HomeMy WebLinkAboutBACKFLOW TEST REPORT 10/21/2009
Oct 29 2009 8:00PM HP LASERJET FAX
Owner: ['
Address:
Make:
Test Year
3~
R
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p
A
I
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p,2
Metro Testing
3 222 Cedar Creek Road
Hinckley, MN 55037
612-221-5888
kflow Preventer Test Report
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Size: ,\f-, "
Serves what System:
. ~
~
Serial:
Check Valve N1
Leaked( )
CIOIed..(..y '7
PreIl1lre ? '
Cleaned
_Replaeed
_ Poppet
_SpriDg
_ 0 RJng
Rubber Seat
Other Repairs
Cheek Valve #2
Leakecl() .
Closed#" 2 _0
Pressure I
Cleaned
_ Replaced
_ Poppet
_ Spring
_ 0 Ring
_ Rubber Seat
Other Repain
Differentia) Pres. ReUel
Did Not OpeD
o ned At
_ Cleaned
_Repla
_ Diap.
_Sp
_0 DI
_ R ber leat
Other epain
Certification
I hereby certify the foregolDg
WithiD the limits of the staDda
FinD Name:
10 be COJTeet, thattbe W is faadIoabol
siped: /' ~, .
. 7
Tested By: Gary Ford Certification OS8476-BF OR Cole Ford CertifiatiOD ## 6644S.BT