HomeMy WebLinkAbout2014-08-26 Backflow Preventor (RPZ) Test Report - Pool Fill Room Aug.29.2014 11 :00 AM Interstate Testing 763 755 5365 PAGE. 3/ 14
Cross Connection Control Device Performance Test
Interstate Testing
2140 141at Ave. NW.
Andover Mn.88304
Phone(763)7444149
OWNER INFORMAL
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FACILITY INFORMATION
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INMAL TEST
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Static I' P81D Static PSC
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pawed light 0 Closed tight Opened at PSID
Static PS10 Sc, PSID
DITECTOR BYPASS ASSEMBLY mix.TEST •
BPBMIINE
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0 Leaked 0 Leaked atidiednoatiopen
Static P611) Static PSID
DETECTOR BYPASS ASSEMBLY FINAL TEST
0 Closed tight 0 Closed tight Opened at PSID
Stade PS1D Static . ,PSID
Paeauite VACUUM BREAKER INTRA.TES( i PRESSURE VACUUM BREAKEn FINAL TEST
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PSID 8 Closed tight :Opened it MID Closed light
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• COMMENTS 7----
I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY.
Teeter Name(print) al PI r- i i be 0- Registration No.065-3-23 8 rTiree of Day
Tester Signature (9c "1—e--4_ Phone No.74 3 Date 51)-th V
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