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7625 Boovc Avenue Nortii,�` <br /> �+ /�►_��__ Brooklyn Park,MN 55428 <br /> n �►�a��„ro Main 763,54A�,4(31 <br /> Fax 7d3.595,4346 <br /> Am�ia►n Com�anY � www ega��co.cpm <br /> BACK�LOW PI�EV�NTER TEST RL'PQR.T <br /> lnstrucUorws to Certified Testers: All information must be T ed or ctearl �intAd in black ink � <br /> SITE ADDRESS_ � �O g i, S �+ ,/ �,C�� �-�`f-- Z�p;SS�'-p <br /> Of���'S 73�i <br /> OCCUPANT:�I�I.N��t/,� PHONE: �� �� TEST DAT�; �'.l� .. <br /> ��� �� < < l� <br /> OEVICE MAKE/MODEL• ��,(7� ppCa' �jj��ZE; SERIAL NO. I7�7 <br /> DEViC� LOCATION: � � <br /> � • SYSTEM bEVICE <br /> ` �.SERVES: G�/�-C. c/ (,�,�-C/� <br /> CHECK VALVE CHECK VALV�# pRES. Dl�. PRES. DIF <br /> � #� 2 ACROSS#1 WHEN RELlEF STRAINEf� <br /> CH�CK OPEN <br /> EST BEFORE REpAlRS �'��� � � LEAKEp ) �' � <br /> � CLOSE CLOSEi� "----ps� ��--ps� C ND <br /> ) <br /> „ FINAL.TEST CLOSED ( ) CLOSED ( ) � <br /> ---Psi „psi <br /> D�SCRIBE �O <br /> ��. <br /> REPAIR <br /> Certification: <br /> !hereby certify th$t the forego,ng d�te to be correct <br /> within thQ lim;ts of the standards, �d that U'+e tested devic��s funCtioning <br /> FIRM NAME: EGAP! MECHANICAL CONTRACTORS ADDRESS: 762 OONE AVE. <br /> BY• 0. <br /> �� TESTEFt�S CERTIFICATION # Io� -r, PHONE#: 76 - <br /> I��T�E�CERT1FIEp �gka Cotbpaqfcs, rn�. 3 595-4300 <br /> Bgsn Mecha,rt{cAl I gan-,McKa y�te c t r i c a l 1 Niet�E[eolric, I�,e, <br /> . I Fsgan Automation � inter F�#; 7 �-�95-�'6 <br /> . AhA�rmo�tive�lctiort/1•',q��lOn�r�� � E an Service <br /> �J'Gip/uve� <br /> ���� . <br /> Zd Wdbz:L0 b00Z 0� 'daS : 'ON Xd� : W021� <br />