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CORVAL GROUPT°" <br /> BACKFLOW PREVENTER TEST REPORT <br /> DATE: 7-2_2— <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 909 QT Size: 1" Serial #: 501319 <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 Clnd ( ) <br /> Describe Repair <br /> Final Test Materials Leaked ( ) Leaked ( ) None <br /> Used Close < Close Ali s, 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 /> Ed,VA-- CERTIFICATION #: 7649O " PHONE: 651-645-0451 <br /> DATE: 2-.a--//z/ REMARKS: <br /> ( ) INSTALL (LEST ( ) REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: 2005 <br />