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CORVA <br /> BACKFLOW PREVENTER TEST REPORT <br /> DATE: <br /> Site Name: Orono Middle School Job# <br /> Site Address:800 Old Crystal Bay Rd City: Orono Zip Code: 55356 <br /> Contact: John Ostlung Phone#:612.919.1769 <br /> Owner: ISD 278 Orono Schools Phone#: 952.449.8345 <br /> Owner Address:685 Old Crystal Bay Road City: Orono Zip Code: 55356 <br /> Make/Model of Device: Watts 909 QT Size: 1" Serial#: 501319 <br /> Serves What System: Boiler Make-up Water Location: Boiler Room <br /> Ck Valve Pres. Dif.Across Pres. Dif.when <br /> Ck Valve#1 #2 #1 Ck relief opens Strainer <br /> Leaked ( ) Leaked ( ) None <br /> Test before Repair Close Close ? PSI PSI Clnd <br /> Describe Repair <br /> Final Test Materials Leaked( ) Leaked( None( ) <br /> Used Close Close PSI PSI Cind <br /> CERTIFICATION: <br /> I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the <br /> standards. <br /> FIRM NAME: Corval Constructors, Inc. ADDRESS: 1633 Eustis Street St. Paul MN 55108 <br /> CERTIFICATION#: PHONE: 651-645-0451 <br /> DATE: Z-/2-626 i.Z REMARKS: <br /> ( ) INSTALL / TEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: --20G� <br />