Loading...
HomeMy WebLinkAbout2008-03-06 Backflow Preventer Test Reports - Doody Mechanical Service Do 520 Front Avenue it D St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address City Zip Owner Name Telephone �e��, C:, "'Contact k /" �tc Location { System Served Make V Model Serial Size ,� (.t/nb/uis 4/ (J�L.r'7'1O l CJ )0 7 a-- �-� Install Date // Rebuild Due Date /7//( RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at 5-11 psid Leaked Closed e C) Did not open Closed c a Final Closed �, 0 Opened at 3 0 psid (— I Closed / Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed CO ww m Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at cc C a w w c Final Closed Opened at Test Comments/Notes: Sign and Date tag k Certified Correct. Signed /,liy y - Date Tested: VOY Tested by (Print Name) ryAf rel Certification Number 01`(1` White-City Yellow-Customer Pink-Office 520 Front Avenue D 0 ljy St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address / City Zip �/ 3 ,C--/ G(0: /2 /V Owner Contact Name Telephone /YET MA,-/c &-v g v/13 Location System Served / j�� Make Model Serial Size /zin. hr -c,e2 '/J' 0 7c 2 �i/`�`?1 /7.2_ Install Date Rebuild Due Date �n r�rL — 7 .2o// RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at .5-F O psid Leaked rClosed - Did not open Closed G v cc Final Closed L. Opened at c.] psid Closed O Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed cc ¢ a w w ¢ Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at ww Final Closed Opened at Test Comments/Notes: Sign and Date tag Certified Correct. Signed ii .∎i —- Date Tested: "/, �' Tested by (Print Name) �) o.v-c.4 � _ !I/t� s©�— Certification Number 0d--- /6 :?-/ White-City Yellow-Customer Pink-Office i . ,......, ,......, 1 12 520 Front Avenue O IN St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address , , _ City _ . Zip 61 S i7 Lino;k TW.( /V . x.7/4., ,ke- Owner / � Contact Name ,,��J / �Q // Telephone zt1 Ci -r �:I ..4ti'k `�i, /,J. G>1'- �.�1- //.PI-3 Location j _ System Served !4-i i /fe c 10/:91'5-6./e GJIa Sled- Ma e Model ^� Serial �l / Size /, %n/i—tt,L0 /V)-- ✓/40 l ,(3 e9 4, if Install Date I L. Rebuild Due Date ^� IL.n rCiiy(41,L 3.� 7 o�ZJ// RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at -A. c:, psid Leaked Closed t, = 47' Did not open Closed 6- �' cn cc Zr w cc Final Closed ,,' Opened at 3, 0 psid Closed (. ca Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed Co 1 w cc Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at 1 co c w o: Final Closed Opened at Test Comments/Notes: Sign and Date tag Certified Correct. Signe "'!�' " ` Date Tested: 3/ VG Y Tested by (Print Name) i7i-.4.,1-L.,.-, Mi d.A. Certification Number 0.2)-46:2-,7-- White-City Yellow-Customer Pink-Office . ---., 520 Front Avenue j ) 0 it /SJV' St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address City Zip 6/ 63 sr, (t,); r2 ./r s/,/rw‘„wr- Owner A4 Contact Name, Telephone AiG 6.9‘4 ,--e-;/ .re.tr//- /"v&v 7-6h lS/%3f- /2- -3 Location System Served g /e'' 6 J Make V Model Serial Size i `( Install Date //, / Rebuild Due Date ?e RP r 14-11.0/..1 Check Valve#1 Differential Pressure Relief V v r Check Valve#2 Assembly Leaked Opened at - 5' psid Leaked Closed s-e Did not open Closed co cc a w cc Final Closed C° Opened at --" psid Closed E--- 0 Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed co cc w cc Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at cc a a w cc Final Closed Opened at Test Comments/Notes: Sign and Date tag ft- Certified Correct. Signed 7 ,-�sz > "--'- Date Tested: y02<i) /� /(O `-' Tested by (Print Name) �p�-r,�-� L . v--- Certification Number 0a-4/$ �- /' White-City Yellow-Customer Pink-Office DO 520 Front Avenue toy St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address City i- Zip Owner Contact Name Telephone Age G��� �;./ 1k�1 ,1/, s-i.��y� y/ 3 Location g Jj / 0 System Served //// tI / wr-�-i/se>` f el' Make Model Serial Size ' &or, � G 90— a y1) r) 3 79i Install Date / Rebuild Due Date ��r► n, r>, -3/7/// RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2 Assembly Leaked Opened at 2"..-62 psid Leaked Closed Cc,`v Did not open Closed Z- a. cc w Final Closed C. Opened at '3,c) psid Closed -T Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed cc cc w cc w Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at CC CC w CC Final Closed Opened at Test Comments/Notes: Sign and Date tag 'may Certified Correct. Signed 4----7;. d Date Tested: 3./V/0 Tested by (Print Name) c SDr4.,1 / lair Certification Number 0c)4('617-- White-City Yellow-Customer Pink-Office ,......, ......... . . 1 ny 520 Front Avenue Ol St. Paul, MN 55117 Ph: 651-487-1061 MECHANICAL SERVICE Fax: 651-489-0141 BACKFLOW PREVENTER TEST REPORT Address / // City ` Zip �! G3 ,f Ci/'a: �r. /i/ C /`///Aix,/ it Owner Contact Name n Telephone 4Z 7' "�- / /et.r4 /14-0/;c/ /f/-%39 , ,1;--3 Location System Served il all' b Make Model Serial Size , <t z,,1-Pra_�;e, �o-7 )-- fits n //z Install Date Rebuild Due Date / f/J,, r wh 3 RP Check Valve#1 Differential Pressure Relief Valy Check Valve#2 Assembly Leaked Opened at '1-.2_ psid Leaked Closed 7- 6 Did not open Closed 7 4 CD CC a a w cc Final Closed 7, , , Opened at -S- L- psid Closed 7_ Test reduced pressure Double Check Valve#1 Check Valve#2 Check Leaked Leaked Valve Closed Closed co cc w m Final Closed Opened at Test Pressure Check Valve Air Inlet Vacuum Leaked Did not open Breaker Closed Opened at 0) cc zc w m Final Closed Opened at Test Comments/Notes: Sign and Date tag -4- Certified Correct. Signe ��/" Date Tested: .A74.7.1-1 wJ/ Tested by (Print Name) 0..,.4;t/..4..— ,/5a-_- Certification Number Os-5'62 White-City Yellow-Customer Pink-Office