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RO P'"' <br /> 100 CORVAL G U <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 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 openp Strainer <br /> Leaked ( ) Leaked ( ) � ` i-t cNone ( ) <br /> Test before Repair Close ( ) Close ( ) PSI PSI Clnd ( ) <br /> CI r+eg0 <br /> Describe Repair re/,rt" <br /> Final Test Materials Leaked ( ) Leaked ( ) None ('j <br /> Used Close (1) Close ( 4 7, I PSI 3,OPSI 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: J T.'Qc0 CERTIFICATION#: L 66,,;23 S PHONE: 651-645-0451 <br /> DATE: J C) _ ? — 1 J REMARKS: C I-ect n e rt) i, <br /> ( )INSTALL WEST ( )REBUILD ORIGINAL INSTALLATION DATE: 2000 <br /> DATE OF LAST REBUILD: -2005 7-)q -10 <br />