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4715.2260 <br /> Annual Testing <br /> of R.P.Z. Valves <br /> BACKFLOW PREVENTER TEST REPORT <br /> tADORESS <br /> CITY ZIP <br /> Do I,i,1 t�c�c��t 11 c( i�1�t yea tcz, 5-5-3 9 l <br /> DIMER TELEPHONE NO. DATE <br /> wb ( ( ei^(4 v1 f 6(k b 9s -'4713--s?Ir - 44-I3 <br /> MAKE AND MODEL OF DEVICE SIZE SERIAL NO. <br /> LOCATION OF DEVICE: <br /> • 'ino,iwk-enavtt e. r � <br /> CHECK VALVE #1 CHECK VALVE 02 PRES. DIF. PRES. DIF. STRAINER <br /> ACROSS #1 WHEN RELIEF [ i n 5 <br /> • CHECK OPENS <br /> � ED �� . psi a. `i psi tT - <br /> BEFORE CLOSED CLOSED CLND <br /> REPAIR <br /> OESCit liN , r <br /> REPAIR <br /> FINAL LEAKED ( ) LEAKED ( } psi - psi <br /> TEST CLOSED ( ) <br /> MATERIALS - ► <br /> USED <br /> CERTIFICATION: <br /> I hereby certify the foregoing data to be correct and that the tested device is <br /> functioning within the limits of the standards. <br /> FIRM NAME art kA br y $ohs ADDRESS 6Liit -14ne5eshoe Pfd Corcorckh <br /> BY TESTER'S CERTIFICATION NO. 8FOe38i' TEL. NO.763 R6-a/O6 <br /> DATE REMARKS <br /> • <br /> _. _ - RECEIVED <br /> APR 2 5 2013 . <br /> CITY OF ORONO <br /> • <br /> s . <br />