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RPZ Inpection 3/5/2009
jJfI--.' ~. Jay's Plumbing RPZ Inspection Report .J ason Larson 612-868-4102 'JI. .JE:r~\:.;..;;;;';",~~ It.,,~":l ,~\.':.T, ...;.l."'tI'.(~' '71;~"" ;', ""':='"!'.~:.'~ .:r::,,~:. ....... " ' I~~' ,~ : ~ OFFICE USE ONLY ~ ~ i ~ Site Address ~ Permit N OWNER INFORMA T10N Nil me of Owner _ (f (:e,(j S ; In 11"'- Owner Address . _ _57Z- ~ Gtee'1STO ~E: vr. MAILING INFORMA TION ConlaclName J'Clf Conlect Address S c.. r~ ~ Phanll (q{J_ )'llL~W_{__ ~ ~ Doc. Type _c.EBJ___... .J ~ Dale "'i ) :~~.'I~,~J.I.'~.V'lVIl..'Jlt n-/:',,":i/iif.~N.~~...:'.l:, ~I~' 'II '..," .;: RPZ fNFORMA TION Site Address f7)). t- t'" 10-"., 1'.. Location of Device WA.Ir. i,,,,/&" " ,..(".... System Device Sentes Valve ID # Serial II dt' 7 (, / ,IF" J(),rJ., !-'V""f..._..___VaJve Mfr kn'IA'..,,~Moclel 1 'h'- X L -S;~e L4 TEST INFORMA T10N CHECK VALVE CHECK VALVE PRESSURE DIFF. PRESSURE DIFF, WHFN STRAINER /I , #2 ACROSS # 1 CHECK RELIEF OPENS ---"....' .. ... '..' .... . . . . -, ~ ".'" ...--- --"~- TEST I3EFORE o LEAKED o I.EAKED ~, ~ . 5, () o NONE REPAIRS ...8'CLOSED .J3"CLOSEO .,.,. . ..-.. ... PSI PSI o CLEANED -_. .-- 1---=-, --"'.-" FINAL TeST ~LOSED y-dOSED ?,{,. PSI 3 ( ..'.2. PSI -----. "....,.....- .-- .. Rllrnar1cs: TESTER INFORM A TlON Tllslllr NamE! ~ S,).., , '-[.,Sr.. " 10. ~CC(,- C,,j, ~"II -r T esti~ Company 'Ji, y 'f /YI.' II"!'; " , I .J.~, L ,- t (- L h ? ,,/.. 'r . '-1'3 --, I 0, ~ ",I' , Address,J-11 )o)'lHr;.., ~.'.,( J1/U&1 .""elL.., l-l/~ 'Ii '):-:-..,.__Pl1one(...f!.!L) tlU<f" '/()~_....__ I hereby certify the foregoing data to be correct ilnd thilt the tested device 1& functioning within the limits of the standOlrds. '3 - S.... d'j Date T Q6~d L~8LZ6vZ~6 dL~:fO 600Z'90 ~