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HomeMy WebLinkAbout2004-01-29 Backflow Preventer Test Reports - Harris Service BACKFLOW PRIER TEST REPORT Hams Companies 909 Montreal Circle HARRIS Job Number St. Paul Minnesota 55102 651-602-6500 MECHANICAL Address City Zip * . Owner Telephone No. Date 9- rI, /V 7e /-,zc 4'V Make,nd Mo I of Devic Size 1 Serial No, t co / 02 4,LW,7 Locatio f evice 44 CQ? li, Sew- ) . Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential Strainer #1 when Relief Opens Leaked Leaked None Test Before iii Repair Closed rgy-` 4x Closed (, ( 7I 1 PSI ` Rai. Cleaned Describe � Repair Leaked Leaked Final Test Closed Closed f C P.S.I. P.S.I. Cleaned Cleaned Cleaned Comments/Materials Used: Replaced: Replaced: Replaced: ,, j ,,�/t ` v i Disc Disc Disc: c� Spring rilii Spring Upper Guide Guide Ei Lower Pin Retainer Pin Retainer Spring m Hinge Retainer Hinge Retainer Diaphragm: E Seat lii Seat Large: a cn Q Diaphragm Diaphragm Upper • Lower __________ Small M.': Seat: Upper lii Lower Spacer: — Lower LiSurk Final Test Closed Tight Closed Tight Opened at ® bs Reduced Pressure The above report is certified to be true,Certification Number 8e 00-e,- -g Date /—.247'Q y Initial Test By Representing Repaired By C Representing Final Test By /, Representing White-City Pink-File Yellow-Customer t. BACKFLOW PR(NTER TEST REPORT Harris Companies 909 Montreal Circle HARRIS Job Number St. Paul Minnesota 55102 651-602-6500 MECHANICAL Address s ity r Zip x/63 �f ' .41 �rr�- . Owner _ Telephone No. Date Make a d Model of Dev' a Size, Serial No. �70Z �Z_ el. ' Location o 'evice / Check Valve#1 Check VaLve#2 Pressure Differential Across Pressure Differential Strainer #1 when Relief Opens Leaked Leaked None Test Before Repair { (oiq P.S.I. oC/, 0 P.S.I. Cleaned Closed ( Closed Describe Repair Leaked Leaked Iiiii Final Test P.S.I. /in P.S.I. Closed Closed t /6 t I Cleaned Cleaned Cleaned is Comments/Materials Used: Replaced: Replaced: Replaced: 2 )1 s Disc Disc Disc: �Q_.� Spring Spring Upper • Guide lii Guide Lower li Pin Retainer Pin Retainer Li Spring Hinge Retainer Hinge Retainer Diaphragm: co E Seat Seat Large: as a e.Q Diaphragm Diaphragm Upper Ts as Lower —0 - Small Seat: Upper Lower Spacer: - `- i lit Lower Final Test Closed Tight Closed Tight Opened ad,(I.bs Reduced Pressure The above report is certified to be true,Certification Number'9 00 OA Date )-a 4--e ii Initial Test By Representing Repaired By Representing Final Test By ■ A 1 A. A Representing \\ ta.n /1'}4J &-'1'--.— White-City Pink-File Yellow-Customer BACKFLOW PR ' NTER TEST REPORT • Harris Companies - 909 Montreal Circle HARRIS , Job Number St. Paul Minnesota 55102 651-602-6500 MECHANICAL ° Addres l AC ��� . ct C Zip 1 3 siz 44 Owner Telephone No. Date . eA -L. Uo-1 L -t 1 jP /2q_©4 Make an Model f Device Size Serial No. e/v 02v 4,4-9 Y 4-8425- Location of Device i 1107 /S" & z, . e--f�, L Pressure Differential Across Pressure Differential f Check Valve#1 Check VaLve#2 Strainer #1 when Relief Opens Leaked Leaked P.S.I. P.S.I. None Test Before Repair Closed Closed 1, 3 3, / Cleaned Describe Repair Final Test Leaked Leaked 3 P.S.I. P.S.I. Closed Closed [�L f 'yam � ' Cleaned Cleaned Cleaned T.4 Comments/Materials Used: Replaced: Replaced: Replaced: e-`1.,'' v c Disc Disc Disc: Spring Spring Upper Guide Guide Lower Pin Retainer Pin Retainer li Spring iii a Hinge Retainer Hinge Retainer Diaphragm: cu E Seat Em4 Seat To4 Large: a Diaphragm Diaphragm Upper a cu re r— il Lower - , Small Seat: - Upper Lower Qi — Spacer: ria Lower Final Test Closed Tight Closed Tight Opened at,3 J l ILbs Reduced Pressure�y j The above report is certified to be true,Certification Number g 0(i 0l Date l oZ 'O el Initial Test By Representing Repaired By Representing Representing `1 '� Final Test By iv P 9 Pj � White-City Pink-File Yellow-Customer t BACKFLOW PR' LATER TEST REPORT Harris Companies 909 Montreal Circle HARRIS Job Number St. Paul Minnesota 55102 651-602-6500 MECHANICAL ® Address City Zip l .., „..t.frit),,,,,&.„) Owner Telephone No. Date Ua ATP %---0 Y Make and del of D vice Size / Serial No. Location of Dev' e 4 it. — h1,—.e- e2 Pressure Differential Across Pressure Differential Check Valve#1 Check VaLve#2 Strainer #1 when Relief Opens Leaked Leaked 4 P.S.I. P.S.I.— None Test Before Repair Closed Closed cill 6. Ii Cleaned Eis Describe Repair Leaked Leaked Final Test / P.S.I. �i !g P.S.I. Closed 541 Closed (Q CCJJY Cleaned Cleaned Cleaned Comments/Materials Used: Replaced: Replaced: Replaced: Disc Disc Disc: Spring Spring Upper Guide Guide Lower Pin Retainer Pin Retainer Spring a Hinge Retainer Hinge Retainer Diaphragm: az E Seat Seat Large: a Diaphragm ilii Diaphragm Upper Q CD Lower Small Lei - Seat: -, Upper — - Lower Spacer: — Lil L;14 Lower lik ciii _244 Final Test Closed Tight 144 Closed Tight Opened at Reduced Pressure J The above report is certified to be true,Certification Number `r e O /S?Oi � Date ,79'%, V Initial Test By Representing Repaired By Representing Final Test By ,/. .A.,„,. t Representing White-City Pink-File Yellow-Customer rte-_ .� . • BACKFLOW PR` LATER TEST REPORT • Harris Companies 909 Montreal Circle , HARRIS Job Number St. Paul Minnesota 55102 651-602-6500 MECHANICAL ® Address Ci Zip 1. A �f� ('/60.3 L. .'��;;� /V..' Owner Telephone No. Date aieLeliQ1, kvT/° /- V Make a d Model of Device Size 3 Serial No. At Location of Devoe 160` — 4-4;12 I IViddlY114,0-/ 44(2, Pressure Differential Across Pressure Differential I Check Valve#1 Check VaLve#2 Strainer #1 when Relief Opens Leaked Leaked None Test Before P.S.I. P.S.I. Repair Closed jj Closed -2,s Cleaned Describe �j� Repair Leaked Leaked Final Test Closed Closed 7. P.S.I. c3 7, P.S.I. Cleaned Cleaned Cleaned Comments/Materials Used: Replaced: Replaced: Replaced: br... CP Disc Disc Disc: Spring iiii Spring lii Upper Guide Guide Lower Pin Retainer 111 Pin Retainer Spring d Hinge Retainer Hinge Retainer Diaphragm: E o Seat Seat Large: Ei a Diaphragm Diaphragm Upper a W Lower IN , Small Seat: _ - Upper ca Lower Spacer: cli 1;4 Lower Iiii Final Test Closed Tight Closed Tight Opened a Reduced Prr esssursur e The above report is certified to be true,Certification Number 00 0.-180$ Date /2c--4) Initial Test By Representing Repaired By Representing Final Test By , Representing ' , hite-City Pink-File Yellow-Customer n • • BACKFLOW PR r- LATER TEST REPORT Harris Companies 909 Montreal Circle HARRIS Job Number St.Paul Minnesota 55102 651-602-6500 MECHANICAL c' Address City Zip Owner Telephone No. Date " Make and Model of Device Size -2 No.•e04111-4-edte-,0 46,70. 1OZ- 3�,i D 3 7 F�' Location of vice e...14 IPressure Differential Across Pressure Differential Check Valve#1 Check Valve#2 Strainer #1 when Relief Opens Leaked Leaked None r. Test Before , Cleaned P.S.I. � P.S.I. Repair Closed Closed iiiii Describe Repair Leaked Leaked Final Test ..5-,f P.S.I. 3. P.S.I. Closed Closed Ij. Cleaned Cleaned L-� Cleaned Comments/Materials Used: Replaced: El Replaced: Replaced: g‘1.-,' /- Disc Disc Disc: Y Spring Spring Upper Guide Guide Lower Illi Pin Retainer Pin Retainer Spring Hinge Retainer Hinge Retainer Diaphragm: E Eli Seat Seat il Large: 0 Diaphragm isli Diaphragm Upper n re El Lower Iii --`—Small Lisa - IIIIII Seat: Upper Lower Spacer: Lower Final Test Closed Tight Closed Tight Opened ate! Reduced Pressure The above report is certified to be true,Certification Number ggoa��, Date is-- —e, Initial Test By Representing Repaired By Representing Final Test By /° ,w Representing ] i!Yji3 White-City Pink-File Yellow-Customer