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° ;Jun. 6. 2016. 1,: 35PMI Wenzel Plumb I ng No. 7438 P. 1 <br /> IN r..rkt .;,t ✓. <br /> RPZ TEST/REBUILD REPORT <br /> �� sr !NIG <br /> 19p,Shaw-neeRoact,Suite 130,Eagan,MN 55122 <br /> DEVICE ADDRESS I )0Q p 01-p gifaiSt4/ <br /> SERVICE NAME 1 4 air,.. .7/ b S° / /i1Jr G.t 4., <br /> CONTACT PERSON 1 Ocic t .-T-701').41 S. I <br /> TELEPHONE I L-- 6,02-~ VS'2-g' <br /> BILLING ADDRESS 1 3 Se, /fArrrii. p11 <br /> CITY I 9/.y, <br /> STATE,ZIP CODE . 7 SO-70 1 _____I <br /> — <br /> DEVICE LOCATION I G -. Siy <br /> DEVICE SERVES WHAT SYSTEM, j ,lam. —1 <br /> SERIAL NUMBER 13094c/8/ TEST YEAR <br /> MAKE w i L/GlxiS I I 1st <br /> MODEL 97 S' 2nd <br /> it 7_,) I / I I 3rd <br /> INSTALL DATE I AM I I 4th <br /> CHECK VALVE#1 <br /> I REBUILD <br /> CHECK VALVE#2 —I New Install <br /> PRESS.DIFF.ACROSS 41 CILIA <br /> PRESS.DIFF.ACROSS#21-7,Q I Test Date: 7,*/,‘ <br /> PRESS.DIFF, RELIEF OPENS,y Guage Callibratioli Date: <br /> LINE PRESSURE /)c). <br /> Describe Repair: Iki. /zz.,,(ca <br /> mREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND THAT THE TESTED DEVICE IS <br /> FTINCTIOMNCY WITIIIN THE LIMITS OF THE STANDARDS <br /> BY: Brook Danner CERT.# 29167 /4 <br /> ) ) <br />