HomeMy WebLinkAbout2007-03-07 Backflow Preventer Test Reports - Doody Mechanical Service 520 Front Avenue
D it it LI) ? St. Paul, MN 55117
Ph: 651-487-1061
MECHANICAL SERVICE Fax: 651-489-0141
BACKFLOW PREVENTER TEST REPORT
Address City Zip
Owner Contact Name Telephone
%7 ;l 1/k, gv/ , 457 y39-*/2-3
Location System Served
�j�elt -7/^1.-/A GGJa aer-
Make Model Serial Size //
Lehb�� god,o.'v� Akan'? y
Install Date Rebuild Due Date
� �AWn 3-7-7-0/I
RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2
Assembly Leaked Opened at -a.-S psid Leaked
Closed C-( Did not open Closed
a)
w
Final Closed C. 6 Opened at 2.-' psid Closed L?-
Test reduced pressure
Double Check Valve#1 Check Valve#2
Check Leaked Leaked
Valve Closed Closed
w
Final Closed Opened at
Test
Pressure Check Valve Air Inlet
Vacuum Leaked Did not open
Breaker Closed Opened at
cc
w
Final Closed Opened at
Test
Comments/Notes:
Sign and Date tag k
Certified Correct. Signed - Date Tested: 3- 7-0?
Tested by (Print Name) �a' -7' . /UG' ,- Certification Number 0a.-4' 2 7
White-City Yellow-Customer Pink-Office
. J'� ......
520 Front Avenue
ii) 0 0/ J)f" St. Paul, MN 55117
Ph: 651-487-1061
MECHANICAL SERVICE Fax: 651-489-0141
BACKFLOW PREVENTER TEST REPORT
Address l y ,/ City f // Zip
6 i 3 S r Gr, ;)c 7 a.; / ./v J Zj/i4/4,t-C/'
Owner Contact Name Telephone
/fef 4uf- c;/ s� /� P�/eJ 6S/'°f59 5/23
Location n i i System Served
15U6 49 ae,,,-Gai ea
Make/' Model Serial Size , ,,U h tDra v-� Ytda_D70�-- G /q7.9 1/
Install Date Rebuild Due Date
C�A-l ue(CD 3-7-a.v7('
RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2
Assembly Leaked Opened at a.4 psid Leaked
Closed G• z Did not open Closed l 2.
co
cc
a
w
cc
Final Closed G.)-.- Opened at °2. 4 psid Closed 2_
Test reduced pressure
Double Check Valve#1 Check Valve#2
Check Leaked Leaked
Valve Closed Closed
cc
a
w
w
cc
Final Closed Opened at
Test
Pressure Check Valve Air Inlet
Vacuum Leaked Did not open
Breaker
Closed Opened at
cc
a
w
cc
Final Closed Opened at
Test
Comments/Notes:
Sign and Date tag k
Certified Correct. Signed —7/5/2 7�1✓L-- Date Tested: - 7 7
Tested by (Print Name) 3e)/10,4,...„,i. Alco", Certification Number .0.2. 0...- 7 --
White-City Yellow-Customer Pink-Office
520 Front Avenue
DO it i) ? St. Paul, MN 55117
Ph: 651-487-1061
MECHANICAL SERVICE Fax: 651-489-0141
BACKFLOW PREVENTER TEST REPORT
Address City Zip
j / 6 3 S /. CPo;k 7rf,-/ /1 S /lwak
Owner Cont Name Telephone
/rtt- Cu1b.n. G 2/ /fist,`C /°v1G� 65"/° `,/39- /A-3
Location //, System Served /] L
Make Model Serial Size`/ ,e Gor.hru.L7 4104-0? I- /s"96
Install Date „, Due Date
GC,L k°ti,- 3-?,vii
RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2
Assembly Leaked Opened at '?.... 8 psid Leaked
Closed d• 1� Did not open Closed P. v
v7
11
a
w
ii
Final Closed 2- Opened at 2,- b psid Closed g 0
Test reduced pressure
Double Check Valve#1 Check Valve#2
Check Leaked Leaked
Valve Closed
Closed
co
a
w
cc
Final Closed Opened at
Test
Pressure Check Valve Air Inlet
Vacuum Leaked Did not open
Breaker
Closed Opened at
C
CC
a
w
cc
Final Closed Opened at
Test
Comments/Notes:
Sign and Date tag A”
i
Certified Correct. Signed j
Air........�� Date Tested: -�� 0 7
Tested by (Print Name) 3.9A- 14".. /veSow Certification Number Oar-./.off 1
White-City Yellow-Customer . Pink-Office
� n
520 Front Avenue
D 0 0 D St. Paul, MN 55117
Ph: 651-487-1061
MECHANICAL SERVICE Fax: 651-489-0141
BACKFLOW PREVENTER TEST REPORT
Address . City Zip
6'1 6 3 , Cro 7-,;( il/ S7-//i✓����
Owner / Contao ,c Name Telephone
/�� Cu-A_.; / /f��i/� r.t,a/le / Ic,' 4'31- 41/43
Location System Se ed
6/4 /0 j ,/e✓ F�
Make Model Serial Size /7
Cb,1.1V e) ' c?j o�oa_ 0379/
Install Date Rebuild Due Date
(Levtc.flzvr— 7,2.01(
RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2
Assembly Leaked Opened at 2.. £l psid Leaked
Closed 7.0 Did not open Closed 7, 0
co
cc
o_
w
cc
Final Closed 7-C7 Opened at - 2' psid Closed 0
Test reduced pressure
Double Check Valve#1 Check Valve#2
Check Leaked Leaked
Valve Closed Closed
w
cr
w
Final Closed Opened at
Test
Pressure Check Valve Air Inlet
Vacuum Leaked Did not open
Breaker Closed Opened at
co
cc
ww
m
Final Closed Opened at
Test
Comments/Notes:
Sign and Date tag k
Certified Correct. Signed �,�.�//I= 7 Date Tested: 3 - 7- 07
Tested by (Print Name) wuL.,_ //5oh Certification Number Oc .5�6� 7
White-City Yellow-Customer Pink-Office
520 Front Avenue
Li) 0 O Li) 9 St. Paul, MN 55117
Ph: 651-487-1061
MECHANICAL SERVICE Fax: 651-489-0141
BACKFLOW PREVENTER TEST REPORT
Address , Zip
'/t 3 S7 Gro,'x - .4/. S- wcJe,-
Owner Contact Name Telephone
/L.to po 1; 1,..t 6U� �,l /f.��� Va_11 1 � S`/�4?3'— ` /2-3
Location ( � System Served /J/g ��� ��/� J� - er
Ma Model Serial f/ Size
Gotih�V-CO 41v=z o o/ 0CDo 7 � yZ ,/
Install Date Rebuild Due Date
/1.
RP ( Check Valve#1 Differential Pressure Relief Valve Check Valve#2
Assembly Leaked Opened at psid Leaked
Closed Did not open Closed 1'
a_
w
Q
Final Closed S ' Opened at 2- $ psid Closed C. g'
Test reduced pressure
Double Check Valve#1 Check Valve#2
Check Leaked Leaked
Valve Closed
Closed
w
w
cc
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 >c-
Certified Correct. Signed Date Tested: 3- 07 v 7
Tested by (Print Name) J p wk Mdse,, Certification Number
White-City Yellow-Customer Pink-Office
520 Front Avenue
D 0O D St. Paul, MN 55117
Ph: 651-487-1061
MECHANICAL SERVICE Fax: 651-489-0141
BACKFLOW PREVENTER TEST REPORT
Address / �j ,/ City C / i Zi
l(� 1 !: 6 r,e,■ k /�- /r/• y J�i�( GJ�fi</— Zip
Owner Contact Nam Telephone
/��fi 4��., /_:/ ,tact( 4 v l;(,,. Iv-)39-z//1-3
Location n fn System Se rved j
n l e 10 /�/ N.a, -7,4;( r
Make a Model Serial Size
Cm- In raja I/O 0 0)-- 0379k 5 /,
Install Date 11 I Rebuild Due Date- / / 0/,
h n/�
RP Check Valve#1 Differential Pressure Relief Valve Check Valve#2
Assembly Leaked Opened at 3.a psid Leaked
Closed 6 -c7 Did not open Closed Q-
v)
cc
a
w
j
Final Closed 6- D Opened at S-0 psid Closed ‘. 2
Test reduced pressure
Double Check Valve#1 Check Valve#2
Check Leaked Leaked
Valve Closed Closed
cc
a
w
w
m
Final Closed Opened at
Test
Pressure Check Valve Air Inlet
Vacuum Leaked Did not open
Breaker Closed _ _ Opened at
cc
a
w
w
m
Final Closed Opened at
Test
Comments/Notes:
Sign and Date tag
Certified Correct. Signed ��" Date Tested: 3-�O 7
Tested by (Print Name) J oH-... t'lny., /14 ,(0n- Certification Number d)-.-#42-7
White-City Yellow-Customer Pink-Office