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J <br /> me& 1633 Eustis Street <br /> SL Paul, MN 55108-1219 <br /> Companies,ML (651)645-0451 PAX:(651)642-5591 <br /> 75 Years of Excelk"m htttp:llwww newmech.com <br /> m hbw <br /> 1633 Eustis Street 4715.2260 <br /> Saint Pard MN 55108-1288 BACKFLOW PREVENTER TEST REPORT Annual Tesft of <br /> (651)645-0451 DATE: / � Q 3 R.P.Z es Vald�/ <br /> Site Name* Job 8 <br /> Site Address: 6c,.5A/ moi►: ZO <br /> Contact ` Phone#: <br /> Owner: Phone#: <br /> Owrnwpj& _. Citr: Zp code: <br /> Make and SIZE: SERIAL.M <br /> MOM Of <br /> LOCATION <br /> OF DEVICE: <br /> SERVE$ <br /> SYSTEM <br /> ® r Q �� <br /> M: /C <br /> Check Valle#1 Check Valla DIE Pres.DIL Strak" <br /> Across#1 When Rdd <br /> che,* Opens <br /> -Test Lealced Lealmd PSI PSI None( <br /> Before Close (t,)— pose f� _ (2nd ( ) <br /> 3 3, 9 <br /> Describe <br /> Repak_ <br /> Leaked Le*W NOW <br /> Test close () close () — PSI — PSI ClodMaterials <br /> ` } <br /> Used <br /> CERTIFICATION: <br /> I hereby M*the foregoing data to be correct and that the tested device Is fixctlonieg within the units of the standards. <br /> FIRM NAME: / NEWMECH CO.INC. ADDRESS: 1633 EU/STIS STREET/STl./�P�A✓UL MN.55108 <br /> BY: �G �IQ-&Z/� CERTIFlC M.#: �2 PHONE: (o �f © 7 J^ .9 elyl <br /> DATE: �" �.3 REMARKS: <br /> 0 INSTALL ®'TEST 0 REBUILD ORIGINAL INSTALLATION DATE.- <br /> DATE <br /> ATE:DATE OF LAST REBUM <br /> BFPTR REV. 1118102 <br />