HomeMy WebLinkAboutRPZ TEST 8/14/2008
Sep 15 2008 1:03PM
Metro Testing- Mechanical 320-384-0843
Metro Testing
31222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
L J Backflow Preventer Test Report
r-It.If1tJIA(l.V
Contact Personl Tel.
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Owner: -- l"""'J q.
J.SI~ /1 I
Address: 1l-f300 If:~lS. ?~~u~~_ City: ~GI~ (.A~
Make: ~a.. Model: ~CC)() s..s Size: cj "
Location of Device: Serves what System:
\Sollu. 2a-'1fY1 n T)c.,V"
Date: 1>. 14.08
Zip: 553?'L
Serial: } (/1:1I 1 Y '00.5
SwVO) f<.Ja.. S'f-TbJ1
Test Year
Ch~k Valve #1
Leaked( )
Closed ~ ~
Pressure 1/614 r (-u
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repairs
Check Valve #2
Leaked( )
Closed f't) ~
Pressure I, (?r+t ?_~ c)
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repain
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c-I-
R
E
p
A
I
R
S
~
Certification
I herehy certify the loreg.1Dg data to he c.~Dd. that. the deviFe tested is faneli.Ding
Within the limits of the standards signed: ._~ ~
Firm Name: Metro Testinl 31222 Cedar Creek Rd. Hincklev. MN 55037
Tested By: Gary Ford Certifieation # 058476-BF OR Cole Ford Certification # 66445-BT
I This report is for the purposeslRecording only; Owner is responsible for saD. e operation
And upkeep of scheduled maintenance.
p. 13
Sep 15 2008 1:02PM
Metro Testing- Mechanical 320-384-0843
p. 12
Metro Testing
31222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
, <;) I... . _ Backflow Preventer Test Report
\l.!..fkt~ ror-JO f-'tH}~TtlU
Owner: .-1<:,1) r;,~ Contatt Personl Tel. Date: 8 r JL( -o?
Address: ~ Cit)': ":) Zip: 5 {"''7 f")...,
I48DO JE.k~RS. YA~ ~ ~ r~ ~A... LAIct.- > ~ ( L
Make: kl S Model: Zro() ~ Size: ~/q" Serial: ~ 7?} 6
Location of Devi~e: Serves what System:
~rla.. ~ ., D~ 1/' .~I,,)K/t.R.. Sf"lU1
Tat Year
2~
R
E
p
A
I
R
S
: cbe~k Valve #1
I Leaked( )
I
I Closed (t1<) ~
; Pressure } I b ,..rr "Z.cJ
I
i
i
.. CheekVawelll
Leaked( )
Closed (c.9- ~
Pressure I, (:;;1-/ .,
Cleaned
Repla~ed
Poppet
Spring
o Ring
Rubber Seat
Other Repain
AJ
Ie \
/ ~ \
"'2, 0
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repairs.
Certification
I hereby certify the foregoing data to be eo~~.the devjce tested is functioning
Within the limits of the standards signed: , . , ...- - (r~
Firm Name: Metro Testju 31222 Cedar Creek Rd.. Hincklev. MN 55037
Tested By: Gary Ford Certification # 058476-BF OR Cole Ford Certification # 66445-BT
This report is for the purposeslRecording only; Owner is responsible for safe operation
And upkeep of scheduled maintenance.
J
Sep 15 2008 1:01PM
Metro Testing- Mechanical 320-384-0843
p. 11
Metro Testing
31222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
'JU ':) /- Backflow Preventer Test Report
,:~ I ~Ji) ~rrA~Y_"_ "_
Owaer:.:csD ? I' Contact Person! Tel.
Address: i'ro _ -- ~ .\ ~itY: '\ ') ";..--
I <.{ 4'00 J&ff&2-s.. r",~~ f\-U rt2-tof?-., Akf-
Make: \ Model: "",~-A Size: /"
U6.7~ VLlI M L
L.x:ation of Device:
~.II:L ~KY'\
Test Year
7..j1
cVr-
R
E
P
A
I
R
S
Date: (J./cf- 0'8
Zip:
> 5~'/2
Serial: Ao If 6 c./
Serves what System:
~.lut..
ch~k Valve #1
Leaked( )
Closed t* n
Pressure r . )
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repairs
Check Valve #2
Leaked( )
Closed t>f-
Pressure
6.'7
Differential Pres. Relief
Did Not Open
I Opened At [.'if
I, Cleaned
, Replaced
Diaphragm
Spring
o Ring
Rubber seat
I Other Repairs
I
!
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repairs
Certification
I hereby certify the foregoing data to be correc~nd that the C\tvice tested is functioning
Within the limits of the standards signed: ~A
, ""'-
Firm Name: Metro Tesdnf 31222 Cedar Creek Rd. Hincklev. MN 55037
Tested By: Gary Ford Certification # 058476-BF OR Cole Ford CertirlCation # 6644S-BT
This report is for the purposesIRecording only; Owner is re,)l'...usible for safe operation
And upkeep of scheduled maintenance.