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CORVAL GROUP`M <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 Ostlung 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 009 M2QT Size: 2" Serial #: 143091 <br /> Serves What System: Lawn Irrigation 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 (4. <br /> Used Close O Close V.) 7 6( PSI 3.O PSI Clnd ( ) <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: I eid CERTIFICATION#: 0 G'‘,;23S-- PHONE: 651-645-0451 <br /> DATE: I b / 3 REMARKS: <br /> ( ) INSTALL (3 TEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: '21396-, 7-/7—(96)V <br />