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fl.J- METRO TESTING
'0S 2-'-t'fOfj.f., 7012?2 Cedar Creek Road
Hmckley, MN 55037
612-221-5888
Backflow Preventer Test Report
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Final Test
Final Test
Malena!s
used
Annual Testing
ofR.P.Z. Valves
Zip
Date 1- 78-05
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Certificati'lll
1 he..,by eertify the foregoing data to becorrec! and that the lestes device is functioning within the limit> of the
S~dards
Finn Name Iletro Testin'LAddress 31222 Cedar Creek Road Hinckley, MN 55037
By Garv For" Tester's Certification #lMIT Tel No. !iJ 2,22 J -548 t
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METRO TESTING
31222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
Backflow Prevenler Test Report
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I Addres: 15'8(,D 1;;# nn",r KO ~ City /-;;e/~ Lr.l1'l6:
r Owner 1.x::s!J ? 1'1 Telephone #
f Make ~d model ofDevice WA1'T~ is r;
I LocatiJofdevice amP ~/ OuTSo:>&: '3f
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Leaked ( )
Closed ( )
Leaked ( )
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Final Test
Final Test
Le.,ked () Leaked ( )
Closed ( ) Closed ( )
_~$i
Materials
used
Annual Testing
ofR.P.z. Valves
Zip
Date ?-!'i-05
Size 3:~_~~rial # C)J<i - 03a-:\
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relief opens
I psi
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erti cal.on
1 t ,reby certify the foregoing data. to be correct and that the testes device is functioning within the limit> of the
sU ndards
_psi
Finn Name Metro Testin~ Address 31222 Cedar Creek Road Hinckley, MN 55037
By Garv FniTester's Certification #1649T Tel No. 612-22J~5481
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I Date
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