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HomeMy WebLinkAboutBackflow Preventer Report 4/13/2007 HEATING. AIR CONDITIONING TEMPERATURE CONTROL. PLUMBING CERTIFICATION - I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. By: ~ ~ Tester Certification # 00505T Phone # 763-784-8178 DON PYL NEXT OVERHAUL 04/0/2008 Comments: 4TH YEAR TEST 04/13/2007 Check Valve #1 Check Valve #2 Press. Oif. Press. Dif. Strainer Across #1 When Relief Check Test Before Leaked [ ] Leaked [ ] 10,0 5.0 None rJ Repairs Closed [x] Closed [x] Final Test Closed [x] Closed [x ] 10.0 5.0 Device Location: LOWER LEVEL BOILER ROOM TO THE UPPER LEFT OF THE BOILER Device Serves What System: BOILER MAKE UP WATER Occupant: WELLS FARGO Phone Test Date: 612-667-2984 4/13/07 Device Make and Model: Size: Serial #: WATTS 009 QT lh" 210214 Zip: Site Address: 16817 DULUTH AVENUE SE, PRIOR LAKE, MN I Job #25821 BOILER SERVICES, INc. 10327 Flanders Street NE Blaine, MN 55449-5711 763-784-8178 BACKFLOW PREVENTER TEST REPORT BACKFLOW PREVENTER TEST REPORT BOILER SERVICES, INC. 10327 Flanders Street NE Blaine, MN 55449-5711 763-784-8178 I Job #25821 Site Address: 16817 DULUTH AVENUE SE, PRIOR LAKE, MN Zip: Occupant: WELLS FARGO Phone Test Date: 612-667-2984 4/13/07 Device Make and Model: Size: Serial #: WATTS 009 QT ~" 210203 Device Location: LOWER LEVEL BOILER ROOM Device Serves What System: NOT IN USE. NOTHING IS CONNECTED TO IT. Check Valve #1 Check Valve #2 Press. Dif. Press. Dif. Strainer Across #1 When Relief Check Test Before Leaked [ ] Leaked [ ] None ~ Repairs Closed [x ] Closed [x] Final Test Closed [x] Closed [x ] Comments: LAST TIME THIS RPZ WAS TESTED 02/04/2003 CERTIFICATION - I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. By: OM lj:La Tester Certification # 00505T Phone # 763-784-8178 DON PYL S HEATING. AIR CONDITIONING TEMPERATURE CONTROL · PLUMBING