HomeMy WebLinkAbout2001-02-20 Backflow Preventer Test Reports - Harris Service BACKFLOW PRL _NTER TEST REPORT HARRIS
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102
63COgIA 651-602-6500 S E R V I C E
Address City .CttgLG
Owner Telephone No. Date
Make and Model of D vice Size t Serial No.
LA )1) 6'0 ...-;.v 0(90'7
Location of 124/4
#01 t'd ette Sg(Afret-A---.
Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential
•
#1 when Relief Opens Strainer
Leaked Leaked
TWAi P.S I. P.S I None
Test Before
-
Repair Closed Closed 11. Cleaned .,
Describe
Repair {
L
Leaked Leaked T
Final Test 1 S P.S I. P S.I
Closed Closed t:A, $
L
Cleaned Cleaned Cleaned Comments/Materials Used.
u
Replaced Replaced Replaced: ..)
Disc Disc Disc:
Spring { si Spring Upper
Guide Lori Guide r Lower
Pin Retainer Pin Retainer Spring
Hinge Retainer 1 Hinge Retainer Diaphragm:
E as I I
o
t Seat Seat Large.
a.
Diaphragm Diaphragm Upper
R
a
Lower
Small —
, Seat
■ Upper ---{
Lower ��g
I AA
I
Spacer
{
Lower
Opened at s Reduced
F.ma! Test Closed Tight Closed Tight I
ssure i
The above report is certified to be true, Certification Number q„D 0124, --- Date 1
initial Te By Representing
Repaired By Representing
Representing
Final Test By 4/44.4„1„,__ _____i�✓JdL�i
White-City Yellow-Customer Pink- File
n
BACKF LOW PRA _NTER TEST REPORT HARRIS
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102
0 L-; 651-602-6500 S E R V I C E
Address , City Zip
[owner
D Telephone No. Date
�./_.
Make and Model of evice Size Serial No.
C. PEA o 4 4Yoff5-
Location of Device /'/, /J — k et -
i *
Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential Strainer
#1 when Relief Opens
Leaked Leaked None
Test Before I P.S.I. P.S.I
Repair Closed Closed
i Cleaned F-73
Describe I. 0'-
I.
Repair
Leaked Leaked '
Final Test P.S.I. J 1C.� P S.I
Closed �� , Closed WA
i 3 , 1CJ
Cleaned Cleaned Cleaned Comments/Materials Used:
Replaced Replaced. Replaced:
I _
Disc ' Disc ■., Disc: ■11
Spring E� •Spring Upper
Guide -', Guide ■U Lower ,■
."ter ,a •, ;:
Pin Retainer -'I Pin Retainer mu Spring ,■.
°,'.gxyk
Hinge Retainer mom Hinge Retainer 1.1 Diaphragm. 1� j
aSeat . Seat .' Large: ,-
;n Diaphragm Diaphragm geL Upper lilt
o.
cc ' �, Lower '
r
Small ,.e
a1,. MK.. Seat '■t
i
a I Upper mg.
■ Lower
1 Spacer ..
,. r
I i NI. Lower ..
Opened at •s Re,uced
Final Test (Closed Tight M., Closed Tight C.- Pressure
,
The above report is certified to be true,Certification Number 3 oodi Date 02—_20---0 J
Initial Test By Representing
Repaired By Representing 7,47 Final Test By Representin g
tLL�4.4.+ T
� ,6A, K
White-City Yellow-Customer Pink-File
BACKFLOW PRA INTER TEST REPORT HARRIS
Harris Companies
909 Montreal Circle
Job Numb r St. Paul Minnesota 55102
6 `-� 651-602-6500 S E R V I C E °
Address, City Zip
I 101 (0 3 , pot S: w
Owner Telephone No. Date
�, a,�,w W a,d wco av Av-4 /
Make and Model of Device Size / Serial No.
e 40 P1,70 7- /i- c /C9 C
Location of Dev.c _ .. / L�E%G 64-1-4
Check Valve#1 Check Valve#2 Pressure Differential Across Pressure Differential
#1 when Relief Opens Strainer
�
Leaked Leaked None
Test Before P.S.I. r 3 P.S.I.
Repair Closed Closed Cleaned
L
Describe
Reze....c ,..,e,...teo 1
Repair
i
i
Leaked Leaked 6 , 62
^
Final Test P.S I. /i 3 P S.I
Closed I Closed d
L
Cleaned I Cleaned Cleaned Comments/Materials Used.
Replaced Replaced: Replaced:
Disc Disc •� Disc:
: .. ..::a .: €. '.,. —
Spring I Spring RIB Upper I.
Guide '■,. Guide ..h Lower
." ■,
,
Pin Retainer '-, Pin Retainer ..,, Spring EL
Hinge Retainer - Hinge Retainer . Diaphragm: ■,*,,,
`o Seat Seat .. Large: U.
a.
Diaphragm Diaphragm Upper
.Q � ° ��,
cc L ■ Lower ..
Ii , Small 111,
11 III. Seat ■.
w es a.. . -,
Upper
ss
1.11 111:
Lower
w.
it (Spacer IL
Lower MI
Opened at bs Reduced
F;nal rest Closed Tight Closed Tight - pressure 11
The above report is certified to be true, Certification Number gg 0 0.)a Date 09--2a—OL
Initial Te,t By Representing
Repaired By Representing
c
Final Test By �, t
•/ Representing
i
White City Yellow-Customer Pink- File
BACKFLOW PRL _NTER TEST REPORT HARRIS
Harris Companies
909 Montreal Circle
Job Number St. Paul Minnesota 55102 Q
6l4 651-602-6500 S E R V I C E
Address City Zip I
Owner Telephone No. Date
k I iv Serial No. d-.30-0/
Ma e a M of Device
Model l
ff Size
Location of Devi e
Check Valve#2 Pressure Differential Across Pressure Differential Strainer
Check Valve#1 #1 when Relief Opens
1
Leaked Leaked None
Test Before P.Si. ci4j
Repair Closed Closed airis Cleaned
Describe
..f `i fie.1}{Aje0
Repair
11
I- Leaked Leaked
—Ma Final Test / P.S.I. g PSI
Closed Closed Egi
Cleaned Cleaned
Cleaned Comments/Materials Used
Replaced �, Replaced: , Replaced ES
Disc . Disc .■ Disc'.
Spring II Spring IOU Upper •i, II
Guide 111,, Guide 1.15Er Lower M,
Pin Retainer .. Pin Retainer .■ Spring I
to Hinge Retainer ,■ Hinge Retainer IL Diaphragm. '.
.„, ..?
o Seat Lar e: •
I� Seat ,..., g '
CD In Diaphragm link Diaphragm ,■^ Upper I•U
M ,
a
III.
m ,■ Lower IR
..Z. '.. Small '■
M Ile Seat II
WV 1111,
Upper Ile
---i
II 11111 ' Lower le, '
Spacer II I
I NW Lo lille
_.� . ._
r Opened at — I 9•s Reduced
al rr,5t !Closed Tight Closed Tight till; Pressure
The above report is certified to be true, Certification Number y k'()cos Date '0l
initial Test By Representing
Repaired By Representing
Final Test By .. Representing
White-City Yellow-Customer Pink- File