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JUL-11-2014 09:58 P.004 <br /> BACKFLOW PREVENTOR (RPZ) TEST REPORT <br /> Site Name: <br /> �'dx.�.�,av <br /> Site Address: 2�..1� �� <br /> � �+ P�r�,A �, ��nM <br /> Device Location on Site: � � v ` <br /> Contact Person: Irrigation by Design, lnc Phone: 763-559-7771 <br /> Serves What System: Irrigation <br /> Test Year(check one): �New Instalf Q1st �2nd �3rd �4th aOverhaul <br /> Manufacturer Model Size Serial Number <br /> r�,� ,� $z��� �`` Jo�D r3�. <br /> Install Date (M��IY): Overhaul Date (M/on�): Test Date (M��n�): <br /> 0 � f'L ���5'1 <br /> #1 Check Valve- psi Relief Valve- psi #2 Check Valve <br /> Test Be#ore Repairs: <br /> Final Test: 9,a � c <br /> 6 P�,ss <br /> Describe Repairs, if any: <br /> Test Done By: l, I l Certification <br /> ,v� a` � Number: 2�{-�C�'� <br /> (Print first and last name) ' <br /> Company Name: (rrigation By Design, Inc �ontractor NA <br /> ` ,�_.License: <br /> Company Address: 175 James Av. N. company 763-559-7771 <br /> Phone: <br /> City: Minneapo(is State: MN Zip: 55405 <br /> Contact Person: Lori Waters Phone: 763-559-777'i <br /> �� � ���� P� �s SCANNED <br /> arch 2007 ���� � ��t ( l <br /> � HAUIBDForms/ExcelDocuments <br /> �`i�� � /iJ � �-i�- 1 "_ ��Y '� <br /> Total P.004 <br />