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Home My WebLink About2014 RPZ Test Boilers #ry c f 1:, Liiiiii RO Reduced Pressure Zone Backflow Preventer Valve & Double Check (DC)Assembly Valve Rebuild & Test Report 4'r�txcii wood �l-err>e ,�Ll J'n bel pvo q52--zo(�-D F :G-/C'/( 6 ,. 50(0/ ,1)iniii-so-1-ce s; S E- P`ic llo-ee 5'53-7z vas OO 1173 3/4f /1'79 g/ '86�`Lec iZO©m , ,, ti Test Yr. Check Valve#1 Check Valve#2 Differential Pressure Relief 1 2 3 4 Leaked ( ) Closed (5C) Leaked ( ) Closed (X) Did Not Open( ) Overhauled(k) Install ( ) Pressure : �� D Pressure : 6. Opened At: R Cleaned Cleaned Cleaned E Replaced Replaced Replaced P Poppet Poppet Poppet Spring Spring Spring A 0 Ring 0 Ring 0 Ring I Rubber Seat Rubber Seat Rubber Seat Other Repairs Other Repairs Other Repairs R S Certification 1 it-,^ Shu it c)+ ±-ars:: I hereby certif the foregoing data to be correct and that the device tested is Pass functioning iri h limits of the standards. Fail ❑ Signature: et- Date: O - s- PI Assembly Final Test Performance: COLE FORD BF066445 I GARY FORD BF058476 I ALAN FARR BF066481 Metro Testing/Metro Mechanical Consultants,LLC 31222 Cedar Creek Rd,Hinckley,MN 55037 612-221-5888 Pass Sn( Plumbing Bond License:PC646918 Mechanical Bond Certificate ID:5054-MB Fail ❑ This report is for the purposes of recording only;Owner is responsible for safe operation and upkeep of scheduled maintenance.