HomeMy WebLinkAboutPVB TEST REPORT 8/22/2016 MEI-ROTES-MG
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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 ' 'PVB - Tightness of
Valve C eck Valve
Leaking ( )
Initial Test Leaking ( ) Closed Tight ( ) Failed to Open ( ) Failes to Open ( )
Pressure Drop Across
Closed Tight ( ) Check Valve#1 psid Opened at_psid — 0sid
Any Repairs/parts
Used
Air Inlet V. e
Leaking (
Final Test Leaking ( ) Closed Tight Opened at a.Spsid Fail-4 to Open (
Pressure Drop Across ( )
Closed Tight Check Valve#1 L$ psid t pened at_psid
Certification I
I hereby certify the foregoing data to be correct and that the device I Assembly Final Test Performance
tested is functioning ithin the 'mits of the standards
PassSignature:
Date:
IIII we Fail ❑
COLE FORD Certification#066445-PM I GARY FORD Certification#058476—PM I
ALAN FARR Certification# 066481 BF
Metro Testing/Metro Mechanical Consultants,LLC 31222 Cedar Creek Rd,Hinckley,MN 55037
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.