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Test report/Interstate testing-2012
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3751 Livingston Court - 17-117-23-34-0082
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Test report/Interstate testing-2012
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Last modified
8/22/2023 3:38:52 PM
Creation date
5/24/2017 12:18:34 PM
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x Address Old
House Number
3751
Street Name
Livingston
Street Type
Court
Address
3751 Livingston Court
Document Type
Misc
PIN
1711723340082
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2013-06-05 12:00 INTERSTATE TESTING 7637555365» 9522494616 P 212 <br /> Cross Connection Cantrol Deulce Performan�e �`sst <br /> Irtterstate Testing <br /> 2i40144�t Ave.NYV. <br /> Astidover Mn.66304 <br /> Phona(763)744-6149 <br /> QWNfR fHFOlRMATfON ,�____,_.,� <br /> Owner , 9treet AOd►eas <br /> �vt' v�..-�. �w�� ` 1 s ��7 `7`� �y n l�,.-�. c � <br /> ��e Gode Owns�`a Contact Pe�son 1'ebphoix� �xr�er <br /> r� � <br /> ,"�v9 r n � /�'1 •�0 �2 LlJ, � �1�. �� { G>' � �.�d� � 7 5 I <br /> FACKlTY MFORMATlON <br /> F ' Nw7w r . ' Strs�t AdOreBY � ~` <br /> �� � �-s�L W�--=� S � � f i.J�I1Cy�'`�s� � <br /> i1P Cotl� Ga� y <br /> •-C C. � <br /> ���� <br /> 3lriaf N1sri�r ".x <br /> (.n,1 � L �..�, � °! 7 `� �._ �` <br /> YS�e .� t` Aas�bly ty� P L1 RP Da�tsctor � DC C] DC Ustector d PVB/SVB <br /> wrrw.�s�r <br /> �S� `� ���� <br /> LJCJos�d tlphR LJGlpsed tipht el PSID <br /> p L9ake0 �L�a�ked �++Ot op�n <br /> Static P31D �Ilc P&ID <br /> s�I�A�...........................•-•--•.._.._.---------------...••••.........------•----..........---------•----•-'--.....-----...-�----•- <br /> ..�"�"� L�C�aaa+�y►n ope��ea�t 3 � �s�o <br /> S�tic PSID static Ps�o <br /> c'1�Y'ECTQft atr�A�sa A�lell.Y nyr�lAL TEST' RP ro�d�hra <br /> (�CbMd 1fpM Q C,'loesd lipht �►�at f�SID <br /> ❑t�saked ❑La�kk9d U[7�d not open <br /> St�tic PS1D Siatic PSIO <br /> ..-------------------------------------------------------------------------------••-------------•-------•----------------------------------------•- <br /> DETECTOR dYPASa A�Y FMIAL 1'E�T <br /> ❑CJond ffpM Q Cbsed tipht Opaned at .. , PSID <br /> 9mtic PSID StaCc P510 <br /> PRE�1lIt�V�M!!!1lEAKHt IMt1AL 1�T ; Pi�88Uli�VACUUM!lI�AK�R FNiAL'�'T <br /> � �s�o o�M ;'c��� -- ---�s�n �no"� ��o <br /> SE�tic P510 <br /> COMMENTS � <br /> .... Il'S f.�► S/,p�. �.,�h d�..ih y �� �-r�s-r �.7� �r� <br /> �h�is-sy4��.. %Csy4�,,, <br /> I HEREBY CERTIFY THE TEST RESULTS AR�'FRU�AND THE TES7 WAS CQNDUC'TED BYME PERSaNALLY. <br /> Tester►�me(print) ���;, ►� /�'1 � 1�� � Reqis�atlan No.v��i"3-�3 �7�ri�ae ot Day <br /> rester s+�turs �'�o'--�. �`j,-�-��L Pnona No.�4�3 -- �aoe -(� Y�/3 <br /> ��!`( <v/�' ! <br />
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