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10/05/2020- Reduced Pressure Principle Backflow Preventer field test report
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10/05/2020- Reduced Pressure Principle Backflow Preventer field test report
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8/22/2023 3:12:16 PM
Creation date
10/26/2020 9:27:48 AM
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0505 Willow Dr S
Document Type
Land Use
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0411723410012
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American Society of Sanitary Engineering <br />Reduced Pressure Principle Backflow Preventer (RP) <br />ASSE Standard #1013 Field Test Report <br />Zip Code 55356 <br />Zip Code, <br />Manufacturer of Device: Wilkins <br />Model* 975xL <br />Size of Device: 1" Serial #: 3662618 <br />Location of Assembly and Equipment or System Application: Irrigation System <br />Test Equipment: <br />Manufacturer: Wilkins <br />Calibration Date: 1/6/2020 <br />Model #: TG -3 <br />Serial #: 091010878 <br />Date test was performed: 10/5/20 Time test was performed: Static Line Pressure: <br />Certified Tester (print) Dan Swanson <br />Address 1880-B West Wayzata Blvd <br />City Long lakd,, State MN Zip 55356 <br />Phone #: 952-473-8 3 <br />License #: P 061307 /-UrtificatioA 28072 <br />Signature <br />Date <br />Comments or Recommendations (continue to other side, if needed): <br />Assembly Final Test <br />Performance <br />Pass <br />Fail ❑ <br />Check Valve #2 <br />Shutoff valve #2 <br />Check Valve #1 <br />Pressure Differential <br />Relief Valve <br />Leaking (� <br />Initial Test <br />Leaking (E]) <br />Leaking (EI) <br />Closed Tight (� <br />Opened at 3.5 <br />Closed Tight (ED <br />Closed Tight (ED <br />Pressure Drop Across <br />_psid <br />Check Valve #1 s psid <br />Describe parts <br />and repairs <br />when needed <br />Leaking (ED <br />Final Test <br />Leaking (]) <br />Leaking <br />Closed Tight ([3 <br />Pressure Drop Across <br />Opened at <br />Closed Tight (❑) <br />Closed Tight Qj <br />Check Valve #1 sid <br />_psid <br />Certified Tester (print) Dan Swanson <br />Address 1880-B West Wayzata Blvd <br />City Long lakd,, State MN Zip 55356 <br />Phone #: 952-473-8 3 <br />License #: P 061307 /-UrtificatioA 28072 <br />Signature <br />Date <br />Comments or Recommendations (continue to other side, if needed): <br />Assembly Final Test <br />Performance <br />Pass <br />Fail ❑ <br />
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