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JUN/07/2012/THU 09: 43 AM Yale Mechanical FAX No, 952-884-0295 P, 005 <br /> .. �. � r <br /> �S'._.. <br /> �� <br /> M E C H A N I C A L t <br /> HVAC•PIPIN�•SHE�T MCTA�•MI4lWRiGHT•PLUMElING ����1 <br /> �� <br /> BACKFLOW PREV►ENTOR (RPZ) T'EST' REPORT <br /> JOB ADDRESS: ' WORK ORDER <br /> �SdC� S � wao�l r�a � � � �O 7� <br /> OWNER/OCCUPANTlCON7'ACT PER N: CQNTACT PHONE: <br /> _.., ;_.� Q '( � �c es�,w �..-�e� _ <br /> DEVICE LOCATION: FLOOR#: #: <br /> �. � L . �� �1�� ��.�-r <br /> SERVES HAT SYSTEM: <br /> � �� t�a-r <br /> MAKE: MOpEL#: SIZE: SERIAL#�: <br /> o��s 90 � a°` ���I � i � <br /> INSTALL DATE(MO D Y/YFJ1R): OVERHAU�DATE 7ES7 bA7� <br /> (MONT�UDAY/YEAR):�a�l� (AAONTFUDAY/YEAR): <br /> (DO NOT PUT A FUTURE DA7E IN <br /> THIS BO� <br /> �F1 CHECK VAWE Ii�U�F #2 CHECK VALVE <br /> PS�lDI�p PSI/DIFF <br /> TEST BEFOR�R�PAiI�S <br /> /�a d�:� <br /> FlNAL TEST <br /> L(J r o�, � �I � <br /> DESCRIBE REP R (IF 7 S IS A N 1NSTALLA N AND REPLACES AN EXI G C ,I IC 7 TH�S�RIAL N 8ER <br /> OF 7HE DEVICE REMOVED): <br /> �h s�-�. � 1 R�..�b �•��- �- � �r r ���1�9 <br /> I <br /> TE3T DOPIE BY(PLEAS�PFtINT FIflS7�C LAST NAME): CERTIFICATION NUMBER: <br /> Chris Hynes 063305BF <br /> i, <br /> Maki�g 6uild�ngs Work Better 5ince 19�9 <br />