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-ML <br /> ewmech <br /> COMES,N. <br /> 1633 Eustis Street 4715.2260 <br /> Saint Paul MN 55108-1219 BACKFLO REVENTER TEST REPORT Annual Testing of <br /> (651)645-0451 R.P.Z.Valves <br /> DATE: —CjZ <br /> Site Name:ORONO MIDDLE SCHOOL Job# 32 <br /> Site Address:685 OLD CRYSTAL BAY ROAD City:ORONO Zip code: 55356 <br /> Contact: JOHN OSLUND Phone# 952-449-8314 <br /> Owner.SAME Phone# <br /> Owner Address: City: Zip code: <br /> Make and SIZE: `( SERIAL P. <br /> Model of WATTS 102 <br /> Device: v <br /> LOCATION BOILER ROOM <br /> OF DEVICE: <br /> SERVES WHAT /I / <br /> SYSTEM: � tOA �f k l� [�' <br /> Check Valve#1 Check Valve#2 Pres.Dif. Pres.Dif. Strainer <br /> Across#1 When Relief <br /> Check opens <br /> Test Leaked( Leaked( _ PSI _ PSI None( ) <br /> Before Close Close (� Q 7 '�} Clnd ( ) <br /> Repair <br /> Describe <br /> Repair <br /> Final Leaked( ) Leaked( ) _ PSI _ PSI None ` ) <br /> Test Close O Close ( ) <br /> Materials <br /> Used <br /> CERTIFICATION: <br /> I hereby certify the foregoing data to be correct and that the tested device Is functioning within the limits of the standards. <br /> FIRM NAME: NEWMECH CO.INC. ADDRESS: 1633 EUSTIS STREET ST.PAUL MN.55108 <br /> BY:. __XjMA CERTIFICATION#: �r PHONE: 651-645-0451 <br /> DATE• REMARKS• <br /> ❑ INSTALL L TEST 0 REBUILD ORIGINAL INSTALLATION DATE: <br /> DATE OF LAST REBUILD: <br /> BFPTR REV. 2/12/02 <br />