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06-07-2023 Backflow Test Report
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06-07-2023 Backflow Test Report
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Last modified
8/22/2023 5:31:13 PM
Creation date
7/12/2023 1:53:46 PM
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x Address Old
House Number
4035
Street Name
Dahl
Street Type
Road
Address
4035 Dahl Rd
Document Type
Misc
PIN
0711723140003
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yam AQUAPR • 5 <br /> y Sprinklers ty <br /> 30 2 2023 <br /> Job #14541962 <br /> Backflow Test Report (Appt 14541962-1) <br /> Location & Customer Information <br /> Complete Job Address Location Contact Name (Owner) <br /> 4035 Dahl Road, Mound, MN 55364 USA Elly Keegan <br /> Location Contact Phone Number <br /> (952) 200-4560 <br /> Were you able to complete the Backflow <br /> Test Today? <br /> Yes <br /> Device Information <br /> Test Date Device Type <br /> 2023-06-07 PVB <br /> Device Manufacturer Device Model <br /> Wilkens 720A <br /> Device Serial Number Device Size <br /> CAA42305 1.0" <br /> Device Location <br /> Back <br /> Test Results <br /> Test: Pass OR Fail Shut-Off Valve #1 <br /> Passed Closes Tightly <br /> Shut-Off Valve #2 Check Valve #1: Tightness <br /> Closes Tightly Closes Tight <br /> Check Valve #1: Spring Pressure Air-Inlet Valve OR Relief Valve Opened at <br /> Differential PSI <br /> PSI <br /> 5.00 <br /> 3.50 <br /> Did you tag device? <br /> No <br /> Tester Information <br /> Technician's License Number Test Completed By: <br /> BT687208 Drew <br />
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