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JUL-18-2BB6 11:35 AM MRPLUMBING
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M&R Plumbing
July 17, 2006
City of Prior Lake
Attn: Bob Hutchln9~
Bob:
6517779499
P. B 1
M&R Plumblng
11818 2e'~ 51. N,
Oakdllle, MN 6612!l
Phone 661 777.900a
Fell. 651 777 .9499
Cell 661 176-7270
I am sending the Information on the RPZ test we did at 4151 Willowvvood St. S,E. in Prior Lake.
We did not repair we replaced.
Thank you,
MATT RIESCHL
M&R Plumbing
651- 777 -9009
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..:::10106 11:35 AM
MRPLUMBING
6517779499
P.02
..Y I .
M & R PLUMBING INC,
6618 29th ST, N.
OAKDALE, MN 55128
OFFICE 651.777-9009
FAX 651-777.9499
RPZ INSTALLATION I TEST RECORD
RPZ LICENSE #01531T
LICENSE #004922PM
MAKE MODEL NUMBER SERIAL NUMBER.
\..1.JcxTt" .s 'hit c:O~ <<T 30b ~14
PERIOD #ICV RELIEF H2CV TESTER NAME & DATE
PSI/DIF PSI I DIP NUMBER
INSTALLED (.,~ M i\t\ 12.: c:<..t.", \ G.. z. r.:::. -<;)l.
_OVERHAUL
I"YEAR c.. \O~V '). L. L I-So'-"">
2.~ YEAR
301 YEAR
4~ YEAR
Sl~ YEAR ..11....1.......,., .....,............ . ~ . . . .. . . . . . ... . . . . . OVERHAUL REQUIR~O
..................
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, Jv1ETRO TESTING
31222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
Backflow Preventer T~t Report
ADIlual Testing
ofR.P.Z. Valve$
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51 ~ City 'rl,/Otl. .~I{~
Telephon~ /I '
Zip
I Address tllS I r..> 1I0000c..JOQ;)
I Owner ;:"ttu~IW J<.~
Date
. Make and model of Device .l.JATfS ct.fJ Qr Size I'z Serial # 7S88?
Location of device x- RAY' ~I<"l"- ,- ~ ..
{Ii) fllll - CDCck Chcc1c valve ' Pres dlr across .....-~ Wi whCII StraJner
valve III #2 1#1Ch~k relief opens.
, '
T c.tt Leaked ( ) Leaked ( ) pst psi NGa~ '(~
Clos~ Ols~. 5~r' CIne! ( , ) , ,
5.0 ""l r
,
Final Tc:sr
-
., .........,
Fil\8.1 Test Le...uc.cd ( ) . Leaked ( ) , -p~j _psi
Closed ( ) Closed U \
,
MlILcrials
used
Certification
I hereby certify tbe foregoing data to be,co~t and rhat the tcslCS device is ,fwlctioning withiD lhe limits o(the
S1lUldards
,.
Firm Nlalll Metro Tesdnl; Address 31222 Cedar Creek ROlld Hinckley, MN 5S037 '
By'Oary' Ford Tester's Cerlificat10tl i~ Tel 'No, 612.221 -..5481
Date
Reuj~rks
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, ~TRO TESTING
31222 Cedar Cre~k Road
Hinckley,1v!N 55037
612-221-5888
Bacld10w Prcvenlcr Test Report
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Sf.) City f:A.,tNl. lA
Telephone #
Annual T estine
ofR..P,Z. Valves
Zip
Date
Location of device . ~Qj(
($CCk
valve 1# I
Size (I( of Seri~ # AA ~ ~
/ SlotA~
Sbainer
Test .
Tlnal Test
final T csl
Lc:u::cd ( )' Leaked ( ) _ p~i
Closed ( ), Clo.sed()
_psi
Materials
Ll.Scd
NOD~
Clnd ( , )
Certification . . ,
[ hereby certify Ihe fore&oing daS& to bc.curr~l and !bat the testes dovicl: is filIlctioning within the limits ot"thc
stmcfards
rrrm Namc MctroTcsMl! Address3t222 Ce~Cleek Road Hinckley, MN 55037
By'O.", Ford 'Tester's Certificatio.o.lIJMtt Tel No, 612.221-5481
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Date
ReU1Uks
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