HomeMy WebLinkAboutRPZ Tests 7.23.15 07-27-15;04:26PM; # 1[02
METFlimmiliM7CAL,LLC
Reduced Pressure Zone Backflow Preventer Valve&Double Check(DC) Assembly Valve
Rebuild &Test Report
atp.:ltti4 Cuncui lkersin/Tel.; Mari i
fWdre',s 1 t y; Zip:
,"DUP44tt01 4451(4. bete.- ttar (.a.62- S5-312
itttf:r; model: size: S rial#1
vi:UW S g•7 X4. i 4 to i' g
Location of Device: Sinwili wlat$ytitrot:
eat that tan rnech mon 0201
lima Yr,: Riltuild Date:
2011 I?-0/fel
Test Yr.`� Check Valve#1 Check Valve#2 Differential Pressure Relief
1 2 3 V Leaked( ) Closed Leaked( ) Closed( (j Did Not Open( )
Overhauled( )
Install( ) Pressure : .,,,�•
,, „ Pressure : ,-1.5- Opened At: 7.•(.0
R Cleaned Cleaned Cleaned
F. Replaced Replaced Replaced
P Poppet Poppet Poppet
Spring Spring Spring
A O Ring O Ring O Ring
I Rubber Seat Rubber Seat 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 Er
functioning within the limits of the standards. Fail 0
Signature: 4 11
Date: "7 1%3115' Assembly Final Test
Performance:
COLE FORD BF066445 f GARY FORD 1tl?050476[ ALAN FARR BF0664511
Metro Testing/Metro Mechanical Coma/tants,LLC 31222 Cedar Creek Rd}Hockley*MN 55037 612-221.5888 Pass e
PlumbingBorpdL:censr PC6469iil Mechanical Bond Certificate ID:5054-MB Fail 0
____ . .
This report is for the purposes of recording only:Owner is responsible for safe operation and upkeep of scheduled maintenance,
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07-27-15;04:26PM; # 2p 'O2
s
METR
TEING OMECHANICAL,LLC.
Reduced Pressure Zone Backflow Preventer Valve&Double Check(DC)Assembly Valve
Rebuild &Test Report
liminess: Ce Intact Peron rel.: Dmitri
Strfr .t .st 30), 7 f?. I
Address: (1fi: Zip:
Citi IP 0 6L( 4-ach }-fills 11'e-. Pylar SC14,4- S-5-31
lake: :4ludel: Sire: :serial h
WI KI/7 S ai1S Xi- ! 'i lBo406is
Iekutitrtu ni"llev"k: Served chat System:
eq./ wttsl1 (filth brOrrl car- ocsli _._.._... __._
!Osla!! Yr.: Rebuild flaw:
201f
Test Yr. A Check Valve#1 Check Valve#2 Differential Pressure Relief
1 2 3 lki Leaked ( ) Closed Leaked( ) CIOSBC*1 Did Not Open( )
Overhauled( )
Install( ) Pressure : `o Pressure : $1- , Opened At: 3c+
R Cleaned Cleaned Cleaned
E Replaced Replaced Replaced
Poppet Poppet Poppet
P Spring Spring Spring
A o Ring 0 Ring 0 Ring
Rubber Seat Rubber Seat Rubber Seat
Other Repairs Other Repairs Other Repairs
R
S
Certification #2 Shutoff Valve:
I hereby certify the foregoing data to be correct and that the device tested is Passelff
functioning within the limits of the standards. Fail 0
Signature: W _
Date: -76)11°)1s' Assembly Final Test
Performance:
COLE FORD 11P066445 I GARY FORD BF)584761 ALAN FARR BF066481
Metro Testify Metro Mechanical ConSuttnatr:,ILC 31222 Ceder Creek Rd,Rackley,MN 35037 61.2,221.5555 Pass Es'
Plumbing Bond License:PC646915 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.