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LEON DUDA PLBG SUCS. 612 938005T 10-17-00 09�27 P.91 <br /> BACKFLOW PREV�NTER <br /> TEST REPORT <br /> �,�,� �� ��, ��, _ � . <br /> u�strucllu�s Io Corlllled T•sters; AU info��n�lion must b� lypad or cia�rly printed!e black Ink. <br /> ••-.�, <br /> SITL+' ADDI�ES� , z�y <br /> .�J"%v�[, r c���. a� v�c - (.� �-�� ��r��/ <br /> OI:C,IIPAN'1' ,-. Th'T�. N0. TEST DATE <br /> ��' � �� P �l.���� .�� w G/� �c/ �� , <br /> r, , c� <br /> n�i'VICP MAKE; APIII I�J�T'�,T� 3T.7C;� .,i• S�tIAL N'Q. <br /> '�'' c <br /> � ►�' /� � % <br /> DLVCr,C LOCqT:[Ocr G` � <br /> �.��I� c�(� �• �� r3 G\` <br /> ...�_ <br /> D!� ICP� S �, VL; WIfAT �SYSTENI �r��».�y -.�j�F,,� �.C��( <br /> /j' <br /> ' /.. � `� CHLX:K F{F;K PRL:�. DTF. PR ,F"',�. DIF. <br /> ~��' ��f,,�C� V LVE #1 VALVE #2 ACAO.SS #1 WHF� RELTEF STRAINER <br /> � cxFcx oP�rrs <br /> TE`.�T LF�AKED ) I,EAKID ( <br /> . BE;FORE CLOSED �� �,� � J ► ,•si I �-•�si NON� �� <br /> R1�PA�RS � , , ' ELOSED -�}--r .�'—.�e� CIND <br /> �. y r�. <br /> FINAI, � <br /> T�T CI.ASL"D ( ) Cl'ASE'D ( ) _��ai p�i <br /> D��Ci�Ii�E.; <br /> R CPA.i.lt �" <br /> r,L:i�TrFTCATZ�N: <br /> I hereby cer.tify the fore�oirtg daf:a tv be correc;t and that tl�e te5tecl device is <br /> Funct lo�ing �111:hin th e limits of the stsndards. <br /> !1�t)!�1 L'�:S�3P i iljM��;1VG ai:RY�I.'.FK, <br /> FIRM NA .�.----.. li� • I.7r,�� RY�.. N(:� ADDHT!�S <br /> e'i:�V+�.�iN��. '�,`r:�43 - —. ..._...__ ._.,. _._.....r... <br /> . �'�— r`��( <br /> DY �ESTE�t'5 CF�RTIPICATI�N Nr,` T�L. N0. � <br />