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08/3112010 09:02 9529143273 MMC PAGE 63 <br /> ANNUAL TESTING OF RPZ VALVES <br /> JOB ADQRE�S: �TY: TS ATE: IP 0 : <br /> 2sao Sh� wo�. R� ���-w+' J'� N s.�'�.� f <br /> OWNERIOCCUPANT; B I OING N ME: D�SCRIPTION OF WORK: ANNUAL <br /> � , s dN/y9T'�L INSTALL ALTER REPAIR REPLACE O RHAUL <br /> ( b�yN <br /> CONTACT PERSON: TELEPHONE NUM6�R: <br /> ��;s �ro l� q�2 � 71 q �7.� <br /> Y RV • DEVICE IOCATION: FLOOR#: ROpM#: <br /> � �T►�lsje..� <br /> MAKE; MODEL; S��E: S RE IAL#: <br /> �4(�e�� �'i 7—�.>X� ��' `� 737�I I <br /> S D 7 : OVERHAUL DAjE: INSTALL OATE: PREVIOUS OVERHAUL DATE: <br /> .5 Zf� ��e7 '-1" ,�j" ��� ._ 08 <br /> CHECK VA�VE CHECK VAIV� PRES.DIF, ACRASS PRES. DIF. WHEN STRAINER J� <br /> NUMBER 1 NUMBER Z NUMB�R 1 CH�CK RELIEF OPENS <br /> INI7IAL LEAKED LEAKED NONE <br /> TEST' CLOSED C�LOSED .�p PSI �'� PSI CLND <br /> INITIAL TEST PASSED SUBMIT A� FINAL J INITIHL TEST FAILED, REPAIR NEEDED <br /> D�SCRIBE REPAIR: � <br /> CHECK VALVE CFiECK VA�.VE PRES.D)F. ACROSS i�RES. DIF. WHEN <br /> NUM6ER 1 NUMBER 2 NUMBER 1 CHECK RELI�F OPENS <br /> FINAI. <br /> TES7: CLOSED CLOSEO F�SI �^ PSI <br /> TEST PERFORMEO 6Y; • RTIFICAT!�� ' �'I;hABF ft• <br /> �,._ h---•---.._. <br /> COMPANY NAME: CO P R SS: CITY �S7A� ZIP CUDE. TELEPHONE N�MBER: <br /> METROPOLITAN 7340 WASHIN(�TON EDEN MN 553d4 952.941.7010 <br /> MECHANICAL CONTRACTORS AVENUE SOU�H PRAIRI� <br />