" 1690660 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: Rebuild
Final Test Leaked Leaked 8.0 psi _2.9 psi
Closed* Closed*
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. 4914 Colfax Ave S,Mpls.,MN 55419
By: Thomas Sidla Backflow Tester Certification# 063692-BF
Remarks:
Pipe Dream Plumbing,Inc. 4914 Colfax Ave S, Mpls.,MN 55419 Fax: 763-434-4103