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if CITY VIEW <br /> Plumbing, Heating <br /> JU 13 Zo23C r Conditioning loni <br /> CITY OF OFZONC) <br /> Job #133286825 <br /> Backflow Field Test Report Form <br /> Property Information Rpz <br /> Property Owner <br /> Sandvold, Lynda <br /> Property Owner Address <br /> 1140 Wyndmere Road, Wayzata, MN 55391 USA <br /> Occupant of Property <br /> Sandvold, Lynda <br /> Occupant Address <br /> 1140 Wyndmere Road, Wayzata, MN 55391 USA <br /> Test Equipment - Manufacturer: Wilkins Model#: TG-3 Serial #: <br /> 091010878 Calibration Date: 9/7/22 <br /> Device Information <br /> Device Type <br /> RPZ (ASSE1013) <br /> Manufacturer Of Device <br /> Zurn <br /> Model # <br /> 975 xl <br /> Size of Device <br /> 1 inch <br /> Serial # <br /> Aba6975 <br /> Location of Assembly <br /> What is the Device Protecting? <br /> Lawn rido rust system <br /> Test Results Pass <br /> Date of Test <br /> 2023-06-07 <br /> Time Test Was Performed <br /> 1030 <br />