HomeMy WebLinkAboutRPZ Test Irrigation 8.14.13 FROM (THU> 8 16 2013 11:35/ST. 11: 29 /No. 8001737464 P 0�D
1
•
•
'
Reduced Pressure Zone Backflow Preventer Valve & Pressure Breaker Valve
Rebuild & Test Report
Business: Contact PersanfFeL: Data:
- - Twin ( S Midcife School r )` m net( W 0 52 -220- 6091 '04
Address: City: Zip:
t5 g 0O eSh PtiY ad & ` y (cx.K, 553? 2.
Make: w ane.. Model: She: 3 ra Serial #:
1 -----
Location of Device:
Wale/ rhe4r Served what System:
t,rif1 crhbn
•
Install Yr.: • Rebuild Date:
572081
Test Yr. ' Check Valve #1 Check Valve #2 Differential Pressure Relief
( l L3 4 Leaked() Closed PG) Leaked() Closed (,)1 Did Not ° ( )
Car ed () �7
Pr essure : b.c) Opened At: ;7 -
Install ( I Pressure : = `
•
R Cleaned Cleaned Cleaned .
E Replaced Replaced Replaced.
Poppet Poppet Poppet
P Spring Spring ORB t
A 0 Ring 0 Ring
Rubber Seat Rubber Seat Rubber Seat
1 Other Repairs Other Repairs Other Repairs
R
S •
Certification •
I hereby certify the foregoing data to be correct and that the device tested is functioning
Within the limits of the standards
Signed: Dated: S IN )13
COIF FORD Certification # 066455 -PM I GARY FORD Certification it 058476 —PM 1 ALAN FARR Certification # 066481 BF
Metro Testing/ Metro Mechanical Consultants, LLC 31222 Cedar Creek Rd, lBncb1ey, MN 55037 612.421.5888
Pium4ing Bond Liemse: PC646418 Mechanical Bond Certificate ED: 50541-MB
This report is for the purposes of recording only Owner is responsible for safe
and upkeep of scheduled maintenance.
•