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w i�'` � . <br /> 4715.2260 <br /> . Annual Testi�g <br /> of R.P.Z. Yalves <br /> BACKFLOu PREYENTER TEST REPORT <br /> �. aooREss ��s�- S�',�inf�/�i��.PI�CI7Y ���� ziPsrs"3�� <br /> ( QuNER � � _� , „ 7ELEPHONE N0. DATE�_ � <br /> - ./�/�1/co G/�'%Cf/LS'O' A�Gfi�' �i�Svic.J S-l� <br /> HAKF AND MOOEI OF DE%lCE��s � LSIZE / � SERIAL N0. �/s <br /> IOCATION OF DEYICE: �za�/�- d` �iJIJuS�' OG�!-S�PE' <br /> / � <br /> �l��S1- CHECK YAIYE /1 CHECK YALYE l2 PRES. OIf. PRES. DIF. S7RAINER <br /> aCROss 11 uNEx REttEF <br /> • CHECK OPENS <br /> TEST IEAKE� LEAICED S psi si NONE �C . <br /> BEFORE CIOSED ( CLOSEO (x� CLND ) <br /> REPAIR <br /> . OESCRI6E <br /> REPAIR <br /> F1NAL LEAKEO LEAxED �'�si _��si <br /> TEST CLOSED (t�. <br /> MATERIALS � <br /> USED . <br /> CERTIFICATIDN: <br /> ,. ,_ I hereby certify the fore9oing data to be correct and that the tesied device is <br /> �� functioning within the limits of the standards. � <br /> F I Rt-1 NAME /�� ��LL/i2l/i%�� ADORESS ���3 ����L,�l"�'v�� ��s`s��3� <br /> , � <br /> BY O/�i�-/ O%�4K'� TES7ER'S CER7IFICATIOt� N0. �7� l TEI. N0. -r'�S"�-�;fi�/�� <br /> OAT E REhSARKS <br /> ' �. <br /> t� <br />