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CORVAL 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 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 /> Ciiaotve 4-0 <br /> Make/Model of Device: Wattp C1 C' /17 Ov Size: 2" Serial#: 143088 <br /> Serves What System: 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,.( , <br /> Used Closelb,.4 Close 0e) O•(PSI 0.5 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: 1 • ' CERTIFICATION#: e)6��3,( PHONE: 651-645-0451 <br /> DATE: )0 c9c2— l3 REMARKS: <br /> ( )INSTALL (*-TEST ( )REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: " 565' 7-/ " 0 <br />