HomeMy WebLinkAboutRPZ TEST 8/14/2008 (2)
Sep 15 2008 12~5SPM Metro Testin~- Mechanical 320-384-0843
p.?
Metro Testing
31222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
\ Backflow Preventer Test Report
! Jc:r~O}) C-}~F-V
OwBer: ___ ? c; I Contact Person! TeL
...:.L 5>0 t (
Address: I"v) \ (' . City:
5"5./v W€~T~~~") ;:>L::,L
Make:LJ.arTS. Model: 907 Q.
Location of Device:
?L~[;,Je.&
Size: ~ k.t ,.
Date: ~ jc.(-O?
Zip: 553 '72.
Serial: C / 6 5?~ 1
, f<S,. ~1<- Rc~?ff)
Serves wbat System:
~,k~
,
Test Year Cheek V Rive #1 Check Valve #2 Differential Pres. Relief
Leaked( ) Leaked( ) Did Not Open
2~~ Closed W "S.L Closed <>9. YO -S.I
Pressure Pressure Ooened At
"- Cleaned Cleaned Cleaned
- -
R _ Replaced Replaced _ Replaced
_ Poppet Poppet _ Diaphragm
E _ Spring _ Spring _ Spring
,
i P ORin o Ring _ 0 Ring
- g
I A - Rubber Seat - Rubber Seat Rubber seat
-
I Other Repairs Other Repairs Other Repairs
R
S
Certification
I hereby certify the foregoing data to be correct and that~ice tested is functioning
Within the limits of tbe standards signed: ~
\
Firm Name: Metro Testme: 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 purposes/Recording only; Owner is responsible for safe operation
And u k of scheduled maintenance_