HomeMy WebLinkAbout2002-01-02 Backflow Preventer Test Report - Harris Service n
BACKFLOW PRA _NTER TEST REPORT HARRIS
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102
a3Cg 651-602-6500 S E R V I C E
Add / 63 J-' f & >i z�k�� ...fee/�i(�Ic ,
Owner Telephone No. Date
r
Mak and Model of Device , Serial No.
P (400 ` A 8p,Rq
Location of Devic
6✓ _
Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential Strainer
#1 when Relief Opens
Test Before Leaked Leaked ilii None
�'/7 P.S.I. P.S.I.
Repair Closed Closed Eli / Cleaned ili
Describe
Repair
Leaked 7 Leaked /
Final Test 7 P.S.I. (j[!� P.S.I.
Closed Closed r
Cleaned f Cleaned Cleaned Comments/Materials Used:
Replaced: Replaced: LI Replaced:
Disc Disc E;jii Disc:
Spring Spring Iii Upper
Guide Guide ( ;. Lower
Pin Retainer Iii Pin Retainer Spring
is m Hinge Retainer Hinge Retainer Diaphragm:
E
ZSeat Seat Large:
m
a
e Diaphragm Diaphragm Upper
a
0 7 Lower
Small Lima
Seat: (—{1
Upper lii
Lower illi
Spacer:
ii;11 III Lower
Final Test Closed Tight Closed Tight (� Opened at Reduced
L� Pres
The above report is certified to be true,Certification Number 8?O D)1 Date /'"2"'2.
Initial Test By Representing
Repaired By Representing ��
Final Test By Representing 4 .. -1 -----
White-City Pink-File Yellow-Customer