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,7O�ct. 14. 2014:12:46P _ Wenzel Plumbing ysAo. 2610— 'P. 16 <br /> RPZ TEST/REBUILD REPORT <br /> 1959 ShawneeRoad, Suite 130,Eagan,MN 55122 <br /> (1-n2 . <br /> EVICE ADDRESS I Woo raid di7'54,( P., ea I <br /> SERVICE NAME 1 tt 4 $ ;i7h L 67q• CONTACT PERSON [lad d joy .� <br /> TELEPHONE I 647-446z -HSL fe 1 <br /> BILLING ADDRESS ( 3410 Al Q"6.4-71 II `,i' Wk., ( <br /> CITY1611-e)kwl <br /> STATE,ZIP CODE I ►f <br /> DEVICE LOCATION 1 42,4,0./f & - ( <br /> DEVICE SERVES WHAT SYSTEM I // _ - <br /> SERIAL NUMBER I .3 F6 4/57-` 1 TEST YEAR <br /> MAKE I iii/.' A.4/5 ( 1st <br /> ' $ODBCiizE L 77 -.-,Y4J I 2nd <br /> 3rd <br /> r <br /> � a - I I <br /> INSTALL DATE I /o/e/9eW - ( � 4th <br /> rRECK VALVE#174-1REBUILD <br /> CIRCE VALVE#21— z,/(New Install <br /> PRESS. DIFF.ACROSS #1 6 <br /> PRESS.DIFF.ACROSS#21 j ( Test Date: /9// ,c5/9 <br /> PRESS. Dlkk'. RET.TET+ OPEN1.5. <br /> Describe Repair: "i'et A0 <br /> FREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT TEE TESTED DEVICE IS <br /> VIINCTIONING WITHIN TEE LIMITS OF THE STANDARDS <br /> r- BY: Brook Danner CERT.# 32901BF <br /> j <br />