HomeMy WebLinkAboutPVB TEST REPORT 9/27/2016 ETRO
Reduced Pressure Zone Backflow Preventer Valve & Double Check (DC) Assembly Valve
Rebuild & Test Report
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Tes► Check Valve#1 Check Valve#2 Differential Pressure Relief
1 2 Tt. Leaked ( ) Closed ') Leaked ( ) Closed (XO Did Not Open( )
Overha ed( )
Install ( ) Pressure : ��LP Pressure : ]�S Opened At: 2.9
R Cleaned Cleaned Cleaned
E Replaced Replaced Replaced
Poppet Poppet Poppet
P Spring Spring Spring
A 0 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 Pass
functioning within he limits of the standards. Fail n
Signature:
_I i27II'1 Assembly Final Test
Date: Performance:
COLE FORD BF066445 I GARY FORD BF058476 I ALAN FARR BF066481
Metro Plumbing I Metro Testing,LLC 9112 Davenport Street NE,Blaine,55449 612-221-5888 Pass
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.