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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
Metadata
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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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2014-05-22 14:30 INTERSTATE TESTING 7637555365» 9522494616 p Z/Z <br /> �'(/`+�G►'ti/' <br /> Cross Connection Control De�riCe Perfonnan�e Tss� <br /> Interstate Testing <br /> 214�144st Ave.NW. <br /> Andover Mn.55944 <br /> Phone(763)744�-6149 <br /> �R q�iFQRMAT <br /> 4wner , 9traet+A�dd'aee /� - <br /> ��, ��11 �i�l"�i i 7 � !• r./ / �7`7 •`�'y�l l�/r� C- � <br /> $� �C.00S �N110/�Ci011�PY�80n tO�Opf1011p <br /> l�'��..4 n •e � ,,,,1 �� 1�1V, �1 e► .,� t � G y � �.�37 7 `7 1 <br /> F�1'r WFORAIATION <br /> F t�Lms .�_.__..,��.._... Etreet Maras� � �--� <br /> -� � `'''� �i �•-y � U:h ' r'1 .�'� <br /> $Caee Ca�mb <br /> c� G + <br /> A869f1'�`p��G . <br /> (JL <br /> �� � / <br /> �J�..� j �f�rs � 7 y �_ � Yj <br /> Srr�e� as�b�r�e n Rp oe�r o ac O ac Daaaor Q�versvs <br /> �t+rru►�ns�r . <br /> �� RP neYeir vah�e <br /> � �� L.S pid nfit- - - PSID <br /> Statle P31D $� pg�p <br /> � <br /> .._...... ----------•--.._.... ... --•---- <br /> ---•-- •----------------------------------------- <br /> SS�Ydc �- � � ----- --.....��ed�--3� ��;,�'—'—. � -- <br /> c �a �rc asiu <br /> D�T�C'1�OR BYPA�A�.Y MWTIAL'f'E�sT <br /> L1� � RP t�f�odvs <br /> Q C�d!i� Cbdid tlpyt ��at PSiD <br /> CJ L�6�kld 0 L9eked U Qi4 nOt apen <br /> S'l�fc PSID StatlF i'SID <br /> ...------------------•------...............------------------------------------ ._.......__....._..-•------------------- ..... <br /> -------------- - ..,.•-;- <br /> o�rt�cro�t t���e�r FMuc r� <br /> ❑Closed Mpht p Clo�p 1f�t pp�� pg�p <br /> Sb�ic PSID SIaNc PSID <br /> PR�IMIE VAd!!JM�Al�t NIfAL T�3T ; Pl1E�IJNE YApAlM MEAK�1t fM1AL 7�T <br /> � � ;idN 4deR�a1vs <br /> Ooe�+ed ac �u o c�oMa�M ;�ope�+ed ec Ps�o �np� <br /> Q ad aa op�n O�-�wa�d � 9talk____. _PS�D <br /> �e�k PSID <br /> CCMMENTS ' <br /> y'�` Gj�4�. ��5� <br /> I HEREBY CERTIFY THE TES7'R�SULT3 ARE TRUE ANO TME TEST WAS GONDUCTED BY ME p�RSONN.LY. <br /> Tester Narne(priAt) /_l�.t� 1 ���� Rep�0i1 No.�fo��-�3 �rTN1ie Of Oay <br /> � /�'�-�.�.� 7 3 ••_•„ „— r� d t yo <br /> reNer sgr�a�re �'�c� Phons Mo. (p <br /> - �y���y°S <br />
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