HomeMy WebLinkAbout2014-08-28 Backflow Preventor (RPZ) Test Report -Boiler Room - Chiller Feed Test Sheet
Client Boutwell Landing / Pipe Dream
Address 5450 Nolan Parkway
City Oak Park Heights Plumbing Inc.
M p 55082 612-396-4798
Owner/Contact Presbyterian Homes/Jim
Armstrong
Phone 651-775-5859
Fax TEST #
Municipality _ Test Date: 08/28/2014
Location of Device: BSA Building-Boiler Room
Serves: Garbage Rinse
Model Size Serial# Yr
Wilkins 975XL .75" 1690666 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 _3.2 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