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CORVAL GROUPT^' <br /> ose <br /> �� <br /> BACKFLOW PREVENTER TEST REPORT <br /> DATE: 7- iy <br /> Site Name: Orono Middle School Job# /l/ 36 <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 /> l Ji7.z <br /> Make/Model of Device: Watts989'QT 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 Close Close //2PSI 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 /> • <br /> BY: i ,, CERTIFICATION#: 06,e2:: PHONE: 651-645-0451 <br /> DATE: 7-22, REMARKS: <br /> ( ) INSTALL ST () REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: 2005 — �d/O <br />