HomeMy WebLinkAboutRPZ REPORT 8/15/2016 (CAR WASH) ETRO - ;
Reduced Pressure Zone Backflow Preventer Valve & Double Check (DC)Assembly Valve
Rebuild & Test Report
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Test Yr. Check Valve#1 Check Valve#2 Differential Pressure Relief
1 2 3 4 Leaked ( ) Closed Leaked ( ) Closed 111 Did Not Open( )
Overhauled )
Install( ) Q
Pressure : 1'S Pressure : C1, % Opened At: 2.g
R Cleaned Cleaned Cleaned
E Replaced Replaced Replaced
P Poppet Poppet Poppet
Spring Spring Spring
A 0 Ring 0 Ring 0 Ring
I 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 2
functioning within the limits of t e standards. Fail ❑
Signature: !i'
Date: bl15 I1tp Assembly Final Test
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,Er
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.