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1633 Eustis Street <br /> VeMeCh Saint Paul,Minnesota 55108-1288 <br /> Commies,kv— (651) 645-0451 FAX(651)642-5591 <br /> 75 Years of Excel/ence httpJNvwwjwvi wwch•com <br /> 1633 Eustis Street 4715.ZM <br /> Saint Pari MN 55108-1288 BACKFLOW PREVEHTER TEST REPORT Anrural Testing of <br /> (612)645-0451A© © R.PZ Valves <br /> DATE: / <br /> Site Name: o Z✓b S C bWL Job# / D <br /> Clyo vo code: <br /> AQ, <br /> ' Phone#: <br /> Oma; Phone M <br /> Owner Address: Ciyl: Zip code: <br /> Make and SIZE: SEWAL#:MOM Of - <br /> --mss r <br /> LOCATION <br /> OF DEVICE: n,are dro'41 <br /> SERVES WHAT <br /> SYSTEM: <br /> Check VWM#1 Check Valve#2 Pres.DW Pres.M Straw <br /> Aaoss#1 When Relief <br /> Check <br /> Test Leaked( ) Leaked( ) ._ PSI _ PSI Nona <br /> Before close Close 1, 2 ( ) <br /> R 7 <br /> Describe <br /> Repair <br /> T� cLeaked Leaked i i ci i _ <br /> Mid_ PSI { ) <br /> materials <br /> Used <br /> CERTIFICATM <br /> I hereby certify the for W tg data to be oared and that the tested dovice Is fimcdoift wthin the Wilts of the standawds. <br /> FIRM NAME: CO.W, <br /> ADDRESS: 1633 EUSTIS STREET ST PAUL MN 55106 <br /> BY: J4 CERMCATION#. / PHONE: to 67 yS^—0f/9 <br /> DATE• REMARKS:' <br /> O INSTALL YTEST11 REBUILD ORIG14AL INSTALLATION DATE: O� <br /> DATE OF LAST REBUILD- <br /> BFPTR REV. 9/3199 <br />