HomeMy WebLinkAboutRPZ Test. Serial # 090804 2013 • i
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Reduced Pressure zone BackHow preventer Valve & Pressure Breaker Valve
Rebuild & Test Report lt I(). Coated PersemiTel.: We
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Check Valve #2 dal Pressure Relief
fiL Tat Yr. Cheek Valve #1
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• • • ( ) Pressure . ()pulsed At:
b'euri O pressure
R cleaned cleaned Clewed
• E Replaced Replaced Replaced
P Sizing o tiring SPring
o Ring
A R Rubber Seat Rubber Seat
Rubber Seat
I Other Repairs Other Repairs Other Repairs
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Certification
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I hereby certify the foregoing data to be connct and that the device tested is functioning
Within the limits of the standards Dated:
COLE PORD Cardaadatt #eif16PI M 1 GARY FORD Cerdikedes 0 W 1 AMMAN FAIR CI. L d NSW U
Were MAW Wire Maoraaieal Coesekesis, LLC 31213 Cedar Creek ltd, le ddq, KNOW 41242N N
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This report is for the purposes of recording only Owner is responsible for safe operation
• and upkeep of scheduled maintenance. •
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