HomeMy WebLinkAbout2001-12-28 Backflow Preventer Test Reports - Harris Service r-� n
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BACKFLOW PRC.INTER TEST REPORT HARRIS
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102
(93 651-602-6500 S E R V I C E
Address Ci i Zip
Owner ,jam Telephone No. Date
Make and Model of Device Size f Serial No.
65714.6A-1A° ti O )-0 70 Z. /S- cJ9gc
Location of Devic z
74— azo.(4.,./4.)Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential Strainer
#1 when Relief Opens
I
Test Before Leaked Leaked None
IL f��py Z. P.S.I. 3 P.S.I.
Repair Closed Closed i ' ° Cleaned
Describe
Repair
Leaked 7 Leaked
Final Test 1, 7- P.S.I. 3 p P.S.I.
Closed Closed Z.
Cleaned Cleaned ri Cleaned 7 Comments/Materials Used:
Replaced: [ Replaced: [ Replaced:
Disc Disc Disc: 7
Spring Spring Upper
Guide (1;1 Guide Lower
Pin Retainer 7 Pin Retainer 7 Spring
m Hinge Retainer Hinge Retainer Diaphragm:
E
,C Seat Ei Seat Large:
a.
e Diaphragm ri;iii Diaphragm Upper
a
cc Lower
Small 7
Seat: Ell
Upper
Lower
Spacer:
Lower
Final Test Closed Tight "Ir Closed Tight (L.a Opened at3s abs Reduced
ll Pressure
The above report is certified to be true,Certification Number 2g•00?-s) Date /Z-Z y-o/
Initial Test By Representing
Repaired By Representing
Final Test By I /t L_, ._,, . Representing .iyy(,
White-City Pink-File Yellow-Customer
a i
BACKFLOW PRE v ENTER TEST REPORT HARRIS
..
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102
a 651-602-6500 S E R V I C E
Address .fir City r '' Zip
6/6,3 ew-e;‘ ^`�z.f�.cJ gr��: Lua i .
Owner��/� r- . Telephone No. Date
C�� /1 �l WC4aiQi j.2-....2y---,:(
Make a d Model of Device Size 1 Serial No.
410‘. -o 7a Z 1 - L 4r r F4,
Location of`Devi e 1-44e /�.
Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential Strainer
#1 when Relief Opens
liTest Before Leaked Leaked PSI P.S.I. None 111 I
Repair Closed [ Closed 7 7, 7 3, to Cleaned iii
Describe
Repair
Leaked [ Leaked
Final Test P.S.I. P.S.I.
Closed Closed -7f 7 3/6
Cleaned 7 Cleaned 7 Cleaned Comments/Materials Used:
Replaced: 7 Replaced: i Replaced:
Disc Disc E . Disc:
Spring Spring III Upper lii
Guide Guide Lower liii
Pin Retainer 7 Pin Retainer Spring Iii
a Hinge Retainer Hinge Retainer ( i Diaphragm:
ISeat Seat Large:
0
a.
L Diaphragm Diaphragm Upper
n
0 Lower
Small Lima
Seat:
Upper lii
Lower
Spacer:
r1;a1 11;11 Lower g
iiii Final Test Closed Tight Closed Tight Opened at .abs Reduced
esThe above report is certified to be true,Certification Number p0 iO Date /) -acr._0 1
Initial Test By Representing
Repaired By Representing
Final Test By 4 L -- Representing Qw
White-City Pink-File Yellow-Customer
BACKFLOW PREvENTER TEST REPORT HARRIS
..
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102
d 30 5 651-602-6500 • S E R V I C E
Address 02.044 Cr <>':! ' le Z'G�(0 6 3 SI y
Owner Telephone No. Date
.G (.1/44-t- G(1 ,� — i..)-..)-r-0 1 3/4 Make a d Mode of Device Size Serial No. D 37q4
Location of vice / _- 4.44
Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential Strainer
#1 when Relief Opens
Test Before Leaked Leaked None
P.S.I. P.S.I.
Repair
Closed Cleaned ili
Describe i
Repair air
Leaked 7 Leaked
Final Test P.S.I. P.S.I.
Closed Closed g ► 3
Cleaned 171 Cleaned [ Cleaned Comments/Materials Used:
Replaced: [ Replaced: 7 Replaced:
Disc Disc Disc:
Spring Spring Upper
Guide Guide Lower
Pin Retainer Pin Retainer Spring
m Hinge Retainer Hinge Retainer Diaphragm:
E
t Seat Seat Large:
I
a
e Diaphragm Diaphragm Upper
To
a
d
re Lower
Small
Seat:
Upper
Lower —
Lamp Spacer: —
'■ LIMA Lower
Final Test Closed Tight Closed Tight Opened at r Reduced
Pressure
The above report is certified to be true,Certification Number 3g ,e,[)-8 Date /„7--.7443-o)
Initial Test By Representing
Repaired By Representing
Final Test By Representing _, 4214.
White-City Pink-File Yellow-Customer
BACKFLOW PRtVENTER TEST REPORT HARRIS
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102
d 3 a g 651-602-6500 �� S E R V I C E
�Address . _ _ �l1L.lL :tt Zip
Owner r Telephone o. Date
t
Make and Mod I of Device Size 3 . Serial No.
0�- oZ 1 41 b 3 7 .8
Location of Dev' e
64 ..... e...62ejle.211
L
Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential Strainer
#1 when Relief Opens
Test Before Leaked Leaked P.S.I. P.S.I. None
Repair Closed 111 Closed [ Cleaned iii
Describe
�� � ••
Repair
Leaked 7 7
Leaked
Final Test j i / P.S.I. P.S.I.
Closed 7 Closed �Q
Cleaned Cleaned ■ Cleaned [ Comments/Materials Used:
Replaced: Replaced: Replaced:
Disc Disc Disc:
Spring Spring Upper
Guide 7 Guide Lower Lioli
Pin Retainer Lima, Pin Retainer Spring
o Hinge Retainer Retainer I Diaphragm:
E y j,
tSeat 7 Seat I Large:
a
E Diaphragm 7 Diaphragm Upper
n
re Lila Lower
Small
LIMPII Seat:
Upper
Lower
7 Spacer:
Lail ( L 'Lower 11
Final Test Closed Tight Closed Tight `[till� Opened at j rs Reduced
Pressure
The above report is certified to be true,Certification Number gg 00a-F Date / ---.?p-vj
Initial Test By Representing
Repaired By Representing
Final Test By iv4,17 Representing _�,Q �,1/,t_,pe -.
White-City Pink-File Yellow-Customer
r
BACKFLOW PR, ..LATER TEST REPORT HARRIS
..
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102
a 651-602-6500 S E R V I C E
Address City Zip
LI63 S7-07 e/L-64 tab_ei
Owner Telephone No Date
W a.att, LL) fQ /� c)-67—U/
Mak and M del of Device Size Serial No.
I/0 )0 60 / 5- D0002
Location of Device
0 v1—
Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential Strainer
#1 when Relief Opens
Leaked Leaked None
Test Before cial
Repair Closed 7 Closed -I' P.S.I. E1 7 P.S.I. Cleaned iiii
Describe /
Repair
Leaked Leaked Illi
Final Test P.S.I. P.S.I.
Closed 44 Closed /1' �y 7
Cleaned 7 Cleaned 7 Cleaned Eil Comments/Materials Used:
Replaced: Replaced: Lil Replaced: II
Disc Disc 111 Disc:
Spring Spring Upper
Guide Iiiiii Guide Lower (;.
Pin Retainer II. Pin Retainer li Spring
o Hinge Retainer Hinge Retainer Diaphragm:
0
1 Seat Seat Large:
o
n.
L Diaphragm Diaphragm lii Upper li
a
co i Lower
Small Lima
laL_ [ iii Seat: Lill
Upper
`
Lower E;;Iii
Spacer:
Lower
Final Test Closed Tight Closed Tight fit_ Opened atbs Reduced
� Pressure
The above report is certified to be true,Certification Number '8 p 6 9-9 Date /)- vv
Initial Test By Representing
L Repaired By Representing
Final Test By Representing
White-City Pink-File Yellow-Customer