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vJ . CORVA L GROUP <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 ( None_(X <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 /> BY: CERTIFICATION#: PHONE: 651-645-0451 <br /> DATE: ' 19 , / 0 REMARKS: <br /> ( ) INSTALL ( ) TEST REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: een <br />