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NEWMECH <br /> COMPANIES, INC. 1633 Eustis Street <br /> St. Paul, MN 55108-1219 <br /> (651) 645-0451 Fax: (651) 642-5591 <br /> BACKFLOW PREVENTER TEST REPORT <br /> DATE: r f -6" �11 , ry j"d <br /> Site Name: Orono Middle School Job# 3�12— Z <br /> 7w— Zip Code: <br /> to Address:$WOld Crystal Bay Rd City: Orono 55356 <br /> fWcls 4,12 - 9/`9 '/ ?;P,' <br /> Contact: Phone#: <br /> Owner: SAME Phone#: 952-449-8314 <br /> t <br /> Owner Address: City: Zip Code: <br /> Serial#: <br /> \ Make/Model of Device:Watts 909 Size: W 415449 <br /> Serves What System: Boiler Make Up Water Location: Boiler Room u%l <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 /> �1 Used Close Close PSI PSI o Clnd <br /> VV 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: NewMech Companies ADDRESS: 1633 Eustis Street St. Paul MN 55108 <br /> BY: CERTIFICATION#: Aa� PHONE: 651-645-0451 <br /> DATE: r®'IV REMARKS: <br /> lo,( ) INSTALL'XE ST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: 2005 <br />