HomeMy WebLinkAboutRPZ REPORT 10/22/2008
Oct 22 2008 5:53PM
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Owner:
Addrus:
Metro Testin~- Mechanical 320-384-0843
p.2
: Metro Testing
312~~ Cedar Creek Road
~ckley, MN 55037
; 612-221-5888
Baclpflow Preventer Test Report
,
CODtact!Penonl Tel.
~ A\fL.City:
Make: I." Model: Il, lJ I,
w, '115 ^ u...
Location of Device:
Med1 . ~
Teat Year
r-
l~/
R
E
P
A
I
R
S
~~
Size: \ I/z, 1/
Serves what System:
Cbeek Valve #1
Leaked( )
Closed vr n
Pressure 7 t. 1>
Cleaned
_ Replaced
_ Poppet
_ Spring
_ 0 RiDg
Rllbber Seat
Other Repairs
i Ched Valve #2
: Leaked( )
Closed ~
Pressure
Cleaned
'C_Replaced
_ Poppet
_ SpriDa
,_0 Ring
Rubber Seat
'Other Repairs
Certification
I hereby certify the foregoiDI datai:to be correct
Within tbe limits ofthe standards :: siped:
Firm Name:
. I ~. '
II
ted is functl niDg
This report is for the purposesIRctording only; Owner is responsi e for safe operatio
And u k of scheduled mainte ceo
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