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HomeMy WebLinkAboutBackflow Preventer (RPZ) Test Report 02115l2013 11:59 9524459401 �A�9524459401 P.001l001 �� � � ��'��*°- �� F ��.�� ., BACKFLOIN PREVENTER (RPZ} ,� �' ,���°� TEST REPORT . . � ����`� AAIAINESdTA PLUMBING 8r, HEATING,1PlC ' �.�. �(}�� ' � Taab 3RD AVE W � S!-IAKOP��, MN 55379 � �� '� 952-445-4444 ��� Oocupant SAlL�RS GREENHOIJSE Tel no 403-0630 Zip 55879 Sit� Addres5 1610 17pTH STREET, SHAKaPEE, MN Contact MARK S�AtLER RRZ INFO: (or Peggy) 994-$353 cell Make & Madel: VIIII,KINSIZURN 975XL Size �" Ser No 47287a Date installEd: 3/�6l�199T Dat� r�b�ilt: �113l��13 Date ta rebuild: 2113lZ018 Lacation: WELL ROOM; NW CORN�R MAIN BL.d� Test Datc 2/73/2043 Services What S�stem; WAT�1� p�lAlAl Pres Diff pres Diff Gheck Check AG'oss #1 When Rel9ef Strainer Valve #9 � Valve #2 • Check O ens Test Befare Le�ked (} Leaked {) p$ � �� Nane (X) Repairs Closed ( ) Glased ( ) Clnd ( ) Final Test Closed (X) Closed {X) 7.8 FSl 3.4 PSI REBUILD KIT #RK91�75X1. . • Describe Repair "��$�'�p � CEI�TIFIED OK Certificallon: I hereby certify #h� foregoing da#a to be carrect and that the tested RP�Z is func#ianing within the limi#s vf the s#andards. B: GARY ROMINE Tester Gertification No: BF066605 Tel no; •952-445-4444 Page 1