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Owner: <br />Jennifer Grudoowski <br />Address: <br />BLUPlurabing, The1906 1st Street <br />Princeton, MN 55371 <br />763-238-1002 <br />Backflow Preventer Test Report <br />Contact Person/Telephone: <br />952-237-3440 <br />793 N Ferndale Road <br />Make: <br />Wilking <br />Location of Device: <br />Front S.le of house <br />City: <br />ORONO <br />Size: <br />P25-000115 <br />Date:4/25/2025 <br />Zip: <br />55391 <br />Serial No. <br />LDT 390 <br />Model: <br />710 <br />Serves what System: <br />Ircigetn <br />Test Year Check Valve #1 Check Valve #2 <br />Leaked ()Leaked ( <br />Closed(Closed () <br />Pressure 2.9 Pressure <br />Cleaned Cleaned <br />Differential Pressure Relief <br />Did Not Open <br />Opened At 29 <br />Cleaned <br />_ Replaced _Replaced _ Replaced <br />R <br />_ Poppet Poppet <br />e <br />_Spring _Spring <br />_ O Ring _ORing <br />a Rubber Seat Rubber Seat <br />_ Poppet <br />Spring <br />O Ring <br />Rubber Seat <br />i <br />Other Repairs Other Repairs Other Repairs <br />r <br />S <br />Certification <br />I hereby certify the foregoing data to be corrected and that the device tested is functioning within <br />the limits of standard. <br />Firm Name: Blue Water Plumbing & Heating, Inc. . 1906 1st St. Princeton, MN 55371 <br />This Report is for the purpose/Recording Only. Owner is responsible for safe operation and <br />upkeep of scheduled maintenance.