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HomeMy WebLinkAbout2014 RPZ Test Carwash #1461988 08-08-14;02:59PM; ; # 1101 EIRC :1:111r tut. Reduced Pressure Zone Backflow Preventer Valve&Double Check(DC)Assembly Valve Rebuild &Test Report ltuvu>4,4 t:wart Peri* rl rt,: bassi Add.: t 3t: %ri,t W4►!,b Fc,rfa,/,7 113 $f/ : ?,',Q✓ (akz. u,tk.a� 1 '7 G XL or•�.. /aI6i9r8S' l.ur:stinn for Dtrirri Strvcd Ow Syrtemt akett4A________AL a liA.2t 04.4 I Pe 1 (1 .,2_____4.44 iodate 1 r.: itehutid!Wm Test r. Check Valve#1 Check Valve##2 Differential Pressure Relief 1 2 4 Leaked( ) Closed(X) Leaked ( ) Closed(X lid Not Open( ) Ovation ( ) Install( ) Pressure: /. I Pressure: Sia Opened At: g.e> R Cleaned Cleaned Cleaned E Replaced Replaced Replaced Poppet Poppet Poppet P Spring Spring Spring A O Ring O Ring O Ring Rubber Seat Robber Scat Rubber Seat R Other Repairs Other Repairs Other Repairs S Certification #2 Shutoff Valve: I hereby certify the foregoing data to be correct and that the device tested is Pass U4 functioning wi n Is of the standards. Fait 0 Signature: l Date:, 2= c he Assembly Final Test • Performance: COLE FORD DkW6445 I GARY FORD 81955471 I ALAN FARR BF066481 Meta Teethe,/Metro Mcehnnitni Cot tallith,LLC 31222 Cedar Creek Rd,Hlnokley,MN 551137 en.221,3 SI Pass §a Plumbing Bond Lite:PC646915 Mechanical Bond Cottiiicato ID:5054443 Fail This report is for the purpoPcs of recording only;Owner is reepOnfalde for safe operation and upkeep of scheduled maintenance. qS 7-NY 1 ggqqc