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: + CORVAL <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 Ostlyng 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 ( one <br /> Used Close Close PSI ` PSI Clnd (� <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 /> :t< NAME: Corval Constructors, Inc. ADDRESS: 1633 Eustis Street St. Paul NIN 55108 <br /> BY: 7� CERTIFICATION#: PHONE: 651-645-0451 <br /> '3 <br /> DATE: REMARKS: <br /> O INSTALL ATEST O REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: 2005 <br />