HomeMy WebLinkAboutPVB Test Report 11'
MT5 '
Pressure Vacuum Breaker Assembly (PVB) & Spill Resistant Pressure Vacuum Breaker
Test Report
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PVB > Shutoff#2 Gate Check Valve Air Inlet Valve SRPVB - Tightness of
Valve Check Valve
Leaking ( )
Initial Test Leaking ( ) Closed Tight ( ) Failed to Open ( ) Fail-c to Open )
Pressure Drop Across
Closed Tight ( ) Check Valve#1 psid Opened at psid p
Any Repairs/parts
Used
Air Inl. Valve
Leaking ( )
Final Test Leaking ( ) Closed Tight ( Opened at3,2. psid Fail,d to Open ( )
Pressure Drop Across ( )
Closed Tight Check Valve #11.4, psid O•ened at psid
Certification
I hereby certify the foregoing •' ' to be correct • that the device Assembly Final Test Performance
tested is functionin. within the limits of the standards
Signature: i i 41 Pass)p
Fail ❑
Date: 141,46\\41
COLE FORD Certification#066445-PM I GARY FORD Certification#058476—PM 1
ALAN FARR Certification# 066481 BF
Metro Testing/Metro Mechanical Consultants,LLC 9112 Davenport Street NE,Blaine,MN 55449
612-221-5888
Plumbing Bond License:PC646918 Mechanical Bond Certificate ID:5054-MB
This report is for the purpose of recording only: Owner is responsible for safe operation and upkeep of scheduled maintenance.