HomeMy WebLinkAbout10-20-2020 mechanical testmechanical. contractors, incil
1257 Marschall Road, P.O. Box 237 Shakopee, MW 55379
Phdne:' 952!445-5100 Fax: 9521445-5119
NAid1E OF BUIL , O, ODUNERIOCCUPANTi CONTACT AM€ -AND PFIONE NU"J1BER
COMPLETE JOB ADDRESS (INCLUDE Apt•/Onit #)
:f.1 '6611 rJ Al, 6
APPLICANT COMPANY NAME
CONTRACTOR LICENSE #
•CONTACT NAME AND PHONE NUMBER
Associated Mechanical Contractors
LOSS 22749
,Charge Riechers 9�2-445:5100
ADDRESS
PO Box 237
CITY
Shakopee
CheckValve#1
Check Valve #2 Shutoff Valve #2 Relief Valve
STATE
Mfg
ZIP
55379
EMAIL
criecbers@associatedmechanical.com
TESTER NAME
TESTER CERTIFICATION #
PHONE
Scoff Gieske
BF638161 22942
952-445-5100
TEST EQUIPMENT MANUFACTURERTEST
EQUIPMENT MODEL #
TEST EQUIPMENT SERIAL # TESTING EQUIPMENT CALIBRATION DATE
Wilkins
845 -TK
Opened at -'psid
09070525
I
Mo 12 yr
e
____Install _ Relocate Remove Replace and SN# of Replaced Device ,_ Rebuild /� Test
. • .. '�i�C�C��C'iVil'A�5�11�E�Y �E"�'�±(i!r`(i!).E�64i�igi'IDial ' .,
Type (check one): jCReduced Pressure Principal or Pressure Principal Fire Protection _Reduced Pressure Detector Fire Protection
®Double CheckVValvq _Double Check Detector Fire Protection —Pressure Vacuum Breaker Spill Resistant Pressure Vacuum Breaker
Manufacturer:_/fI;�T_ Model #, �� �� serial # 3S /C� size: 3%� (inches).
T
system Serviced Location in bldg Az'e6 A-- Floor#�_ Room #
TEST'°�$�T'511:T'Se ass. fail,C.LTrEPC'5(`fltLiii`YPSGIQh! lf3l�VI%),
(�ed1BCe'{� PrSS@AP.�i9liClpal Or�iedtlC�t� PCeS5L1Y'4: p8i@G$tlY 0Ir� �f0�2C�IOii �RP, fESf REl1(:T
Pressure Differential
CheckValve#1
Check Valve #2 Shutoff Valve #2 Relief Valve
Initial
Closed Tight Yes _--_No
Closed Tigh� Yes —No
Closed Tight Yes _No
Opened at ��psid
Test
Pressure Drop/Across check Valve #1 psid
Final
Closed Tight —Yes—No
Closed Tight _Yes —No
Closed Tight —Yes—No
Opened at -'psid
Test
Pressure Drop Across check valve m psid
Double Check Valve or Double Check Detector Fire Protectiol (DC)—TEST RESULTS
Check Valve #9
Check Valve #2
Shutoff Valve #2
Initial Test
Closed Tight _Yes _No psid
Closed Tight _ Yes _, No psid
Closed Tight ,_.,,Yes _No
Final Test
Closed Tight _Yes _No psid
Closed Tight — Yes —No psid
Closed Tight _Yes—No
Pressure Vacuum Breaker (PVB) or Spill Resistant Vacuum Breaker (SRVB) —TEST RESULTS
Air Inlet Waive Check Valve Shutoff #2
Initial Test Failed to Open _Yes _.No Closed Tight _,_,Yes _No
Check Valve #1 psid
Closed Tight _Yes _No
Opened at psid Pressure Drop Across
Closed Tight _Yes No
Final Test Opened at psid Pressure Drop Across Check Valve #1 psid
Closed Tight _Yes , No
Describe parts and repairs when needed:
CERTIFICATION. I hereby certify the foregoing information provided by me to be correct an at '� -dice' functioning in compliance with
State of Minnesota Plumbing Code, Chapter 4714,
TFSTER'S SIGNAT TEST DATE:
1�