HomeMy WebLinkAboutRPZ TEST 8/14/2008
Metro Testin~- Mechanical 320-384-0843
p. 14
Sep 15 2008 1:03PM
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Owner: ___ ?I CI ' Contact Penon! Tel
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Address: /(,h?()~. f-kjk~ lwr ,~ City:.. r1.c,e.. ~4.
Make: L-1"rT\.. Model: 1'01 QT Size: Y; ~
Location of Device: Serves what System:
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Test Year
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Metro Testing
31222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
Backflow Preventer Test Report
Date: '? jt/-o"'8".
Zip:5.5S ?Z
Serial: till t/7b
Cbeck Valve #1
Leaked( )
ClosedK) ;: L(
Pressure ().
Check Valve #2
. Leaked( )
Closed ~ Jr I
Pressure Wjr, ~
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repairs
DitTerential Pres. Relief
Did NGt Open
Opened At ~. ~
Cleaned
Replaced
Diaphragm
Spring
o Ring
Rubber seat
Other Repairs
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repairs
Certifi<:ation
I hereby certify the foregoing data to be corred9d that th.! deviVF tested is functioning
Within the limits of the standards signed: .. ~
......
Firm Name: Metro Testin.K 31222 Cedar Creek Rd. Hincklev. MN 55037
Tested By: Gary Ford Certification ## 058476-BF OR Cole Ford Certi.fkation # 66445-BT
This report is for the purposesIRecording only; Owner is responsible for safe operation
And upkeep of scheduled maintenance.