HomeMy WebLinkAboutRPZ TEST 8/15/2008 (3)
Sep 15 2008 12:5?PM Metro Testing- Mechanical 320-384-0843
p.2
Metro Testing
31222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
/ / / Backflow Preventer Test Report
1-1. 0 ,,[;.,.; _, (; Ak.,~ ., I' QD1L ~~#OlJ I _ ".
Owner: r<h/') '7f I Contad Penonl Tel. Date: 0'(5_-08
Address: r ';) City: J / Zip:
} S~5S f(<;J/ r~,~T [4) ) ,L10R. lAl<.~ 553 rlZ
~ie; ~), I k,~ Mod~l: 775 XL H~~~_~C:_._~dal~ J21~O~ ~
Location of Device: Serves what System:
~~JaL.___~C'J ?0o,las
Test Year
Z@f
R
E
P
A
I
R
S
Cheek Valve #1
Leaked( )
Closed (tI1- 1/ z..
Pressure (
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repairs
" Check Valve #2
Leaked( )
Closed w.. 7. ~(
Pressure
Cleaned
Replaced
Poppet
Spring
o Ring
Rubber Seat
Other Repairs
Differ~lltial Pres. Relief
Did Not Open
Opened At S.O'
Cleaned
Replaced
Diaphragm
Spring
o Ring
Rubber seat
Other Repairs
I Certification---H
I hereby cer1ify the foregoing data to be corrMand that ,he dftvice tested is functioning
Within the limits of the standards signed: ' ~
.., --'"
Firm Name: Metro TestiD( ~12:22 Cedar Creek Rd. Hinc.IVev. MN 55037
Tested By: Gary Ford Certification # 058476-BF OR Cole Ford Certifi~ation # 66445-BT
This report is for the purposeslRecording only; Owner is responsible for safe operation
And upkeep of scheduled maintenance.