HomeMy WebLinkAbout2014-08-18 Backflow Preventor (RPZ) Test Report - BFP Admin. Mech. -Rebuild Sep. 5. 2014 8: 54AM . Menzel Plumbing No. 2298 P. 2
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ip RPZ TEST/REBUILD REPORT
I 1959 ShawneeRoad, Suite 130, Eagan, MN 55122
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DEVICE ADDRESS I i N _fir`' ,Cr,/x
SERVICE NAME P./ J den;vy Ate/
CONTACT PERSON I c/e/it
TELEPHONE I 6.47— 155
BILLING ADDRESS I
CITY A :e _ ,
STATE, ZIP CODE I /e/t/ )
DEVICE LOCATION I Zr ,t 'i I4if�. k
DEVICE SERVES WHAT SYSTEM / '1' 4
SERIAL NUMBER I P 7 9P I TEST YEAR
MAKE I 6i-4,..‘47AP //c2 I I 1st
'ODEL I VO 4/ Z. V I 2nd
SIZE 13/y 1 3rd
INSTALL DATE I ,/4 � I 4th
CHECK VALVE#1 ✓ �) REBUILD
CHECK VALVE #21 / I New Install
PRESS. DIFF.ACROSS #1 7,y
PRESS. DTFF. ACROSS #2 /. Test Date: F /C/AY
PRESS. DIFF. RELIEF OPEN[3. 71 I
Describe Repair: I a"/_ n„1-4,11d/
EREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS
FUNCTIONING WITHIN THE LIMITS OF THE STANDARDS
BY: Brook Danner CERT,# 32901BF