HomeMy WebLinkAbout2014-08-26 Backflow Preventor (RPZ) Test Report - AL Boiler Room - Make Up Aug.29.2014 11:04 AM Interstate Testing 763 755 5365 PAGE. 14/ 14
Cross Connection Control Device Performance Test
, • Interstate Testing
2140 141st Ave. NW.
Andover Mn. 66304
Phone(753)744.4149
OWNER INFORMATION _ _. 5(0 to iluvwx_A akta_,
Omer Mane 1 Street Address
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FACItitY INFoRMATiON . i
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VD Code • .,
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INITIAL TEST
il&r---tight RP reof valve aright ,i,.ened et 3 ' C— PSID
0 Leaked y, q 0 Leaked 6 .. u Old not open
Static PSIO Static PSID
WILIEST
Clawed tight 0 Closed light Opened at PSID
Static PSID Static PSIO
DETECTOR BYPASS ASSEMBLY INITIAL TEST
BPAignica
6C1red tight err to41321 tight at PSID
°Leaked 0 Leaked 3611)iallednot open
Static PSID Static PSID
DETECTOR BYPASS ASSEMBLY FINAL TEST
0 Closed tight 0 Closed tight Opened at PSID
Static PSIO Static PSID
PRESSUTtE VACUUM BREAKER INITIAL TEST pREititneilAcuMis BREAKER FINAL TEST
Air Wet valve •i•.... i.' ■,. iNLIDIELMbSt
123med at_no u Closed tight Opened at PSID 81612aoseliiitord Loked Stoic PSID
Static PSIO
COMMENTS
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I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CONDUCTED BY ME PERSONALLY.
Teeter Name(print) I)a fri 0-1 Th.) /)-e,■-• Registration No.0 6,r3-2 3 8 riltue of Day
Teeter signature C2o..."-.. frl-z--e.....t Phone No.76.3 Data 2/241Z1 %.1
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