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08/15/2012 05:25 7637672855 DALE BOCAN PAGE 03106 <br /> � :,�.. , <br /> r � , � . <br /> ,'Jlt�..�^�� . <br /> � . <br /> .�..... er;t6t,�en P am,t�W Kryr--^° ' � / . <br /> B�1 CrfCFL O W PRE�fEN7`E'R TES 7`REPOR T <br /> ;;i �; <br /> 1•=.`��� i�lstructions to Certified Testers: At(fnformation must ba T ed or clear rinted in btack ink <br /> SIT�ADDRESS: p� �� � /+ �/�; ZIP:��� / <br /> OCCU�ANT�Jf'�,� ,C, � PHONE: TEST DA�F�; �l —^�/z_ <br /> �i <br /> oEV�cE MAK�MODEL: G S rn S1zE: � SERlAL NO_ / � <br /> f7EVICE LOCATION: � <br /> SYSTEM DEVICE <br /> SERVES_ {��.. � C� � � <br /> CHECK VALVE CHECK VALVE# PRES_ DfF. 1'RES. DtF <br /> #1 . z ACROSS#1 WNEN RELfEF STRAINER <br /> CHECK OPEN <br /> �ST BEFORE REPAlRS ���D ( j �-�KED ( ) NONE f� <br /> CLO5ED ( ) C�OSED( ) —�---PS� ----Qss CLND ( ) <br /> .� FENAL TEST CLOSE CLOSED �,�psi ���p5j <br /> 7. <br /> DESCRIBE • <br /> REPAIR <br /> CerEifica�tio�: � . <br /> 1 hereby certify that•the fo�egoing date to be correct and Ehaf the tested device is Functioning <br /> within!he lirnits of the standards. <br /> FIR, AM : EGAN C4MPA�NY ADDRESS: 7625�BOONE AVE. N�. � BR KE.YP! PARK MN 55428 <br /> B : _ -- T�STER'S CERTIFICATI�PV# 0�$778BF PHONE#; �,$�;,��9�-430C1 <br /> SIGNnzvRE oF CERZIFlEO't�STFx FAX#: 763-595-4346 <br /> : , <br />