HomeMy WebLinkAbout10/11/2021 Backflow preventer testr
Modef it se let# 3 5'ta`31/ -3/-,
System ServieedL X01 c E>Z ic.c �f She:, _ (Inches}
mechanical,
contractorsInc,
1257 Marschall Road, P0, Box 237 • Shakopee, MN 85379
Phone;•852/445.5100
Cheek Valva k2 Shutoff Valve N2 Check Valve #11 -FR
ressure Differential
Pax: 9521415.5119
iVAMEOP 13UILOING, aWNFR/OCCUPANT� CONTACT NAME AND PHONE NUMBER
l r<�ai�5 or
ClosedTight ,..._Yes—No
COMPLETE JOB ADDRESS (INCLUDE Apt/Unit #)
Closed 7TIght—Yes ,._.-NoTest
APPLICANT CpMPANY NAME
pressurss Che;Vatve #1 Opened at psid
._.._psid
CONTRACTOR LICENSE tI •CONTACTM1JANIE AND PHNI NUiNBt fi
Associated Mecharoicai C®r�tractars L098 22749
ADDRESS CITY
,Charlie R(echer's 952-495:530U
Pa Box a37 Shakopee
TESTEf; NAME...
STATE Zip EMAIL
MfV S53i9 crreohers(aassocfatedmechanlcaLcom
Dave Muellerleile
T1:STER CERTIFICATION # PHONE
754900 - 43711 952. 48-6100
TEST EQUIPMENT MANUFACTURER TEST EQVIPMRNTMODEL # TEStEQUiPMENTSER1At # TE9r1NG EQUJPMSNi CAIIBRgTION DATE
Midwest' 845..
r=— --
— _
843463
_t _ Mn 12 Vs 1 O
rev. -...
nCNbd CC ,�, nemove _____ rte face and SN# of Re laced Device Rebu(Id
OVA
Type (check one): � Reduced Pressure Principal or Pressure Principal Fire Protection . vReduc�d Pressure Detector Fire Protection
.Double Chill Valve nay- y- rh....r, n...-- - ,--
— - -- - •�,��•� ��1,CiDVl�vacuumrreaxer,,,�5pWResistant PresSUreVacuum Breaker
Nianufatturer: " K vA%.J %�7SX[
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Cheek Valva k2 Shutoff Valve N2 Check Valve #11 -FR
ressure Differential
Relief Valve
Initial C(osedT(ght „-_ es —No Closedylght �wNo Closed Tight _Yes No
Test Opened atpsid
Pressure Drop Across Check Valve R3 ` , Opsld
Final
ClosedTight ,..._Yes—No
Closed Tight _Yes _No
Closed 7TIght—Yes ,._.-NoTest
pressurss Che;Vatve #1 Opened at psid
._.._psid
DRpble Check Valve or Double Check Detector Vire Priafiectlati DC —YESr RESULTS
Check
Check Valve #ti Check Valve #Z Shutoff Valve 62
_,Yes No psld C(osedT(ght _•, Yes No psid Closed T)ght _Yes No
PFInal
�No
,-,
CiosedTlght —Yes —No _Tpsid Closed Tight _ Yes std
P Closed Tight ,•._Yes No
Pressure Vacuum breaker PVB or Spill Resistant ltacuurrl Breaker (SRVBj —7>:ST RESULTS
Air (I Valve Check Valve shutoff #2
Initial Test Failed to open _.,.Yes _ _No Closed Tight _Yes —No
0 erred at psid Pressure Drop Across Check Valve 41 psid Closed TI$ht „Yes _,••, No
Final Test Closed Tight _Yes No
Opened at . psid Check
Pressure prop Across Valve #1 sid Closed Tight _Yes, No
describe parts and repairs when needed:
Ct3RTIF1CA71ONt l hereby certify the foregoing Information provided by met torr of s twi thetas ed d sfunctloning in complio ce with
State of Minnesota Plum�ingCode, Chapter 473A.
• resrER'ssIGNATlIRIi- _ _ �,�/., �,