HomeMy WebLinkAboutPVB TEST REPORT 9/29/2016 i k,,,, v4 ,, - * le
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Pressure Vacuum Breaker Assembly (PVB) & Spill Resistant Pressure Vacuum Breaker
Test Report
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PVB > Shutoff#2 Gate Check Valve Air Inlet Valve SRPVB - Tightness of
Valve Check Valve
Leaking ( )
Initial Test Leaking ( ) Closed Tight Failed to Open ( ) •iled to Open (
Pressure Drop Across
Closed Tight� Check Valve#12‘o psid Opened at..psid psid
Any Repairs/parts
Used
Air Inlet 0 :lye
Leaking ( )
Final Test Leaking ( ) Closed Tight ( ) Opened atg-5psid Faile. to Open )
Pressure Drop Across ( )
Closed Tight ( ) Check Valve#12-0—DD psid O s-ned at_psis
Certification
I hereby certify the foregoing data to be correct and that the device Assembly Fnal Test Performance
tested is functioning within the limits of the standards
'
Pass
Signature: A*& t.,o
Fail ❑
Date:
COLE FORD Certification#066445-PM I GARY FORD Certification#058476—PM I
ALAN FARR Certification# 066481 BF
Metro Testing/Metro Mechanical Consultants,LLC 9112 Davenport Street NE,Blaine,MN 55449
612-221-5888
Plumbing Bond License:PC646918 Mechanical Bond Certificate ID:5054-MB
This report is for the purpose of recording only;Owner is responsible for safe operation and upkeep of scheduled maintenance.