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HomeMy WebLinkAboutBackflow Preventer Test Report BACKFLOW PREVENTER TEST REPORT BOILER SERVICES, INC. 10327 Flanders Street NE Blaine, MN 55449-5711 763-784-8178 I Job #23577 Site Address: 16817 DULUTH AVE. SE. PRIOR LAKE. Zip: Occupant: WELLS FARGO PROPERTIES Phone: 612- T estDate:417/06 667-2984 Device Make and Model: WATTS 009QT Size: 1/2" Serial #:210214 Device Location: L T MECHANICAL ROOM Device Serves What System: BOILER FILL Cbeck Valve #1 Cbeck Valve #2 Press. Dif. Press. Dif. Strainer Across #1 Wben Relief Cbeck Test Before Leaked [ ] Leaked [ ] 9.8 WOULD NOT None [xl Repairs Closed [x] Closed [x] OPEN Final Test Closed [ xl Closed [x] 9.8 4.2 Comments: REPLACED RELIEF ASSEMBL Y. OVERHAUL 2008 CERTIFICATION - I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards. BY~?l(~ DON PYLES Tester Certification # 00505T Phone # 763-784-8178 BACKFLOW PREVENTER TEST REPORT BOILER SERVICES, INc. 10327 Flanders Street NE Blaine, MN 55449-5711 763-784-8178 I Job #23577 Site Address: 16817 DULUTH AVE. SE. PRIOR LAKE. Zip: Occupant: WELLS FARGO PROPERTIES Phone: 612- TestDate:4/7/06 667-2984 Device Make and Model: WATTS 009QT Size: 1/2" Serial #:210203 Device Location: L T MECHANICAL ROOM Device Serves What System: OLD SYSTEM Check Valve #1 Check Valve #2 Press. Die. Press. Die. Strainer Across #1 When Relief Check Test Before Leaked [ ] Leaked [ ] None [] Repairs Closed [] Closed [] Final Test Closed [] Closed [] Comments: THIS VALVE IS NO LONGER IN SERVICE CERTIFICATION - I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards, By~ ~t- DON PYL S Tester Certification # 00505T Phone # 763-784-8178