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08/04/2009 20:49 7637672855 DALE BOCAN PAGE 69/10 <br /> , , • . . . ' ' . <br /> _r��ar-��'I�" . T • . <br /> 7625 Boor�e,A.venue Ttocth <br /> � � Brooklyu Park,MN 554z8 <br /> �- E a� Ser�Ece . � . � �ain'763.54�.4131 <br /> � � Fax 1G3.595.4346 <br /> � �� An Egan Company �vwwegnncn.cnue <br /> �BACfC1=,�OtN PR�V�,NT�EFt TES'T I��POF3.T � . <br /> �nstrucUdns to Ce�titied Testers: All lnformation must be r ed or ciearf pr�nted in biack ink <br /> a � � ' � � <br /> AD a . <br /> OCCUPAN7: � • PMONE: TEST DATE: � -,a <br /> � � �� �-fi..s� . . . . <br /> � � �� Q�r �. `/ � <br /> � DEVICE MAKE/MODEL: S(ZE: SERIAL NO. �7:� ?� <br /> pEVICE LOCATION: � f�►.� � �`¢-P�� , . <br /> • . SYSTEM DEVECE� ��dt, ���� �r� �� L,���� <br /> S�RVES: � . �� <br /> CHECK VALVE CH�CK V,4LV� # �'RES. DlF. PRES. Q!F <br /> - #i 2 ACROSS #1 WH�N RELIEF S'CRAINER <br /> . CHECK ' OPEN <br /> � LEAKED ( ) LEAK�Q ( ) � N�NE�-}-.. <br /> EST BEFOR� R�PA(RS CLOSE� ( ) C�OSED { ) - --pS� � �51 CLND ( ) . <br /> � FINAL TEST CLOSED LOS •� G�psi � �_��s� <br /> DESCRlS� � � � <br /> REPAIR . � " <br /> Certification: � . : � <br /> � I hereby�e[tity that tite foregoing d�ie to be correct and that the tested device is functioning . <br /> ' • within the limits of#ha standards_ ' . . <br /> . � .FIF� AME: EGAN MECHANICAL. CQNTRACTlJRS ADDRESS: 7625�BOONE AVE. NO. � <br /> . � „ . . . <br /> gy; � �EST�R'S CERTtFfCAT10N #� �7 PHON�#: 763,595-��00 <br /> SIQNATUREOFCERTIFIED;7ES'rER , .. EB$� Cor�p;o;�s, Iac. � . FAX #: 763�595-434� <br /> • Egan I�echanica! f Egan�McKay•�lectri�al � Nietz,�2ectric•, Inc: � Egnn Automaiion I In,te�rCt�d { Egan Sez�ace <br /> , ' . .4n Agrnmrtve.4cito'�,Equal Q�poi�unit�Emplvycr . • � , <br />