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lO <br /> „ z <br /> BACKFLOW PREVENTER TEST REPORT <br /> DATE: <br /> Site Name: Orono High School Job# <br /> Site Address: 795 Old Crystal Bay Rd City: Orono Zip Code: 55356 <br /> Contact: Ed Glover Phone#:612.919.1778 <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 Size: %" Serial#: 415449 <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 Cind <br /> Describe Repair <br /> Final Test Materials Leaked ( Leaked ( None( ) <br /> Used Close Close I PSI PSI TClnd <br /> CERTIFICATION: 0916 y- ;5.5 <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 #: PRONE: 651-645-0451 <br /> DATE: REMARKS: <br /> ( ) INSTALL ( ) TEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: 2005 <br />