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� <br /> �'� /�l US� <br /> Date <br /> WELD & SONS PLUMBING CO. <br /> 3410 Kilmer Lane North <br /> Plymouth, MN 55441 <br /> (763) 475-0296 Fax (763)475-2566 <br /> AP,PUGATION FOR�BACKFLOW PREVENTOR TEST REPORT <br /> .108 Ai�DFESS:(BLDCi�) (STREET NAME) (AVE�ST�BLVD�PKWY�ETC) (DIHECTiON N E.S.w,N.E S.E; ,9lOG NAME) <br /> ! '' , ( � � - ,- � .;, � ,,i . ; � ± ;r,;,, 1'`'1 v� , `7 i`"'( I <br /> OWNER/OCCUPAHT: DESCHIPTION OF WO K: � _ <br /> �1 ' -�! � „ �=� � i' � � <br /> `, ;�>''� �. �;J'-��'��' �INSTALL u ALTER fiEPAIR u HEPtACE <br /> CONTACT P RSON: S V W <br /> F <br /> `��htl`�'-Z- L,_t;tu�.�;/� i f� ;� `�^. - '{�✓t <br /> DEVICE L ATION: <br /> ��1�C�d�'i��"� <br /> KE: i • MOOEL: SIZE: SERIAL NUMBER: <br /> v\1!.�.- t"`. { ; �'� . .._ E jc <br /> �!C) ��;.•,...vt; � :� r t.i�`:�-w��r <br /> ALl A , 6 MAUT ATE(AAONTH,OAY 8 Y A ): MONTM,DAY 6 VEAR�: <br /> ` •" 11 d <br /> �• I �� �-! � .i � �� <br /> � �._ �`../ 'v . .T.. ✓"1 <br /> ! l.l <br /> CHECK VALVE CHECK VALVE PRES.DIF.ACROSS PRES.Dlf.WMEN STqAINER <br /> NUMBER 1 NUMBER 2 NUMBER 1 CMECK RELIEF OPENS <br /> TEST BEFORE ❑ �EAKED ❑ �AKED n NONE <br /> REPAIRS � CLOSED ❑ CLOSED PS� ps� J <br /> �; CLNO <br /> FINAL TEST �-� CLOSEO - � CLOSED - PSI � y PSI ��/�-�� <br /> -,� � .� �,� h.. <br /> ^ � <br /> DESCRIBEREPAIH: ��� �h;��'� � � � �� �,�(�� '� .;t,�- :,,�,r� <br /> Y, -.t-f} � <br /> �� �� <br /> �� , � <br /> �ti`� �:�^, ��r`� �� ��<�;,`e{-'c� <br /> �'-��f ;-« � �-rCs."✓\ ( Cf ��' <br /> _' _�.___ f <br /> ESTIMATED COMPLET�ON TO AL ALU � p , M� <br /> ! � � <br /> L/ � t, � L ' s��L' �-' S s S <br /> ��a <br /> M A A � <br /> � �� � LI A I N. <br /> 1,i `-�t 1.�i� a�✓�`> ','("G(.�-��;�n;. _' r1 C. , AUTH.SK3NATURE � 'i ��� li :.i <br /> MPANY STREET ADDRESS: , _ � <br /> -v��- <br /> � � � .- <br /> �/ '� i / <br /> i l'C-� �l, r{k^n.��- �:v��' �j�i � '.�-1,:. ( i �YLtiLi 1�1�a'_ <br /> arv `�`� ' <br /> , <br /> �' '('•''-� � �A:} �v� `�' `�C� l(�-� � ?C,`' '_� ;�-� c ���, � �-�i i ` �f ?��f�;1 <br /> r <br />