HomeMy WebLinkAboutRPZ TEST 10/22/2008
Oct 22 2008 7:26PM
Metro Testing- Mechanical
320-384-0843
p.2
Owner:
, Metro Testing
31222 Cedar Creek Road
Hinckley, MN 55037
: 612-221-5888
Ba~kflow Preventer Test Report
Address:
Date:
Make:
Zip:
Serves what System:
1 m'-
Serial:
Tellt Year
~
1)/
R
E
p
A
I
R
S
Check Valve #1
Leaked( )
Closed Y1
Pressure '3 I -V
_ Cleaned
_ Replaced
_ Poppet
_ Spring
_ 0 Ring
Rubber Seat
Other Repairs
Check Valve #2
, Leaked( )
. Closed ~ "2 'l
Pr~sure
. , Cleaned
_ Replaced
Poppet
_ Spring
o Ring
Rubber Seat
Other Repairs
Certification
I hereby certify the foregoing dRtato be correct
Within the limits of the standards ' signed:
This report is for the purposesJRecprding only; Owner is responsib
And u kee of scheduled mainteruince.
sted is functi ing
Firm Name: Metro Tes. 31222 Ced' Creek Rd. Hinekle
Tested By: Gary Ford Certification # O$8476-BF OR Cole Ford Ce